OPATE#
County Department 1 Public
, Harnett
PERMIT # 22!a0 e) Operation Per it
New Installation Septic Tank N14trification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION•
Name: (owner) SUBDIVISION LOT #
System Installer: ��Cy e Registration #
Basement with plumbing: ❑ Garage ❑ Number of Bedrooms
Type of Water Supply: ❑ Community ❑ Public ell Distance from well i feet
System Type: , Types V and VI Systems expire in 5 years.
(In accordance with able V a) Owner must contact ealth Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with loplibe Nofth Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization.
PERMIT CONDITIONS:
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
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ILA
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System shall jerform in accordance with Rule .1961.
As required 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 ❑
Following are the spe ications for the sewage disposal system on the above captioned property.
Type of system: • Conventional ❑ Other
Subsurface No. of exact length
Drainage Field ditches of each ditch feet
French Drain Reauired: Linear feet
Alarm ❑
H2OLine ❑
PWR Line
Septic Tank: gallons Pump Tanl�40 0 6 gallons
width of depth of
ditches feet ditches / inches