OPHTE# ��—S 398 Harnett County Department of Public Health 24477
PERMIT # 25b2-7 /Operation Per It
Y New Installation c Tank 2" Nitrification line ❑ Repair ❑ Expansion
PROPERTY LO(AT10
Name: (owner) 1i�G5 rifle SUBDIVISION LOT # TL
System Installer:+ Registration #
Basement with plumbing: ❑ Garage _Nu Num er of Bedrooms
Type of Water Supply: ❑ Community Lt1 Public ❑ Well Distance From well feet
System Type: :E Types V and VI Systems expire in S years.
(In accordance with Table V a) Owner n1st 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 Authorization
PERMIT CONDITIONS
I. Performance:
11. 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 ❑ H20Line ❑ PWR Line
Following are the specifications for the sdisposal system on the above captioned property.
Type of system: El Conventional
Conventional Other
Subsurface No. of exact length
Drainage Field ditches ( of each ditch 2.30 feet
Septic Tank: 1 U o n gallons Pump Tank gallons
width of depth of
ditches —3 feet ditches 14 —>I P a' inches
french Drain Required: Linear feet
Authorized State A Date 6-03-1;Z
16-5-39830 (1)
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16-5-39830 (1) 16-5-39830 (2) 16-5-39830 (3) 16-5-39830 (4) 16-5-39830 (5)
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