OPHTE# H4—i:y-3'83'7/ Harnett County Department of Public Health 24171
PERMIT# Z98s"d Operation Permit
New Installation Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION•M 1??.S 47J�
Name: (owner) SUBDIVISION LOT # 1-4'_
System Installer. l� — Registration #
Basement with plumbing: ❑ Garage Number of Bef� ^oms
Type of Water Supply: ❑ Community ❑ Public 5 Well Distance from well feet
System Type: ew� J?— Types V and VI Systems expire in S years.
(In accordance with Table V a) At 16wmer mus c th Department 6 months prior to expiration for permit renewal.
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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 Construction Authorization
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PERMIT CONDITIONS
I. Performance: System shall perform in accordance with Rule .1961.
11. Monitoring: As required by Rule .1961.
III. Maintenance: As required by Rule .1961. Other:
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
Other.
❑
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 12rOther 250)o
ALTG.71F «,
Septic Tank: /o o O gallons
Pump Tank: gallons
Subsurface
No. of
exact length
width of
depth of
Drainage Field
ditches _�
of each ditch 1 Z& feet
ditches 3 feet
ditches ZD inches
French Drain Reauired: Linear
feet
Authorized State AgQ_:;?r—.--• Z J'Joq-y.- Date Ill - 2$—f(,
16-5-38391 (1)
16-5-38391 (3) 16-5-38391 (4)
16-5-38391 (6)
16-5-38391(7)
16-5-38391 (8) 16-5-38391 (9)
16-5-38391 (5)
16-5-38391 (10)