OPHTE# IG -5 Harnett County Department of Public Health 24563
PERMIT Operation Permit
New Installation -XSe tic Tank ttisNitrification line El Repair El Expansion
PROPERTY LOCATION: Gcas
Name: (owner) 0 �10mEs LLC SUBDIVISION Ww..No; C,00vE LOT # a�
System Installer: Qli-ry s Registration #
Basement with plumbing. ❑ Garage Number of Bedrooms
Type of Water Supply ❑ Commit ne( Public ❑ Well Distance from well feet
System Type: 1 + Types V and VI Systems expire in S years.
(In accordance with Table V a) Owner,m ist csutact HealtthDepartment 6 months prior to expiration for permit renewal.
has been mulled in compliance with applicable North Carolina General Statutes Rule) for 94Treatment and Diepaial, and all conditions of the Improvement Permit and Construction
PERMIT CONDITIONS:
I. Performance: System shall perform in accordance with Rule
If. 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 open
IV. Operation:
Other.
Ho vs£ (
O
k
c�
S NW 64.a6s t'"{
1961.
conditions, maintenance and reporting.
❑ D•Box ❑ Pump ❑ Alarm ❑ H2O1.ine ❑ PWRLine
Following are the specifications for the sewage disposal system on the above ca tioned property.
Type of system: ❑ Conventional Other Pva.we 1. E _Ou'vv Septic Tank: 1 ex O gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field I of each ditch ati0 feet ditches _ feet ditches 18`30 inches
French Drain Required: �'Lislear feet
Authorized State Agent_ S Date