OP RHTE# C)() -5 - Harnett County Department of Public Health 23275
PERMIT # ���"1 Operation Permit
New Installation 1!!!� Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: o �sSA
Name: (owner) ALL c-.PQz--�Q Cj SUBDIVISION yto L
\r4 f,, Ssa-_-,o,aS LOT #
System Installer: \4 r4 G _o v..s65 Registration #
Basement with plumbing: ❑ Garage X Number of Bedrooms LJ
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 100 feet
System Type: o, Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Owner must contact Health Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization
rtKMII LUNVIIIUN):
I. Performance: System shall perform in accordance with Rule .1961.
11. Monitoring: As required by Rule .1961.
III. Maintenance: As required by Rule .1961. Other:
Subsurface system operator required? Yes ❑ No
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other:
❑ D -Box ❑ Pump ❑ Alarm ❑
Following are the specifications for the sewage disposal system on the above a t' oned- perty.
Type of system: ❑ Conventional Other -1 �rn Septic Tank: 1 b QU
Subsurface No. of exact length width of
Drainage I— eq --- hes_ of each ditch ti5® feet ditches
French Drain Required: �_ Linear- feet
H2OLine ❑
PWR Line
gallons Pump Tank: gallons
depth of
feet ditches ° % inches
i"