OPHTE #—I 'If - 5-- ,3'5-C>kl Harnett County Department of Public Health 23775
PERMIT # ZIM8 Operation Perit
LNew Installation Septic TankNitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: 4fLq.37 E3q�� IW
Name: (owner)/iii /�; r:. SUBDIVISION_ LOT # —7Z—
System
7ZSystem Installer: <sY f `,'1 Registration #
Basement with plumbing: ❑ Garage � mber of Bedrooms
Type of Water Supply: El Community L Public El Well Distance from well feet
System Type: S2r, C.- TTS' Types V and VI Systems expire in 5 years.
(In accordance with Table V a) wner must coh9kalth 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
PERMIT CONDITIONS:
I. Performance:
II. Monitoring:
III. 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 ❑
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 sewa disposal system on the above captioned property.
Type of system: El Conventional [Other ?fS�% r2-0YZU Septic Tank: / oa-c> gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches L4 of each ditch rl a feet ditches feet ditches q inches
French Drain Required: Linear feet
Authorized State A,,,r— OWN
14-5-35069 (1)
14-5-35069 (2)
14-5-35069 (3)
14-5-35069 (4)
14-5-35069 (5)
14-5-35069 (6)
14-5-35069 (11)
14-5-35069 (7)
14-5-35069 (8)
14-5-35069 (9)
14-5-35069 (10)