OPNTE# Harnett County Department of Public Health
24210
PERMIT # 2M sF Operation Pe mit —/
CZ" New Installation Septic Tank [?/Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:/ti/7
Name: (owner) xAlcwN SUBDIVISION LOT #
System Installer % nt:! r Registration #
Basement with plumbing: ❑ Garage JNumber of Bedrooms .�
Type of Water Supply: ❑ Community lf1 Public ❑ Well Distance from well feet
System Type: PSb116DOcarc.ea., 14&- 7, pQ M 6 £'Lt.rE, Types V and VI Systems expire in S years.
(In accordance with Table V a) ��a Ow 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 Authorization
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 ❑ _
Following are the specifications for the sewsfF disposal s stem an the above captioned property.
Type of system: ❑ Conventional Q� Other — X r7eD &!t= T4A&I�L 6 Septic Tank: 1000 gallons Pump Tank:
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch 100 feet ditches feet ditches _
French Drain Reauired: Linear feet
Authorized State, .rat _, 4 �%/� Date t'l b°' j&
PWR Line
gallons
27,–Y8 inches
16-5-38339 (1)
16-5-38339 (6)
16-5-38339 (2)
16-5-38339(7)
16-5-38339 (3)
16-5-38339 (4)
16-5-38339 (8)
16-5-38339 (9)
16-5-38339 (5)