OP RRHTE# l
Harnett
County Department of Public Health
H2OLine ❑ PWR Line
PERMIT # 'a`�0�7
the ewage disposal system onthe above {toned'P�pPerry.
Operation Permit
24461
Type of system: El Conventional
' Other C yr NtNa" )�/
New Installation �St Septic Tank Nitrification Line
❑ Repair ❑ Expansion
Name: (owner) Sci cX-C— ((F'
C
h� o snC S
PROPERTY LOCATION: 0C.s
LLC SUBDIVISION 00, c- \OTT—N
depth of
LOT # S5 c{
System Installer: �o®�E Q5V<L,JElL
ditches 3
Registration #
French Drain Required
Basement with plumbing: ❑ Garage
X Number of Bedrooms
Type of Water Supply: ❑ CommunityPublic
❑
Well Distance from well 1 0 (3 feet
System Type:�-L�
1_
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.
m¢ system has been installed in rompuante with applicable Rorty Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization
vV
4
v
EeaCLn 1 P�
rcnnn Sunuutun):
I. Performance: System shall perform in accordance with Rule .1961.
II. Monitoring: As required by Rule .1961.
III. Maintenance: As required by Rule .1961. Other.
Subsurface system operator required? Yes ❑
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 ewage disposal system onthe above {toned'P�pPerry.
Type of system: El Conventional
' Other C yr NtNa" )�/
Septic Tank: 1000
gallons Pump Tank: gallons
Subsurface No. of
exact length
width of
depth of
Drainage Field --iR
1 of each ditch all D feet
ditches 3
feet ditches l' a�_l inches
French Drain Required
�tiaear feet
Authorized State Agent 7ik � T 5 Date _ 3
'A"',
ell