OPNTE# 1-7 - Harnett County Department of Public Health 24907
PERMIT Operation Permit
New Installation -'Q Septic TankV_
Nitrification Line El Repair 11 Expansion
�Q� PROPERTY LOCATION: _C�A2�
Name: (owner) Curt,a..., 9,ozCzm, lit SUBDIVISION C vece�N Pa r l tlnl LOT # I �
System Installer. C'� s s �a , c,�LA 4�j Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms L-)
Type of Water Supply: ❑ Community 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 Improvement Permit and construction Authorization.
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PERMIT CONDITIONS:
I. Performance: System shall perform in accordance with Rule .1961.
II. Monitoring: As required by Rule .1961.
111. Maintenance: As required by Rule .1961. Other.
Subsurface system operator required! Yes ❑ N
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 system on the above captioned property.
Type of system: El
Subsurface
14 Other _ �zVLQtl
Septic Tank: 10 0 V
gallons Pump Task -Ilans
No. of
exact length
width of
depth of
Drainage Field ch c e
) of each ditch 370 feet
ditches 3
feet ditches 8 "3 0 inches
French Drain Required:
Linear feet
Authorized State
Date
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