OPHTE# 1(0"5��O Harnett County Department of Public Health 2442
PERMIT # Z1 U)L, Operation Permit
New Installation )� Septic Tank )Q Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: Cay"-Tro5iDE
Name: (owner) LLC SUBDIVISION 0AYr\o LOT #
System Installer: FroiE QS>&Nevi Registration #
Basement with plumbing: ❑ Garage '�< Number of Bedrooms 1—)
Type of Water Supply: ❑ Community "14 Public ❑ Well Distance from well 10 0 feet
System Type: �'b 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 Authowation
PERMIT CONDITIONS
I. Performance:
If. Monitoring:
III. Maintenance:
IV. Operation:
Other.
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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 -Boz
❑ Pump ❑ Alarm ❑
H2O1-ine ❑ PWR Line
Following are the
specibations for
the sewage disposal system on the(yh`o�ve captioned pryy��ersyt
Qv.nv
Type of tem:
El Conventional
Other \o �h1A lS�ay� Septic Tank: 1000
gallons Pump Tank �0 OCSi gallons
Subsurface
No. of
exact length width of
3
depth of ty
I
Drainage Field
ditc _
1 of each ditch 30 O feet ditches
feet ditches ` inches
French Drain ReauiredRt—
Linear feet
Authorized State Agent Date