OP RHTE# /y -S 31/Y?17 Harnett County Department of Public Health 23576
PERMIT # 2.8077— Operation Per .t
L�f New Installation Septic Tank ❑ Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:
Name: (owner) :Z 4- EddzG Mz:77+a SUBDIVISION LOT #
System Installer: Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms —J
Type of Water Supply: ❑ Community ❑ Public Well Distance from well 8z feet
System Type: /v % t 2 Ss4=-Types V and VI Systems expire in 5 years.
(In accordance with Table V a) 0- ffiOwnner must" contact` Health Department 6 months prior to expiration for permit renewal.
7 E-7-
This system has been installed in compliance with applicable North
PERMIT CONDITIONS:
I. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
Rules for
l
and Disposal. and all conditions of the Improvement Permit and Construction Authorization.
NAW
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 seewwagesposal stein "oche a ove capttal(�i�rty!�; ,v
Type of system: El Conventional Ly' Other S Septic Tank: ! yo c gallons Pump Tank: gallons
Subsurface No. of exact length b width of depth of
Drainage Field ditches -- 3 of each ditch U D feet ditches feet ditches 2 4 "1? ? inches
French Drain Required: Linear feet
Authorized State A Date Ll -Z-1 -�S
14-5-34149R (1)
14-5-34149R (2)
14-5-34149R (3)
14-5-34149R (4)
14-5-34149R (5)
14-5-34149R (6)
14-5-34149R (7)
14-5-34149R (8)
14-5-34149R (9)
14-5-34149R (11)
14-5-34149R (12)
14-5-34149R (13)
14-5-34149R (14)
14-5-34149R (10)