OP RHTE# Harnett County Department of Public Health 24885
PERMIT # �-9-1 O$ Operation Permit
New Installation N Septic Tank 'XNitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: f?xr&ooK,ti,&—w G-1
Name: (owner) L—n—co NSM E s SUBDIVISION Ca.eE-\e, LOT #
System Installer. C%-w�5 '�7— P,n.oa-om,)Registration #
Basement with plumbing: ❑ Garage 9 Number of Bedrooms 36
Type of Water Supply: ❑ Community >t� Public ❑ Well Distance from well feet
System Type: silo 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 Improvement Permit and Commuction Authorization
PERMIT CONDITIONS
I. Performance:
ll. Monitoring:
III. Maintenance:
IV. Operation:
TZEP R 162 �
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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.
V. Other. TM)c> au sLT OV55\DE COP bl"Y';Sfa rl
❑
D -Box
❑ Pump ❑ Alarm ❑
H2O1-ine ❑ PWR Line
Following are the
specifications for
the sewage disposal stem on the above captioned propel -54
Type of system:
El Conventional
Other F' u rn P� o �m Grs � o Septic Tank sO b 0
gallons Pump Tank: t 00 G gallons
Subsurface
No. of
exact length width of
depth of
Drainage Field
ditches
of each ditch O-ZLS� feet ditches 9
feet ditches t$ inches
French Drain Recoiled: Linear feet
Authorized State A¢ent Date t�j440