OPHTE# 5 zqq Harnett County Department of Public Health 23805
PERMIT #%fj Operation Permit
2 New Installation Septic Tank ZINitrification Line ❑ Repair ❑ Expansion
PROPERTY LO(ATION:;WCAf n'h
Name: (owner) _ SUBDIVISION LOT # 1
System Installer: Ajr-^.w=s Registration #
Basement with plumbing: ❑ Gara a tuber of Bedrooms 3
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
System Type: 7!5 %`RZn' art-�-67 Types V and VI Systems expire in Slyears.
(In accordance with Table V a) 4.401 Owner must contaa ealth Department 6 months prior LW expiration for permit renewal.
This system has been installed in compliance end applicable North
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and all conditions of the Improvement Permit and Construction Authoumion.
10-2 .-
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I. Performance: System shall perform in accordance with Rule .1961.
11. Monitoring: As required by Rule .1961. l
III. Maintenance: As required by Rule .1961. Other.
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other.
SY` 1 4 4 3
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewaF disposal system on the above captioned property.
Type of system: El Conventional 2 Other ny& �-[y L—r7AC-,—� Septic Tank: 1000 gallons Pump Tank: gallons
Subsurface No. of exactlength / width of depth of y
Drainage Field ditches r of each ditch 6a feet ditches -3 feet ditches Lor inches
French Drain Required: Linear feet
Authorized State A,6L Date 3r-
15-5-36244 (1)
15-5-36244 (6)
15-5-36244 (2)
15-5-36244 (3)
15-5-36244 (4)
15-5-36244 (5)
15-5-36244 (7)
15-5-36244 (8)
15-5-36244 (11) 15-5-36244 (12) 15-5-36244 (13)
15-5-36244 (9)
AV
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�(1^�4C'•`i
15-5-36244 (14)
15-5-36244 (10)