OPHTE#��$i Harnett County Department of Public Health 24063
PERMIT # ZM3 Operation Per It
I(New Installation Rf Septic Tank V Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:
Name: (owner) t Avec SUBDIVISION �j�ot--.� /x. Q1d Fbr rli2.ClOT # RE
System Installer. 6= -A -J Registration
Basement with plumbing: ❑ Garage ❑ Number of Bedrooms —
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
System Type:Types V and VI Systems expire in S years.
(In accordance with Table V a) Owner must coValth Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North Carolina General Statutes, Rules for sewage Treatment and Disposal, and all conditions of the Improvement Permit and eonurottmn Au immanon.
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PERMIT CONDITIONS
I. Performance:
If. 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 sewa disposal system on the above captioned property.
Type of system:
ElConventional
71 ther -1-06rtl Oyu A" 7.r— Septic Tank:
gallons Pump Tank: gallons
Subsurface
No. of
exact length width of
3
depth of
Drainage Field
ditches
3 of each ditch feet ditches
feet ditches inches
french Drain Required: Linear feet
Authorized State Age Date L -Z a 1✓
340laS,%
15-5-36685 (1)
15-5-36685 (2)
15-5-36685 (3)
15-5-36685 (4)
15-5-36685 (5)
15-5-36685 (6)
15-5-36685 (7)
•spy;, '
15-5-36685 (8)
15-5-36685 (9)
15-5-36685 (11) 15-5-36685 (12) 15-5-36685 (13)
15-5-36685 (14)
15-5-36685 (10)
3r &O
15-5-36685 (1)
15-5-36685 (2)
V _
6
15-5-36685 (3)
15-5-36685 (4)
4 \\
15-5-36685 (5)
15-5-36685 (6)
15-5-36685 (7)
15-5-36685 (8)
15-5-36685 (9)
15-5-36685 (11)
15-5-36685 (12)
15-5-36685 (13)
15-5-36685 (14)
.-=la- _
15-5-36685 (10)