OP RHTE# /'i —!S-- 3354$ Harnett County Department of Public Health 23472
PERMIT # Z't e7 w Operation Permit
�Septi
New Installation Q' Septic Tank Nitrification line ❑ Repair El Expansion
Felk;Avo 0"/11e4WA /1Vc1GZ PROPERTY LOCATION: rz_
Name: (owner) Sok!N _11A* -s JL SUBDIVISION SannE t LOT # ra
System Installer. JAyAAsUc r'wcA-,,how Registration #
Basement with plumbing: ❑ Garage ❑ Number of Bedrooms 3
Type of Water Supply: ❑ Community ❑21`ublic ❑ Well Distance from well feet
System Type: ? % 42$+�v f� _ — Types V and VI Systems expire in 5 years.
(In accordance with Table V a)Ow er1must �contact Health Department 6 months prior to expiration for permit renewal.
52 _
This system has been installed in mmoliance with auolicable North Carolina General Stamm Rules for Sewaee Treatment and arousal. and all conditions of the
S o iL,re2, iZ/LJ
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PERMIT CONDITIONS: plt
1. Performance: System shAbul
n accordance with Rule .1961.
II. Monitoring: As require961.111. Maintenance: As require461. agr
Permit and Construction Authorization.
Subsurface system operat M_Sr _ No-❑ OH— `�
If yes, see attached sheet additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other.
❑ D -Box ❑ Pump ❑ "-, Alarm O H2OLine ❑ PWR Line
Following are the specifications for the sewa . disposal system on the above wption�erop_erty.—
Type of system: ❑ Conventional I(Other /-.-12 -La YSlo r� u` (�' �^ Septic Tank: / • 0 gallons Pump Tank: / 69a gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 3 of each ditch 80 feet ditches 3 feet ditches Z4 -Z& >19 inches
French Drain Reauired: Linear feet
Authorized Sta , gent _ ��Date /Z —Z8 7r
14-5-33548 (2) 14-5-33548 (3) 14-5-33548 (4) 14-5-33548 (5) 14-5-33548 (6)
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(y
14-5-33548 (7) 14-5-33548 (8) 14-5-33548 (9) 14-5-33548 (10) 14-5-33548 (11)
�^n 1 w�t� .i3 • .,.,T tiZ
a
14-5-33548 (12) 14-5-33548 (13) 14-5-33548 (14) 14-5-33548 (15) 14-5-33548 (16)
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14-5-33548 (22) 14-5-33548 (1)