OPHTE# ilo-S-3516 Z Harnett County Department of Public Health 24060
PERMIT# Z891J Operation Permit
New Installation Septic Tank 5Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: iWP— tw
Name: (owner) G SUBDIVISION ArA2;e>3 Utee LOT # 3
System Installer. ' / 2Dr Registration #
Basement with plumbing: ❑ Garage 5� Number of Bedrooms Lt
Type of Water Supply: ❑ Community C✓ Public ❑ Well Distance from well feet
System Type: 05% `E -pg- r. C. ra'-z_awt95_-Types V and VI Systems expire in S years.
(In accordance with Table V a) Owner must coHealth Department 6 months prior to expiration for permit renewal.
PERMIT CONDITIONS:
1. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
in mmoliance with aoolittble North Carolina) General Statutes. Rules for Sewage Treatment and Disoosal. and alYmnditions of the Improvement Permit and Construction Authorization.
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 a disposal system on the above captioned
sew
property.
Type of system: ❑
Conventional 7.-0l6 a2+8'BJUct2.1i-
Septic Tank / 000 gallons
Pump Tank gallons
Subsurface
No. of exact length
width of
depth of
Drainage Field
v
ditches of each ditch D o
feet ditches -3 feet
ditches 2_ inches
French Drain Recurred:
Linear feet
5
Authorized State A¢ nt Date Ra — &
16-5-38162 (1)
� a
16-5-38162 (6)
16-5-38162 (2)
16-5-38162 (7)
7
16-5-38162 (8) 16-5-38162 (9)
16-5-38162 (11) 16-5-38162 (12) 16-5-38162 (13)
16-5-38162 (10)
NNW
16-5-38162 (3)
16-5-38162 (4)
16-5-38162 (5)
16-5-38162 (7)
7
16-5-38162 (8) 16-5-38162 (9)
16-5-38162 (11) 16-5-38162 (12) 16-5-38162 (13)
16-5-38162 (10)