OPHTE# I5 - 31Z33� Harnett County Department of Public Health 24244
PERMIT # 2 ° 3 Operation Permit
L'1 New Installation Septic Tank 17 Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION. '!U
Name: (owner) Ste.( 61 b S calci SUBDIVISION LOT #
System Installer: Registration #
Basement with plumbing: ❑ Garage 9 -mhpr of Bedrooms
Type of Water Sup ly: ❑ Community Public ❑ Well Distance from well feet
System Type: l'{P.eQ 9 % d6?:9'/ Types V and VI Systems expire in S years.
(In accordance with Table V a) Owner muse ontact Health Department 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 Permit and Construction Authorization
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PERMIT CONDITIONS
I. Performance: System shall perform in accordance with Rule .1961.
11. Monitoring: As required by Rule .1961.
III. Maintenance: As required by Rule .1961. Other:
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other.
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for The sew ge disposal s tem on the above captioned properl��yg.
Type of system: El Conventional Other Z G < -- &2Weptic Tank 1600 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch feet ditches_ feet ditches !) 2/ inches
French Drain Required: Linear feeett�
Authorized State Ag nt --� � / �t P40M Date /0' U—/,&
mmmmm
-37233R (5)
M7A-MIMIMM-
15-5-37233R
(6) 15-5-37233R (7) 15-5-37233R (8) 15-5-37233R (9) 15-5-37233R (10)
i
15-5-37233R (11) 15-5-37233R (12) 15-5-37233R (13) 15-5-37233R (14) 15-5-37233R (15)
15-5-37233R (16) 15-5-37233R (17)