OP- inTI status and can not sign off in HTE.HTE# Harnett County Department of Public Health 23370
PERMIT # z So fi Operation Per it
New Installation Id Nitrification Line ❑ Repair Q Expansion
PROPERTY LOCATION: 2
Name: (owner) NVTS SUBDIVISION LOT # 2
System Installer: Ozr,-s Registration #
Basement with plumbing: ❑ Garage 2jNumber of Bedrooms Y
Type of Water Supply: ❑ Community E?r Public ❑ Well Distance from well feet
System Type: Z5`6 16%0 - � 7:yl12 c ,P5�Z.Z aj, Types V and VI Systems expire in 5 years.
(In accordance with Table V a) l� Owner must contact Health Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North Carolinli General 2atutes, Rules for Sewa¢e Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization.
PERMIT CONDITIONS:
I. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
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7--7
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.
V. Other:
❑
D -Box ❑
Pump ❑
Alarm ❑ H201-ine ❑ PWR Line
Following are the
specifications for the sews disposal system on the above captioned roperty.
1/
Type of system:
El Conventional Other
ZS %/lR, J M
Septic Tank: 5e gallons Pump Tank: gallons
Subsurface
No. of
exact length %
width of depth of
Drainage Field
ditches (
of each ditch q 3D feet
ditches feet ditches 72,518 inches
French Drain Required: Linear feet
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Authorized State Agents Date i V " `�
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