OPHTE# 1-1 -S —Vol i33 Harnett County Department of Public Health 24506
PERMIT # 36 /Operation Permit /
W New Installation Septic Tank ri7' Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LO(ATION 56
Name: (owner) C 1 SUBDIVISION LOT # �
System Installer: _- A'ansxs Registration #
Basement with plumbing: ❑ Garageumber of Bedrooms
Type of Water Supply: ❑ Community �ublic ❑ Well Distance from well feet
System Type: rivr„_ YT2LTyfta.�6 CAA --As 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.
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This system hm been installed in compliance with applicable North Carolina General Smmtet Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Autho6vnion.
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I s
10 ec
PERMIT CONDITIONS
I. Performance:
11. 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 seewwaa disposals stem on the above ca tioned property.
Type of system: ❑ Conventional L� Other yo ASeptic Tank: DU gallons Pump Tank:
Subsurface No. ofexact length width of depth of
Drainage Field ditches of each ditch g140 feet ditches 3 feet ditches Ig
french Drain Required: Linear feet
Authorized State A ent Date 7 — 1 %
PWR Line
gallons
inches
f
NNW -
17 -5-40983 (3) 17-540983 (4) 17-5-40983 (5) 17-5-40983 (6) 17-5-40983 (7)
17-5-40983 (8) 17-5-00983 (9) 17-540983 (10) 17-540983 (11) 17-5-40983 (12)
17-540983(13) 17-5-40983(14) 17-5-40983(15) 17-5-40983(16) 17-5-40983(17)
Si - ar
17-540983 (18) 17-5-40983 (19) 17-540983 (20) 17-540983 (21) 17-540983 (22)
17-540983 (23) 17-540983 (24) 17-5-40983 (25) 17-5-40983 (26)