OPNTE# ILn5 'B33a
Harnett County
Department of
Public Health 24058
PERMIT # 79775'
Operation Permit
/
Q New Installation Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: rAgaix Dw
Name: (owner) I.t.)e40Ve-A- /4/x e-5 Tw>c SUBDIVISION D!Yqngn2 LOT # ZI
System Installer: b MTS A Registration #
Basement with plumbing: ElGarage JNumber of Bedroom-6��p,/�� �OGPP
Type of Water Supply: ❑ Community Imo✓ Public O We(I Distance from well feet
System Type: IK, Types V and VI Systems expire in 5 years.
(In accordance with Tabil V a) 7[4 ly er jest contact Health Department 6 months prior to expiration for permit renewal.
This system has been installed in mmpliana with applicable North Carolina General St#utes, RufEe for Sewage treatment and Disposal, Ind all conditions of the Improvement Permit and construction Authorization
PERMIT CONDITIONS:
I. Performance:
11. 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 sew ge disposal system on the above captioned property.
Type of system: ❑ Conventional f Other Septic Tank: 1000 gallons Pump Tank: / (3&n gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 3 of each ditch A)b feet ditches 3 feet ditches ZL inches
French Drain Required: Linear feet
Authorized State ent_ 2 111S' Date ('-/5'—/6
rX=
I
3 Fa
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F-1k-Z;vc.'-14 D2
PERMIT CONDITIONS:
I. Performance:
11. 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 sew ge disposal system on the above captioned property.
Type of system: ❑ Conventional f Other Septic Tank: 1000 gallons Pump Tank: / (3&n gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 3 of each ditch A)b feet ditches 3 feet ditches ZL inches
French Drain Required: Linear feet
Authorized State ent_ 2 111S' Date ('-/5'—/6
16-5-38336 (1)
16-5-38336 (6)
16-5-38336 (2)
16-5-38336 (3)
16-5-38336 (4)
16-5-38336 (5)
16-5-38336 (7)
16-5-38336 (8)
16-5-38336 (9)
16-5-38336 (11)
16-5-38336 (12)
16-5-38336 (13)
16-5-38336 (14)
16-5-38336 (10)