OPHTE#)6-5 — 40472 Harnett County Department of Public Health 24366
PERMIT # Z4 Operation Permit
G2' New Installation Tank V Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOfATION.brL — D
Name: (owner) iblAvt�c 1�,coacA, szs SUBDIVISION LOT #
System Installer. _Grra4- bra Registration #
Basement with plumbing: ❑ Garageumber of Bedrooms 3
Type of Water Supply: ElCommunity Vpublic ❑ Well Distance from well feet
System Type: Types V and VI Systems expire in S years.
(In accordance with Table V a) Owner must comQ1 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 Authonution
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PERMIT CONDITIONS
I. Performance:
Il. 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 ❑
Following are the specifications for the sewa disposal system on �tshe above captioned property.
Type of system: ❑ Conventional Other Z,5% /`�Kw,q�a.L,� Septic Tank: 6 00 o gallons Pump Tank:
Subsurface No. of exact length width of depth of
Drainage Field ditches t, of each ditch 5'0' feet ditches 3 feet ditches 10 at 8
French Drain Required: Linear feet
Authorized State Age Date
PWR Line
gallons
inches
16-5-40472 (1) 16-5-40472 (2) 16-5-40472 (3) 16-5-40472 (4) 16-5-40472 (5)
16-5-40472 (6) 16-5-40472 (7) 16-5-40472 (8) 16-5-40472 (9) 16-5-40472 (10)
Mum W.U,`
16-5-40472 (11) 16-540472 (12) 16-5-40472 (13) 16-5-40472 (14) 16-540472 (15)
r-
4�11. .
L
16-5-40472 (16) 16-5-40472 (17) 16-5-40472 (18) 16-5-40472 (19) 16-5-40472 (20)
16-5-40472 (21) 16-540472 (22) 16-5-40472 (23)