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OPHTE # I s-:-3�� Harnett County Department of Public Health 23579 PERMIT # Z6_159 Operation Permit /' El New Installation El Septic Tank ❑ Nitrification Line ❑ Repair © Expansior PROPERTY LOCATION: �4pZ Name: (owner) i�3,6j.,t'; :.:/D A)F 5 SUBDIVISION r' LOT # System Installer: 7-6YT vy , Gsf Registration # Basement with plumbing: ❑ G• age Eljtumber of Bedrooms 7 Type of Water Supply: ❑ Community Z Public ❑ Well Distance from well feet System Type: /o 1 Zrr 6 Y7--e—Lf4kypes V and VI Systems expire in 5 years. (In accordance with Table V a) P Owner must Contac ealth Department 6 months prior to expiration for. This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewa¢e Treatment and Disp conditions of the Improvement Permit and Construction PERMIT PERMIT CONDITIONS: I. Performance: II. Monitoring: III. Maintenance: IV. Operation: V. Other: H `� `t 7 - 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. P%P ❑ 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 COther 25'/6 RF.Z>Vc�Ar� Septic Tank: gallons Pump Tank:gallons Subsurface No. of exact length width of depth of Drainage Field ditches Z of each ditch feet ditches feet ditches Z q inches French Drain Required: Linear feet l Authorized State AgenC€ - — / � Date 15-5-35763(1) 15-5-35763 (2) 15-5-35763 (3) 15-5-35763 (4) 15-5-35763 (5) 15-5-35763(6) 15-5-35763 (7) 15-5-35763 (8) 15-5-35763 (10)