OP 2NTE# D3'S Harnett County Department of Public Health
24488
PERMIT # ZG2k3 Operation Permit /
❑ New Installation ❑ Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LO(ATIONk54_jy'cs coo ¢,.ems
Name: (owner) SUBDIVISION V. Fh JOT # t t J�
System Installer:S Registration #
Basement with plumbing: ❑ Garagember o Bedrooms 3
Type of Water SupI: ❑ Community LTJ Public LI Well Distance from well feet
System Type: C W_)e_ 9"tc>`.— P Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Owner must contact Health Department 6 months prior to expiration for permit renewal.
Ibis system has been Instalkd in compliance with applicable North Carolina Genenl Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and (onswaion Anchormen
PERMIT CONDITIONS
I. Performance:
If. Monitoring:
111. Maintenance:
IV. Operation:
V. Other.
164
a
50
n
w
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
❑ PWR Line
Following are the specifications for the sews disposal system on the above captioned property.
Fac
Type of system: ❑
Conventional Other e5"4
Septic Tank 406 gallons
Pump Tank: gallons
Subsurface
No. of exact length
width of
depth of
Drainage Field
ditches _� of each ditch _10 feet
ditches feet
ditches y inches
French Drain Required:
Linear feet
Authorized State Agen�9 Datel' _ Z"' --2
A4 y
IWO
AZi.9
"V.
_
--- �•i cls' .
4
i FA i
CeI - . . 1w.