OP RHTE# !y -s — 33e8o� Harnett County Department of Public Health 233
PERMIT # Z% SS2- Operation Per it
Y New Installation Septic Tank Q Nitrification Line ❑ pair
Name: (owner) J
System Installer:
Basement with plumbing: ❑ Garage ❑
Type of Water Su ply: ❑Community ❑
System Type:
(In accordance with Table V a),01991.1 1`01
PROPERTY LOCATION:
GJ z►� SUBDIVISION L
Registration #
umber of Beopooms
Public 5 Well _Distance from well 52>'-4- feet
® Types V and VI Systems expire in 5 years.
J-7 7 Owner must contact Health Department 6 months prior to expiration for permit renewal
This system has been installed in compliance with aWccable North Carolina General Statutes, Rules for Sewage Treatment and
PERMIT CONDITIONS:
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
Poo
b_
Were
D
i
r. I'►�'1
and all conditions of the Improvement Permit and Construction Authorization
1 �r
System shall perform in accor�anclwithiRule .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.
416co-t � &YUG-14
3�-
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9
❑ -Bo ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are t specifi tons fo a sew disposal tem on th above captioned property,
Type of syste Conventional + o Septic Tank: 000 6 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field itches t ` of each ditch � n feet ditches 3 feet ditches LO 6 inches
French Drain Required: Linear feet
Authorized State A Date (V — Z3 -1
14- 5- 3318OR (2)
14- 5- 3318OR (3)
14- 5- 3318OR (4)
14- 5- 3318OR (5)
14- 5- 3318OR (6)
14- 5- 3318OR (7)
14- 5- 3318OR (1)
14- 5- 3318OR (8)
14- 5- 3318OR (9)
14- 5- 3318OR (10)
14- 5- 3318OR (11)