OPHTE# 16-s- 3"1Ws'3 Harnett County Department of Public Health 24039
PERMIT# C� Operation Permit
New installation
Septic Tank d Nitrification line ❑ Repair ❑ Expansion
PROPERTY LOCATION:gjl�
Name: (owner) SUBDIVISION 'T >e to d LOT # 21 -
System Installer: s—n-� neon ti Registration #
Basement with plumbing: ❑ Garage ❑ Number of Bedrooms
Type of Water Supply: ❑ Community 1�1/ Public ❑ Well Distance from well feet
System Type: Z 56 '2ea2 .io- Z S,Si. T o at -
S G ��.v . Types V and VI Systems expire in S years.
(In accordance with Table V a) Owner must cop Health Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable Noah Carolina General Statwes, Rules for sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization
PERMIT CONDITIONS
1. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
3 t
Sr' I
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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 a disposal system on the above captioned property.
Type of system: ❑
Conventional
70ther
Septic Tank: 16 n a gallons Pump Tank: a ' " ° gallons
Subsurface
No. of
exact length
width of depth of
Drainage Field
ditches
of each ditch ZY o feet
ditches J feet ditches Z ` inches
French Drain Reauired:
Linear feet
Authorized State AAen( _�---' %" a��s >< � v' Date `I " C� ` )
16-5-37853 (2)
16-5-37853 (3)
16-5-37853 (4)
16-5-37853 (5)
16-5-37853(6)
16-5-37853 (7)
16-5-37853 (8)
16-5-37853 (9)
16-5-37853 (10)
16-5-37853 (12) 16-5-37853 (13) 16-5-37853 (14)
16-5-37853 (15)
16-5-37853 (11)