OPHTE# /L1 - 57- Harnett County Department of Public Health 2 3 4 9 3
PERMIT # Z �b i Operation Permit
'New Installation Septic Tank nitrification Line ❑ Repair ❑Expansion
PROPERTY LOCATION:c-m q ° f Aa"'t25 a)/]
Name: (owner)SUBDIVISION #
System Installer. Z<� _ Registration #
Basement with plumbing: ❑ Garage 36 feet
Type of Water Supply: ❑ Community 2— ublic ❑ Well Distance from well
System Type: —•3— i es and V Systems expire in 5 years.
(In accordance with Table7compliance
Owner must co tact ealth epap nt 6 months prior to expiration for permit renewal.
This system has been installed inricable th Carolina General Statutes, Rules for Sew a Trea ment a d Disposal, nd all conditions of the Improvement Permit and Construction Authorization.
PERMIT CONDITIONS:
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
D
a-- �n-ee--r— D�
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.
44,05 T ---V �- 04"1"
t 2,—f `1—f Y
V. Other:
❑
D -Box ❑
Pump ❑ Alarm
❑ H2O1-ine ❑ PWR Line
Following are the specifications
for the
sewage disposal system on the above captioned property.
Type of system: El
Conventional
�ther Lam' ��^
Septic Tank: t t— o gallons Pump Tank: t v o gallons
Subsurface
No. of
'J
exact length
ditch �c� feet
width of depth of
ditches � feet ditches inches
Drainage Field
ditches
of each
French Drain Required:
Linear feet'
Authorized State ,
ent`—'`�
/
1 ' (- �= --- �'
DateZ J�^
14-5-34796 (1)
14-5-34796 (2)
14-5-34796 (3)
14-5-34796 (4)
14-5-34796 (5)
14-5-34796(6)
14-5-34796 (7)
14-5-34796 (8)
14-5-34796 (11) 14-5-34796 (12) DSCN2301
14-5-34796 (9)
14-5-34796 (10)