OPHTE# %1-1-1�- -3zV!�;- I Harnett County Department of Public Health 23204
PERMIT # 2-7-7 "Z Operation Permit ,,�
[ New Installation Septic Tank 12r Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION;-4U" '
Name: (owner) Wit. SUBDIVISION �WGVWI , LOT #
System Installer: lZus Zjj;; &- Registration #
Basement with plumbing: ❑ Garage umber of Bedrooms 3
Type of Water Supply: ❑ Community I Public ❑ Well Distance from well feet
System Type: ! jgZ7 41 o Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Qwermust contact Health Department 6 months prior to expiration for permit renewal.
This system has been installed in complianc4ith�pplicable North Cam nera Rules for Sew ge. en isposal, and conditions of the Improvement Permit and Construction Authorization.
PERMIT CONDITIONS:
I. Performance:
II. 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 sewage disposal system on the above captioned property.
Type of system: 11 Conventional C� Other 5% L -:*AA. `M-tl Septic Tank: gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch Cc feet ditches feet ditches 300)( inches
French Drain Reouired: Linear feet
Authorized State ent ~1,0-%-, —, ___ Date
a
ones
"
14 -5 -32851 (2)
14 -5 -32851 (3)
14 -5 -32851 (4)
14 -5 -32851 (5)
14 -5 -32851 (6)
v
e
y
4y
14-5-32851(7)
14 -5 -32851 (8)
14 -5 -32851 (9)
14-5-32851(10)
14-5-32851(11)