Loading...
OPHTE# I4-5-331� Harnett County Department of Public Health 2 4 4 4 8 PERMIT # Operation Permit New Installation �X Septic Tank Nitrification Line ❑ Repair ❑ Expansion [[__ PROPERTY LOCATION: 1,oK,c," '� Name: (owner) �Gt�� NL\ l �v s �o� s SUBDIVISION QwrRo ws �o s LOT # 133 System Installer. 5 m SGT Registration # Basement with plumbing: ❑ Garage Number of Bedrooms 3 Type of Water Supply: ❑ Community Public ❑ Well Distance from well S©O feet System Type: Types V and VI Systems expire in S years. (In accordance with Table V a) Owner must contact Health Department 6 months prior to expiration for permit renewal. This system has been innalkd in compliance with applicable Nonh Carolina General Statue; Rules for Sewage Treatment and DisposaL and all conditions of the Improvement Permit and tonsnuction Autho(ution. p2gwnG E. EgsE.rnC-rvt � r*1 ( s T IA do• I y Mv5E D 2 v E HVrnyE�, d . PERMIT CONDITIONS I. Performance: If. Monitoring: III. 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. V%rm,c S)CVL\+N 55 LoNr. ej 3o" 0f6? ❑ D -Boz ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line Following are the specifications for the sewage disposal system on the above captioned property. Type of system: ❑ Conventional Otheraw Septic Tank: SOC7 d gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field ditches of each ditch f3 t) feet ditches 3 feet ditches 14 Zy inches French Drain Requ4d r feet Authorized State Agent_ v` - �\ Evs Date