OP RHTE#/Y-s 3Y?ZyiL Harnett County Department of Public Health 24267
PERMIT # L807-7 Operation Permit
New Installation Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:&.Z::V G'o�
Name: (owner) /.X;At J /Yl /�. SUBDIVISION LOT #
System Installer: Registration #
Basement with plumbing: ❑ G rage , 1 Number of Bedrooms 3
Type of Water Supply: ❑ Comm uni LTJ Public ❑ Well Distance from well feet
System Type: 72 lz dam l (i�-rQi�yys V and VI Systems expire in S years.
(In accordance with Table V a) Owner must contact Health Department 6 months prior to expiration for permit renewal.
This snum has been
and Disposal, and all Conditions of the Improvement Permit and Construction Authorization.
I. Performance: System shall perform in accordance with Rule .1961.
11. Monitoring: As required by Rule .1961.
IN. 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:
Other:
❑ D -Box ❑ Pump ❑ Alarm ❑
H2OLine ❑
PWR Line
Following are the specifications for the sewage disposal system on the above captioned property.
Type of system: ❑ Conventional ; Other &Ia W Septic Tank: 4006 gallons Pump Tank gallons
Subsurface Noof exact length width of z depth of
Drainage Field ditches 3 of each ditch 60 feet ditches 3 feet ditches Zk'� inches
trench Drain Required: Linear feet
Authorized State Date /e - ? —/6
14-5-34724R (2)
14-5-34724R (6)
14-5-34724R (11)
14-5-34724R (7)
14-5-34724R (3)
14-5-34724R (8)
14-5-34724R (12)
14-5-34724R (13)
14-5-34724R (4)
14-5-34724R (5)
14-5-34724R (9)�
14-5-34724R (10)