OP RHTE#1Co'5-_S, 1.16, Harnett County Department of Public Health 24287
PERMIT #='73-) Operation Permit
New Installation Se tic Tank NitrificatibLine El Repair F-1Expansion
PROPERTY LOCATION: ��ra.' ty W�» �J2
Name: (owner) 'Mcr%E- AocN6s LLC, SUBDIVISION 0axrnoN-N LOT # 15Lf
System Installer: L--oON E! C, \-+r,,(-,q, Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms 3
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t00 feet
System Type: r Types V and VI Systems expire in 5 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 Authorization
100
3o yr;o
6
y
'• v
Onc
SW
1J"S
PERMIT CONDITIONS
1. Performance: System shall perform in accordance with Rule .1961.
ll. Monitoring As required by Rule .1961.
III. Maintenance: As required by Rule .1961. Other.
Subsurface system operator required? Yes ❑ N
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other. ()a,,-4ea. tJv: poya.fD Irae4 Iow
❑ D -Boz ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewage disposal system on the above/ca�tione roperty.
Type of system: 11Conventional Other Septic Tanks 0 0 gallons Pump Tank gallons
Subsurface No. of exact length width of depth of
Drainage Field ditc es 1 of each ditch 300 feet ditches _'i� feet ditches inches
French Drain Reauired: tiacar fopt
Authorized State Agent �\ �y�1\\ RLY1S _ Date 10/-5
^ p.
.� .•"-'tee, 'L 'i
r
1-C-5-3 �'va-
•
u
�n
1-C-5-3 �'va-