Loading...
OP RHTE# 114-6-34T1SR Harnett County Department of Public Health 24094 PERMIT # a Operation Permit New Installation �R Septic Tank,,�f Nitrification line ❑ Repair ❑ Expansion \-I-/" ' PROPERTY LKATION: Xct rcucc:l 999n& bi W Name: (owner) /" C-o'3-:A2vc;i)oq SUBDIVISION tLOT # 3,). System Installer: �N,S/ t-umg �- 6, Registration # Basement with plumbing El Garage ry Number of Bedrooms 3 Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 ©Q feet System Type: i11 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 Disposal, and all conditions of the Improvement Permit and construction Authoriotion i s / 3G a S pDos e pLEP s � � as o �s v E PERMIT CONDITIONS I. Performance: System shall perform in accordance with Rule .1961. 11. Monitoring: As required by Rule .1961. 111. Maintenance: As required by Rule .1961. Other: Subsurface system operator required.? Yes ❑ N If yes, see attached sheet for additional operation cc IV. Operation: maintenance and reporting. V. Other. Pel:�isrY 6 aG.2,E.GPI15— Ozer, X02 k,5. ❑ D -Boz ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line Following are the specifications for the sewage disposal system on the above captioned property. Type of s stem: ❑ Conventional X Other EZ�LGw Septic Tank: f 0 �' � gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field i -y�n`r� of each ditch c -0 feet ditches 3 feet ditches l inches French Drain Reauired:� _Linear feet Authorized State Agent NNN-, rt -\Z Date 'fli 1L 1ti-S-3L))> ��L pcI-AN 0