OP RHTE# /11 -s'39355 -R Harnett County Department of Public Health
24337
PERMIT # IgD f7 Operation P mit
D
New Installation c Tank 0 Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATIOW-rZ/7o5- O/,> j-xtr�
Name: (owner) ;2 Pi a� SUBDIVISION — LOT #
System Installer: /Kyweik /�PGFr Registration #
Basement with plumbing: ❑ Garage Gf umber of Bedrooms
Type of Water Supply: ❑ Community f Public ❑ Well Distance from well feet
System Type: ° E r` s i/r T s6 r Types V and VI Systems expire in S years.
(In accordance with Table V a) Owner must cont ct 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 Constriction Authorization
PERMIT CONDITIONS
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
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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 ❑
Following are the specifications for the sewage disposal system on the above captioned property.
Type of system: ❑ Conventional 13" Other ri`Y� Septic Tank gallons Pump Tank:
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch feet ditches . feet ditches ZIJ%I S
trench Drain Required: Linear feet /
Authorized State Agl>C��9 Date / — / L / 7
/
PWR Line
gallons
inches
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16-5-39355R (1) 16-5-39355R (2) 16-5-39355R (3) 16-5-39355R(4) 16-5-39355R (5)
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16-5-39355R (6) 16-5-39355R (7) 16-5-39355R (8) 16-5-39355R (9) 16-5-39355R (10)
16-5.39355R (11) 16-5-39355R (12) 16-5-39355R (13) 16-5-39355R (14) 16-5-39355R (15)
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16-5-39355R (16) 16-5-39355R (17) 16-5-39355R (18) 16-5-39355R (19) 16-5-39355R (20)
16-5-39355R (21) 16-5-39355R (22) 16-5-39355R (23) 16-5-39355R (24)