OPHTE# 1(--9.39'i*0 Harnett County Department of Public Health
24431
PERMIT # 7-9007 Operation Permit
&-iNew Installation Eg-'S�epitic Tankttofication line ❑ Repair ❑ Expansion
PROPERTY LOCATION: rS oo Nq w d t N s a n
Name: (owner) Ss L N A -1; V aC 1.4 nF r! L otu SUBDIVISION LOT # Y
System Installer: 0-1 T is ST a,, 12 � Registration #
Basement with plumbing: El Garage �[ober of Bedrooms S�
Type of Water Supply: ❑ Community Y Public ❑ Well Distance from well feet
System Type: 2370 et,r„Lk;,,,, Types V and VI Systems expire in 5 years.
(in accordance with Table V a) Owner must contact 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
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PERMIT CONDITIONS A 9
I. Performance: System shall perform in accordance with Rule .1961.
If. Monitoring: As required by Rule .1961.
III. 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:
V. Other.
❑ D -Box ❑ Pump ❑ Alarm ❑ H2O1-ine ❑ PWR Line
Following are the specifications for the sewage disposal system on the above captioned property.
Type of system: ❑ Conventional Iur zsi -, E�z-riow Septic Tank: i "mac' gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 3 of each ditch t3 O feet ditches 3 feet ditches /S inches
French Drain Required: Linear feet
Authorized State
Date