OPHTE# 15-- Harnett Harnett County Department of Public Health 25125
PERMIT# 2839 Operation Pe It
New Installation ff Septic Tank 53 Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:45X—l9/o ajy'..!/e-� /::;;, /Z(N
Name: (owner) SUBDIVISION LOT #
System Installer: ct,46r Registration #
Basement with plumb' ng•. ❑ 0 Garage LJ�Number of Bedrooms -3
Type of Water Supply: ❑ Community h� Public ❑ Well Distance from well feet
System Type: VS —"q4Sd'B-L_� 6- Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Owner mus contact Health Department 6 months prior to expiration for permit renewal.
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This system has been installed in compliance with applicable North I trolina General Sqfutes Rules for Sewage Treatment and Disposal and all con eons of the Improvement Permit and Construction Authorization.
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PERMIT CONDITIONS
I. Performance:
II. Monitoring:
111. Maintenance:
IV. Operation:
V. Other.
System shall perform in accordance with Rule .1961. '7
As required by Rule .1961. (ylyl YF !iv
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 -Boz ❑ Pump ❑ Alarm ❑ H2O1-ine ❑ PWR Line
Following are the specifications for the sew a disposal system onje captionr`d property.
Type of system: ❑ Conventional L�( Other ZS _I L.t�1.e)�...) Septic Tank: 1606 gallons Pump Tank gallons
Subsurface No. of exact length -`-rtt width of 1 depth of
Drainage field ditches 3 of each ditch 1 V Z- feet ditches > feet ditches J'4— inches
French Drain Required: Linear feet
Authorized State A¢ te� � X,4,—rt ,; Date & — 19
15-5-36254 (1)
15-5-36254 (6)
15-5-36254 (11)
15-5-36254 (16)
15-5-36254 (2)
15-5-36254 (7)
15-5-36254 (4)
15-5-36254 (5)
15-5-36254 (8)
15-5-36254 (9)
15-5-36254 (10)
15-5-36254 (12)
15-5-36254 (13)
15-5-36254 (14)
15-5-36254 (15)
15-5-36254 (3)
15-5-36254 (4)
15-5-36254 (5)
15-5-36254 (8)
15-5-36254 (9)
15-5-36254 (10)
15-5-36254 (12)
15-5-36254 (13)
15-5-36254 (14)
15-5-36254 (15)