OPHTE# IL 'S,, 39 47 Harnett County Department of Public Health 24344
PERMIT# Operation Per 't
Q New Installation Septic Tank [2 Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:
Name: (owner) tier d%tSUBDIVISION LOT # Z!
System Installer. Registration #
Basement with plumbing: ❑ Garage umber of 8edro s
Type of Water Supply:
El Public El Well Distance from well feet
System Type: $e�lzs Types V and VI ystems expire in S years.
(In accordance with Table V a) C,74 T el I can r mus contact a th Departm rt 6 months prior to expiration for permit renewal.
This system has been installed in compliance with aimic0 a/ North Camlila General
PERMIT CONDITIONS:
I. Performance:
11. Monitoring:
111. Maintenance:
IV. Operation:
V. Other.
System shall perform in accordance with Rule .1961.
As required by Rule .1961.
As required by Rule .1961. Other.
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
all conditions of the Improvement Permit and construction Authorization.
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewa$� disposal system on the above captioned property.
Type of system: ❑ Conventional f3 Other 2`S% AS &)CQ1D'*- Septic Tank gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches < of each ditch %5' feet ditches 3 feet ditches 2 inches
French Drain Required: Linear feet
Authorized State n�� Date —�`%
16-5-39347 (1)
16-5-39347 (2)
16-5-39347 (3)
16-5-39347 (4)
16-5-39347 (5)
16-5-39347 (6)
16-5-39347 (7)
16-5-39347 (8)
16-5-39347 (9)
16-5-39347 (10)
16-5-39347 (11)
16-5-39347 (12)
16-5-39347 (13)
16-5-39347 (14)
16-5-39347 (15)