OPATE#-14-5-34-7
Harnett County Department 1 Public •I;;
PERMIT #31 Operation Permit
New Installation V Septic Tank X Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: C.0.Q9ag, L. -.00{e
Name: (owner) SUBDIVISION %c. LOT #
System Installer: T---voe— QwLv4 e,rL Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms x�
Type of Water Supply: ❑ CommunityPublic ❑ Well Distance from well D bQ feet
System Type:c, Types V and VI Systems expire in 5 years.
(In accordance with Table V a) `� Owner must contact Health Department 6 months prior to expiration for permit renewal.
ims system nas peen mstauea in compuance wren appucame north tarouna uenerai xatutes, Hies for sewage ereatment ana
PERMIT CONDITIONS:
I. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
1yT t L Niy Cr,)S6,trGNi
N9-
»Ousr,
ana an conmhons of the
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.
rermtt ana lonstruction Authorization.
❑ D -Box ❑ Pump ❑ Alarm ❑ 1-12O1-ine ❑ PWR Line
Following are the specifications for the sewage disposal system on the ab ve cap�ti°f ped property.
Type of system: ❑ Conventional Other C)-' P / Septic Tank: 1000 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches i of each ditch a®�'% feet ditches 3 feet ditches inches
French Drain Reouired: ear feet
Authorized State Agent 'A5 Date t )L
I Li -5 --541-1-�