Loading...
OP RRHTE#07-5"-/8-5-16 Ze Harnett County Department of Public Health 21 0 6 5 PERMIT # Z yy o 9 Operation Permit © New Installation Septic Tank ❑ Repair Nitrification Line ❑ Expansion PROPERTY LOCATION: ,tomj eycyA) Name: (owner) SUBDIVISION 1~~. LOT # `7 System Installer: Aba~ Registration # Basement with plumbing: ❑ Garage Number of Bedrooms 3 Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet ,b e4t~ sz t'zca 6ng e s6 Lr' c;- Types V and VI Systems expire in 5 years. System Type: 4-450 (In accordance with Table V a) Owner must contact Health Department 6 months prior to expiration for permit renewal. IV. Operation: Other: Following are the specifications for the sewa disposal system on the above captioned property. Type of system: ❑ Conventional Other Z°!,'W~s~ Septic Tank: gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field ditches z of each ditch / 2D feet ditches 'a feet ditches 2,,9- inches French Drain Required: Linear feet Authorized State Ag t ~ Date PERMIT CONDITIONS: 1. 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 ❑ No ❑ If yes, see attached sheet for additional operation conditions, maintenance and reporting. ~e n 9 t f o i f ~ t C24 t~ 7