OPHTE# 17—'5-4 1414 Harnett County Department of Public Health 25029
PERMIT # `533 Operation Permit
I New Installation �R Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: Oa_o QzA1,11
Name: (owner) McNua6 KVYZfN SUBDIVISION 4M 0%-v us4a1 LOT # 3
System Installer. Zv"s°ri. C9-,WC,V--7 Registration #
Basement with plumbing: ❑ Garage ❑ Number of Bedrooms 3
Type of Water Supply: ❑ Community )!k Public ❑ Well Distance from well feet
System Type: -ITT 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.
This system ha been installed in compliance with applicable Nonh Carolina General Statures, Rules for Sewage Treatment and Disposal, and all conditiom of the Improvement Permit and Consiruttion Authorization.
a- l
C
UsC
041.)
PERMIT CONDITIONS
Performance: System shall perform in accordance with Rule .1961
Monitoring: As required by Rule .1961.
Maintenance: As required by Rule .1961. Other.
Subsurface system operator required? Yes ❑ NoX
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 disposals stem on the above captioned property.
Type of system: ❑ Conventional Other Z- Fi bw Septic Tank: 1000 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage FieldL of each ditch SR"4 4 0 feet ditches 3 feet ditches Kinches
French Dain Required: ds[che� Linear feet
Authorized State Agent Q4)tL5 Date 3
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