OPHTE# 1-7– 5-4'334 Harnett County Department of Public Health 24769
PERMIT # a�s� Operation Permit
New Installation *, Septic Tank ,� Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: Nc;aNO3
Name: (owner) CAst_-so rY Cons • Co. SUBDIVISION — LOT #
System Installer: C s�r. w.r Pow SEtstc. Registration #
Basement with plumbing. ❑ Garage X Number of Bedrooms
Type of Water Supply: ❑ Communi �$ Public ❑ Well Distance from well feet
System Type: � 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.
This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvements Permit and consw<hon Authorization
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PERMIT CONDITIONS
1. Performance: System shall perform in accordance with Rule .1961.
11. Monitoring: As required by Rule .1961.
III. Maintenance: As required by Rule .1961. Other:
Subsurface system operator required? Yes ❑ Noex
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other.
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewage disposal s stem on the above captioned property.
Type of system: ❑ Conventional Other Z V's.-ew Septic Tank: LOOgallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field - —9i 4 of each ditch ZS feet ditches feet ditches _�_ inches
French Drain Requi xdm_ Linear feet
Authorized State Anent�� 7',v \\ (Z&))5 Date
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