OPHTE# (%-S-346tz Harnett County Department of Public Health
24383
PERMIT # 2B `� �3 0 eration Permit
New Installation Septic Tank C>Yfiirification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: C1n i4loe"4. Rd• (Ja Ir129)
Name: (owner) Wgc�n Cor\5'tfJck".or\ SUBDIVISION lAyc!J and a LOT # 40
System Installer: Tlrc n PI PM bin Registration #
Basement with plumbing: ❑ GarageNother of rooms �
Type of Water Supply: ❑ Community l+J" Public ❑ Well Distance from well feet
System Type: Z 5 iU (4.dos_s_� Qr, 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 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: ngr r2
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 ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewwaq,Aisposal system on the above captioned property.
Type of system: ❑ Conventional Y Other Z5% Cg F1oZz�, Septic Tank: gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 2 of each ditch l —3cb feet ditches 9 feet ditches /6 inches
trench Uram Required: Linear feet
Authorized State Age Date 03 /O///3E
HTE# S Harnett County Department of Public Health
PERMIT # 3 Operation Permit
❑ New Installation C2' Septic Tank ❑ Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:
Name: (owner) - �•tvi, t Cc.r, {tick Cx\ SUBDIVISION LOT #
System Installer: b,A + Registration #
Basement with plumbing: ❑ Garage Npmher of B rooms r
Type of Water Supply: ❑ Community @''Public ❑ Well Distance from well feet
System Type: Types V and VI Systems expire in S years.
(In accordance with Table V a) 'J Owner must contact Health Department 6 months prior to expiration for permit renewal.
[his system has been installed in comphana with appliable North (amlina General statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and (omtrurtron Authorization.
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PERMIT CONDITIONS:
I. Performance:
II. 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.
❑
D -Box
❑ Pump ❑ Alarm ❑
H2OLine ❑ PWR Line
Following are the
specifications for
the sewage -disposal system on the above captioned property.
Type of system:
❑ Conventional
13` Other "l.-:: . - Septic Tank:
gallons Pump Tank: gallons
Subsurface
No. of
exact length width of
depth of
Drainage Field
ditches
of each ditch feet ditches 'i'
feet ditches inches
French Drain Required: Linear feet
Authorized State Agent Date