OPHTE# ► (0-1 - Lt C) 6-7 Harnett County Department of Public Health 24349
PERMIT # 2-11-30LI Operation Permit
C'New Installation 21� Septic Tank 2 Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:ac. /767- a;,1
Name: (owner) LJ l I4nva Cc-. s -h SUBDIVISION LOT #
System Installer. 4-ta6u Registration #
Basement with plumbing. ❑ Garage Number of Bedrooms 3
Type of Water Supply: ❑ Community Zr Public ❑ WellfRior
om well fe
System Type: ZSy% v — j(s T s Systems expire in ears.
(In accordance with Table V a) o ealth Department 6 months prior to nation for permit renewal.
This system has been installed in compliance with applicable North,Caroli S wage Treatmem and Disposal,and all conditions of the Improvement it and Construction Authariation.
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
q'
LF19M
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 ❑ 111201-ine
❑ PWR Line
Following are the
specifications for the sewge disposal sY,st�em" on the above captioned property.
Type of system:
11Conventional Other 25 ip Il CT7j1'1%—
Septic Tank:y" J gallons
Pump Tank: gallons
Subsurface
No. of exact length
width of
depth of
Drainage Field
ditches of each ditch D O feet
ditches . a feet
ditches 15 inches
French Drain Required: linear feet
Authorized Stat Date 6
1 71
fJV.
16-5-40467 (6) 16-5-40467 (7) 16-5-40467 (8) 16-540467 (9) 16-5-40467 (10)
C4�.rF. `�•� �+v. � �4.Y
16-5-40467 (11) 16-5-40467 (12) 16-5-40467 (13) 16-5-40467 (14) 16-540467 (15)
Mumma
16-5-40467 (16) 16-5-40467 (17) 16-5-40467 (18) 16-540467 (19) 16-5-40467 (20)
16-5-40467 (21) 16-5-40467 (22) 16-5-40467 (23)