OPHTE# -429'S Harnett County Department of Public Health 24809
PERMIT # 2'9e51— Operation Per�flllt /
New Installation Septic Tank 2 Nitrification Line El Repair ❑ Expansion
PROPERTY LOCATION:
Name: (owner) WAtA rKohnfk (dei.... QfG SUBDIVISION 71-1a2- f?�s. .,r_ LOT # _
System Installer: Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms
Type of Water Suppl : ❑ Community ❑ Rublic ❑ jVell Distance from well feet
System Type: B -L "Ie Types V and VI System expire in S years.
(In accordance with Table V a) as Owner must act He�ItIT Department 6 onths prior to expiration for permit renewal.
This srstem has been installed in romoliance with
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
!R Carolina Gi,erel Statutes; Ruref fol Sewage Treatu,dnt and Disposal, and al
t�►i �'-
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 sewage disposal system on the above captioned property.
Type of system: ❑ Conventional 2;10Dther f(� % L� Ci% -r �_ a� Septic Tank { Z'15Q' gallons Pump Tank gallons
Subsurface No. of exact length width of depth of
Drainage field ditches of each ditch feet ditches 3 feet ditches _ .It inches
French Drain Required: Linear feet
Authorized Stafa llproL^ / �� Date
17-542953 (1)
17-5-42953 (2) 17-5-42953 (3)
-
t
17-5-42953 (4) 17-5-42953 (5)
17-5-42953 (6)
17-542953 (7) 17-5-42953 (8) 17-542953 (9)
17-542953 (11) 17-5-42953 (12) 17-5-42953 (13) 17-5-42953 (14)
17-5-42953 (10)