OP�4-s 3°►7� ° Harnett County Department of Public Health 24548
PERMIT # Operation Permit
New Installation tk Sep is Tank A Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: sbecf_ pmr-iQc)
Name: (owner) WEA.v*jL y SUBDIVISION Pvirst-%%d [tas5)NC LOT #
System Installer. Or,S Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms
Type of Water Supply: ❑ Communi Public ❑ Well Distance from well feet
System Type: 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 Smmces, Rules for sewage TreAnent and D sposal, and all conditions of the Improvement Permit and Construction Authorization.
PERMIT CONDITION!
I. Performance:
II. 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 ❑ Nq,X
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
❑ D -Box ❑ Pump ❑ Alarm ❑
Following are the specifications for the sewage disposal system on the above captioned property.
Type of system: ❑ Conventional Other 2 ';Low Septic Tank 1000
Subsurface exact length width of
Drainage Field ditches of each ditch 1 OC3 feet ditches 3
French Drain Require \ -near feet
Authorized State Agent (2(r\5 Date
M20Line ❑
PWR Line
gallons Pump Tank gallons
depth of
feet ditches )Q inches
-Z-= _- - -
6 -5-3'1--1Q