OPHTE# —5S $O
PERMIT # ZB8"
Name: (owner)—L
System Installer: C -1I
Basement with plumbing: ❑
Type of Water Suppp 1 ❑ Col
System Type: Z aa,
(In accordance with Table V a)
Harnett County Department of Public Health 24227
Operation Permit
Neww installation V Septic Tank Nitrification line El Repair ❑Expansion
PROPERTY LOCATION
'ra.[i��/hiGl 12D
SUBDIVISION C' AI4e4,,.._i— LOT # 18
Registration #
Garage 0/(umber of Bedrooms `S
unity Public ❑ Well Distance from well feet
Types V and VI Systems expire in S years.
wner must_ act Health Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North Carolina General Stamtet Rules for Sewage TreatmMe and Disposal and all conditions of the Improvement Permit and Construction Authorizabon
PERMIT CONDITIONS
I. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
��. /V*47 ^—
f
b�
y �D fh
!off
i
la
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 se a disposal s jggl on above w ta�'iane roperty.
Type of system:
❑ Conventional Other %i5—/0
j� C.j L Septic Tank:
0 O O
gallons Pump Tank: gallons
Subsurface
Drainage Field
No. of
ditches Z
exact length width of
of each ditch S� feet ditches
z depth of
7 feet ditchesUinches
French Drain Required: Linear feet
Authorized Stat ent P4 Date
r
16-5-38480 (1) 16-5-38480 (2) 16-5-38480 (3) 16-5-38480 (4) 16-5-38480 (5)
i
16.5-38480 (6) 16-5-38480 (7) 16-5-38480 (8) 16-5-38480 (9) 16-5-38480 (10)
i
i
16-5-38480(11) 16-5-38480(12) 16-5-38480(13) 16-5-38480(14) 16-5-38480(15)
yI
16-5-38480 (16) 16-5-38480 (17) 16-5-38480 (18) 16-5-38480 (19) 16-5-38480 (20)
u
16-5-38480(21) 16-5-38480(22) 16-5-38480(23) 16-5-38480(24) 16-5-38480(25)
mmmu.",
16-5-38480(26) 16-5-38480 (27) 16-5-38480(28) 16-5-38480(29)