OPNTE# /5'-5rs� 71 Haaaeett County Department of Publi. Health 24062
PERMIT # Z 567 3 Operation Permit J
Nr/ New Installation Septic Tank [/Nitrification line ❑ Repair ❑ Expansion
PROPERTY LOCATION: 16L loot UN>
Name: (owner) a �o�i� — 'C< SUBDIVISION air -p 2 % I,-,WMC�g LOT # `G
System Installer: SS V J` .1G,,rr Registration #
Basement with plumbing: ❑ Garage Aumber of edrooms
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
System Type: Types V and A Systems expire in S years.
(In accordance with able V a) wner must contat�thD_ apartment 6 months prior to expiration for permit renewal.
This system has been installed in compliance with appliable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Perak and Construction Authorization.
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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 sewso disposal
system on the above captioned property.
Type of system:
❑ Conventional 0 Other %x`20!li
P"4'za--
Septic Tank: LcyM"Z> gallons
Pump Tank: gallons
Subsurface
No. ofenact
�_
length
ditch 2A> feet
width of
ditches feet
depth of
ditches a inches
Drainage Field
ditches
of each
_
French Drain Required: Linear feet
Authorized State hetr�D,�Cr, /&J� S s Date -7 2
15-5-37676 (1)
15-5-37676 (2)
15-5-37676 (3)
15-5-37676 (4)
15-5-37676 (5)
15-5-37676 (6)
15-5-37676 (11)
15-5-37676 (7)
`;7
15-5-37676 (6)
15-5-37676 (13)
15-5-37676 (9)
15-5-37676 (10)