OP RHTE# iY 5--.7 �7_7oe Harnett County Department of Public Health 23448
PERMIT # g 0 Operation Permit
tL/I New Installation C�Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: W: i l L,,4, R d
Name: (owner) J-13" 5 rtesf SUBDIVISION .ee-E --,+ Zr LOT # Q
System Installer: G–' , ' '_ `r f y 4-,C Registration #
Basement with plumbing: ❑ Garage ❑ Number of Bedrooms Ii/
Type of Water Supply: ❑ Community CP""Public ❑ Well Distance from well feet
System Type: b 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.
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
5-r
W a_
-A- � r
e i
c
r A/Zrs% pk, `p a{arw. C—kcd6gf
PHMII LONOINONS:
I. Performance:
II. Monitoring:
111. Maintenance:
IV. Operation:
V. Other:
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 L_
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the seewwa "ispo system on the above captioned pro erty.
Type of system: ❑ Conventional IJP" Other f� r,o A'U v; C..W 91o. ,,4 e.- Septic Tank: /CX' U gallons Pump Tank: lbO U gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches % of each ditch -3s 0 feet ditches _ feet ditches ".2 inches
French Drain Required: Linear feet
Authorized State Agere � l` Date `��7 G / �1J``
/q s--,7 V 2 2o
/LI—f --,,,7 V 7�7 c /2--
, �- I -5%% `/ z -7 G /z
l`%S�7y77 ka