OPHTE#/0 -s'-2y.? ~ Harnett County Department of Public Health 21 0 5 4
PERMIT # Zv7 Operation Permit
7/New Installation Septic Tank ❑ Repair Z /Nitrification Line ❑ Expansion
PROPERTY LOCATION:,_--reVy Zj±!:-
Name: (owner) ae- SUBDIVISION ~/i,,ts„a LOT # .j'L
System Installer: c6cw- Registration #
Basement with plumbing: ❑ Garage /Number of Bedrooms 3
Type of Water Supply: ❑ Communi 5 Public ❑ Well Distance from well feet
z2 "
System Type: Ls°~6G~hx kc ) fyM-207-G Ez Types V and VI Systems expire in S years.
(In accordance with Table V a) / Owner must contact Health 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
/7A) car (~i /gyp fu
s'
t
Opt?
0
i
r PA-
PERMIT CONDITIONS:
I. Performance:
II. 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.
Following are the specifications for the sewage- disposal system on the above captioned property
.
Type of system: ❑ Conventional Other ~~5 uZR6 ~Zic Tank: f~a gallons Pump Tank gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch S feet ditches - feet ditches ?y Xf inches
French Drain Required: Linear feet
and all conditions of the Improvement Permit and Construction Authorization.
Authorized State A nt , _ 4- / v 6•~-1~3 Date I-) - / & / 0
:
1'7
It "G'~'.~ ~ f , } -0 ' . { .tea • ti~ i~ ~
.
oto*) P
.
r-
10
7 '
74,
t~° ~ ~ a N
• it
1► ' r s
,d
N
qz
T
, }
k
e4pO
F, F ~t ~ ~ ~s,,~ ~ 1~: rte. f '~r . ~,u _ f
" ./p~ f st, • ' ti"' sit ~ .t
r } N.,4 of"
AS~
it f'~•
S ~r Fr A ~
4~~bRee ~ ~ ~ ~ .
1~1.. N y
e
-11*Y,..
tea;
1
h
N •
'
` ♦ ~T a
~ x
''t •n
' "'try Y• r ~ ~A ~ '
i
rt -'Y tt~
- ~ ~ c
t ~ A!
3 ;1
Sle
t
4
i ik^~. » s ~ ~ w F
1
7.
i,4 ?
t '
a
r
F« ~
4 ~ r j t }CAS' ~
r
WA?
J
5
I r ~,.ftic t
Y
r~ ~ t.. ~
tic
C '
lop,
}
a-
.
04
t
y
! f s p Y
t
x A
t t
A
^nq
k
4
t
r.
t
i
b
ll •
7y y t
r .,w
l
J
~i