OPHTE# -a —ski 3 Harnett County Department of Public Health 24237
PERMIT # Z2?b;3 Operation Permit
[9 New Installation c Tank LN' Nitrification line ❑ Repair ❑ Expansion
PROPERTY LOCATION
Name: (owner) — Z%k, SUBDIVISION LOT # 5 -
System Installer. hrvirv,3-, ?/U Registration #
Basement with plumbing: ❑ Garage umber of BedroonQ 12-3
Type of Water $uDaly: ❑ Community Public ❑ Well Distance from well feet
System Type Hu v- 0 i -e 7cs' Types V and VI Systems expire in S years.
(In accordance with Tabe V a) Owner n ,ntact Health Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and -Disposal, and all conditions of the Improvement Permit and construction Authorization.
PERMIT CONDITIONS:
1. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
V ja'
a
too.
System shall perform in accordance with Rule .1961.
As required by Rule .1961.
As required by Rule .1961. Other.
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
FE
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWRline
Following are the specifications for the sewa$� disposal systery on the above captioned property.
Type of system: El Conventional f� 0ther L's°/ f%0/)0CrZX1---� Septic Tank L 040 eDgallons Pump Tank: agallons
Subsurface No. of exact length width of depth of
Drainage Field ditches Z of each ditch feet ditches _� feet ditches inches
French Drain Required: Linear feet
Authorized State Ag <f! //— Z«
16-5-38973 (1) 16-5-38973 (2) 16-5-38973 (3) 16-5-38973 (4) 16-5-38973 (5)
16-5-38973 (6) 16-5-38973 (7) 16-5-38973 (8) 16-5-38973 (9) 16-5-38973 (10)
IRAN
W -cm -,
16-5-38973(11) 16-5-38973(12) 16-5-38973(13) 16-5-38973(14) 16-5.38973(15)
16-5-38973 (16) 16-5-38973 (17) 16-5-38973 (18) 16-5-38973 (19) 16-5-38973 (20)
s
16-5-38973(21) 16-5-38973(22) 16-5-38973(23)