OPHTE#P Harnett County Department of Public Health 23610
PERMIT # 2825'D Operation PPer�t
New Installation 2 Septic Tank LX Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LO(ATION:.a 1765 oJ6J S - -c-.6
Name: (owner) ��,�'��X o.-�c(�... SUBDIVISION LOT #
System Installer: dY 'r7wca Registration #
Basement with plumbing: ❑ Garage Z)umber of Bedrooms 5
Type of Water Suppl : ElL2
Community " Public ❑ Well Distance from well feet
System Type: & i Types V and VI Systems expire in 5 years.
(In accordance with Table V a) � f Owner must conta ealth Department 6 months prior to expiration for permit renewal.
s
This system has been installed in compli mce with, 4pplicable North Carolina General Statutes, Rules for Sewage Treatment
PERMIT CONDITIONS:
1. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
and all conditions of the Improvement Permit and Construction Authorization.
f�
OIL-
PERMIT
Ic-
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.
<::I' -I-
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sdisposal system on the above captioned property.
Type of system: El Conventional ews Other 15% 12,y c,>Z, CZ Septic Tank: gallons Pump Tank: gallons
Subsurface No, of exact length width of depth of
Drainage Field ditches of each ditch 3Z feet ditches feet ditches 10" inches
French Drain Required: _ Linear feet
Authorized State A -c=, _ Date b - ?- y --t s"
15-5-35654 (1)
15-5-35654 (2)
15-5-35654 (3)
15-5-35654 (4)
15-5-35654 (5)
15-5-35654 (6)
15-5-35654 (7)
15-5-35654 (11) 15-5-35654 (12)
15-5-35654 (8)
15-5-35654 (9)
15-5-35654 (10)