OPHTE# !CD -S -3$14 Harnett County Department of Public Health 24333
PERMIT # 7-50`C3 Operation Permit
C� New Installation Septic Tank d Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: a' --
Name: (owner) ��t_s. /mac �Q�� SUBDIVISION UH /*'Iljo- Ars r LOT # 7-7
System Installer: Registration #
Basement with plumbing: ❑ Garage ❑/M umber of Bedrooms -3
Type of Water Supply: ❑ Community 2 Public ❑ Well Distance from well feet
System Type: !S>% Xi;:�� J5.4-&— — T� Jrr4; -Czc,y*s V and VI Systems expire in S years.
(In accordance with Table V a) Owner must contact Tiealth Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North Camlina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization
PERMIT CONDITIONS
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
*v
3
I
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.
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewo disposal system on the above captioned property.
Type of system: ❑ Conventional Other Z;X16 Rg- U C rLaT% Septic Tank:U/ O O gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches I of each ditch ZOD feet ditches 3 feet ditches 3L -)IS inches
french Drain Required: Linear feet
Authorized State Ag Date I?-- -L- ° - t L^
16-5-39814 (1)
16-5-39814 (2)
16-5-39814 (6)
16-5-39814(7)
16-5-39814 (8)
16-5-39814 (4) 16-5-39814 (5)
16-5-39814 (9) 16-5-39814 (10)
16-5-39814 (11)
16-5-39814 (12)
16-5-39814 (13)
16-5-39814 (14)