OP RHTE# fi-" ; -331Z717 Harnett County Department of Public Health 24793
PERMIT # 2 �o7y / Operation Permit /
�f New Installation Septic Tank D Nitriffwtion Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:M IV01Za(%ids /GG /� IF -4
Name: (owner) SUBDIVISION LOT #
System Installer: , Registration #
Basement with plumbing: ❑ Ga ❑ umber of Bedrooms
Type of Water Supply: Elmmunity Public Well Distance from well feet
System Type: Types V and VI Systems expire in S years.
(In accordance with�V a) /�_� _Q��(� Owner must contact Health Department 6 months prior to expiration for permit renewal.
This system has been installed in compliarke with applicable North Carolina General Statures, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization.
PERMIT CONDITIONS
I. Performance:
If. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
.see ?Xoh s
N
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
❑ PWR Line
Following are the
specifications for the sewa&eadisposal s
tem on the ab a
caprioned property.
Type of system:
El Conventional C r
` C_
! — Septic Tank / SUz, gallons
Pump Tank / a-vd gallons
Subsurface
Drainage Field
No. of
ditches _�_
exact length
of each ditch
/ width of
(O6 feet ditches _ feet
depth of
ditches Z — 1"Sinches
French Drain Required: Linear feet
Authorized State AYert[�% s �����7 5 Date 3'Z! — i ?/
14-5-33227RR (71) 14-5-33227RR (72) 14-5-33227RR (73)
1
14-5-33227RR (1) 14-5-33227RR (2) 14-5-33227RR (3) 14-5-33227RR (4) 14-5-33227RR (5)
14-5-33227RR (6) 14-5-33227RR (7) 14-5-33227RR (8) 14-5-33227RR (9) 14-5-33227RR (10)
14.5-33227RR (11) 14-5-33227RR (12) 14-5-33227RR (13) 14-5-33227RR (14) 14.5.33227RR (15)
14-5-33227RR (16) 14-5-33227RR (17) 14-5-33227RR (18) y1� 14-5-33227RR (19) 14-5-33227RR (20)
14-5-33227RR (21) 14-5-33227RR (22) 14-5-33227RR (23) 14-5-33227RR (24) 14-5-33227RR (25)
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w
14-5-33227RR (26) 14-5-33227RR (27) 14-5-33227RR (28) 14-5-33227RR (29) 14-5-33227RR (30)
NAF
pt F'/ ('•
14-5-33227RR (31) 14-5.33227RR (32) 14-5-33227RR (33) 14-5-33227RR (34) 14-5-33227RR (35)
M*-tw
...
14-5-33227RR (36) 14-5-33227RR (37) 14-5-33227RR (38) 14-5-33227RR (39) 14-5-33227RR (40)
' t
14-5-33227RR (41) 14-5-33227RR (42) 14-5-33227RR (43) 14-5-33227RR (44) 14-5-33227RR (45)
OZM
momf
14-5-33227RR (46) 14-5-33227RR (47) 14-5-33227RR (48) 14-5-33227RR (49) 14-5-33227RR (50)
CIL
14-5-33227RR (51) 14-5-33227RR (52) 14-5-33227RR (53) 14-5-33227RR (54) 14-5-33227RR (55)
Zl
14-5-33227RR (56) 14-5-33227RR (57) 14-5-33227RR (58) 14-5-33227RR (59) 14-5-33227RR (60)
mi
F
0
14-5-33227RR (61) 14-5-33227RR (62) 14.5.33227RR (63) 14-5-33227RR (64) 14-5.33227RR (65)
14-5-33227RR (66) 14-5-33227RR (67) 14-5-33227RR (68) 14-5-33227RR (69) 14-5-33227RR (70)