OPHTE# 45 Harnett County Department of Public Health 24460
PERMIT # alm9b Operation Permit
New Installation �R Seytic Tank Nitrification Line ❑ Repair ❑ Expansion
/� PROPERTY LOCATION- 'VINE t
Name: (owner) -r e-tecc e, SUBDIVISION V �> t_ 'A LOT #
System Installer: CY s S-s2.c--c, o nw J — Registration #
Basement with plumbing: ❑ Garage ', Number of Bedrooms
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 O s�5 feet
System Type:�STes 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.
nas uses inssaneo in
fnBI1lTN1Nt-
wnn anoucame Nonn
lot Sewage treatment and
131YU SG
2
t �
I. Performance: System shall perform in accordance with Rule .1961.
II. Monitoring: As required by Rule .1961.
If. Maintenance: As required by Rule .1961. Other.
Subsurface system operator required? Yes ❑ No
If yes, see attached sheet for additional operation c
IV. Operation:
V. Other.
and all conditions of the
maintenance and reporting.
❑ D -Box ❑ Pump ❑ Alarm ❑
H2O1-ine ❑
Following are the specifications for the �sew{age disposal system on the above captioned property.
Type of system: ❑ Conventional z'6 Other EZ Fa.o.� Septic Tank: 100 o gallons Pump Tank:
Subsurface N exact length width of depth of
Drainage Field ditches of each ditch l CIO feet ditches 3 feet ditches Ig
French Drain Require$ inear feet
Authorized State Agent ' R;�:lj5 Date
PWR Line
gallons
inches
►(t, -S 38L�bs'
[C -E= 7%Q�