OPHTE#q ErlHarnett County Department of Public Health 23482
PERMIT # -7 i Operation Permit
New Installation ff Septic Tank 2 Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:
Name: (owner) ����rirt L'^��' SUBDIVISION LOT # 7�
System Installer: !ZL�__� Registration #
Basement with plumbing: El Garage �CT tuber of Bedrooms 3Type of Water Supply: El Community LTJ Public El Well Distance from well feet
System Type: — Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Owner mus contIct 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
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PBMII LUNUIIIUNS:
I. Performance:
IL Monitoring:
111. Maintenance:
IV. Operation:
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 ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewage disposal system on the above captioned property.
Type of system: ❑ Conventional El -'Other -Z9>- &-2& OCJ ZZ/< Septic Tank: 4 vG O gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch ao feet ditches feet ditches inches
French Drain Required: Linear feet
Authorized State Date 12--50
14-5-34561 (2)
14-5-34561 (3)
14-5-34561 (4)
14-5-34561 (5)
14-5-34561(6)
14-5-34561 (7)
14-5-34561 (8)
14-5-34561 (10)
14-5-34561 (11)
14-5-34561 (12)
14-5-34561 (13)
14-5-34561 (14)
14-5-34561 (15)
14-5-34561 (1)