OP RHTE #/g -s —39-7-Fslz Harnett County Department of Public Health 23497
PERMIT Operation Peri it
2 --"New Installation Septic Tank nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:,,�j,/y
Name: (owner)i' / SUBDIVISION �a«� �,.2 LOT # 3�
System Installer: Registration #
Basement with plumbing: ❑ Garage ber of Bedrooms 3
Type of Water Supply: ElCommunity Public ❑ Well Distance from well feet
System Type: 2510 fi 12 G [ t Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Owner must cont,�t 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
f tKPII1 LUNUIIIUN):
I. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
771
v'
1
3 V
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.
❑ D -Box ❑ Pump ❑ Alarm ❑ 1-12O1-ine ❑ PWR Line
Following are the specifications for the sewn disposal system on the above captioned property.
Type of system: El Conventional 1OtheY15'�/?�Ut��.r��.s_ Septic Tank: /'oo gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 3 of each ditch /oa feet ditches 3 feet ditches L9aj3 inches
French Drain Required: Linear feet
t
Authorized State A%'�,� ,_{..� Date
14-5-34735R (1) 14-5-34735R (2) 14-5-34735R (3) 14-5-34735R (4) 14-5-34735R (5)
14-5-34735R (6) 14-5-34735R (7)