OPHTE# /(s^� —3879 Harnett County Department of Public Health 2421
PERMIT # 7,8518 Operation Permit
ER/
New Installation Septic Tank C;I' Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION7t 14r1r QnAAc Sir) -72 /�
Name: (owner) 64 s- X- G SUBDIVISION Cit�2. LOT # 3
System Installer. e_M �s _ Registration #
Basement with plumbing: ❑ Garage �� mber of Bedrooms 3
Type of Water Su ply: El Community 6 Public El Well Distance from well feet
System Type:=r2 i -a L t't.s-.fZ �L es VVI Systems expire in S years.
(In accordance with Table V a) Owner contact Hea apartment 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North Carolina General Statu , Rules for Seengeee Treatment and Alspost, and all conditions of the
PERMIT CONDITIONS:
I. Performance:
If. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
I _n7w aalf''_
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.
Permit and construction Authorization.
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewapedisposal system on the above captioned property.
Type of system: ❑ Conventional LoK Other ZS%i7+i"f1U-t-�7rL, Septic Tank:/0*0 gallons Pump TankittQ� gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 3 of each ditch /00 feet ditches 9 feet ditches ZZ inches
French Drain Required: Linear feet
Authorized State Age Date
10 A
16-5-38798 (1) 16-5-38798 (2) 16-5-38798 (3) 16-5-38798 (4) 16-5-38798 (5)
16-5-38798 (6) 16-5-38798 (7) 16-5-38798 (8) 16-5-38798 (9) 16-5-38798 (10)
F i W)m
7411
16-5-38798 (11) 16-5-38798 (12) 16-5-38798(13) 16-5-38798(14) 16-5-38798(15)
" A
16-5-38798(16) 16-5-38798(17) 16-5-38798(18) 16-5-38798(19)