OPHTE# ` -3851 Harnett County Department of Public Health
PERMIT # 113 9 9 Operation Permit 23008
New Installation 3''S*e tic Tank a itrifcation Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:" e4/02 --,,f-
Name: (owner) ) 6 JALK SUBDIVISION L f� # ,
System Installer: Registration #
Basement with plumbing: El Garage f mberof Bedroom
Type of Water Supply: ❑ Community I" Public ❑ Well tance from well feet
System Type: 2_6N4 i Types V and VI Systems expire in 5 years.
4.
(In accordanc I Ow er mus alth Depart ment 6 months prior to expiration for permit renewal.
I This system has been installed in compliance with applicable North C rolina General Statute les for Swt and Disposal, and all conditions of the Improvement Permit and Construction Authorization.
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PERMIT CONDITIONS:
I. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
System shall perform in accordance with Rule .1961.
As required by Rule .1961.
As required by Rule .1961. Other:
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
❑
D -Box ❑
Pump ❑ Alarm
❑ H2OLine ❑ PWR Line
Following are the specifications for the sewa tsposal
system on the above captioned property.
`
Type of system:
❑ Conventional Other
i i'2�t U� ,t%.
Septic Tank: gallons Pump Tank: gallons
Subsurface
Drainage Field
No. of
ditches
exact length
of each ditch feet
width of 12 depth of t�
ditches feet ditches �- 717 es
French Drain Required: Linear feet
Authorized State A nt Date ,� 7 1