OPHTE# I i—S—Lia940 Harnett County Department of Public Health 25093
PERMIT # 3rt79�J Operation Permit
New Installation �K Septic Tank S( Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: Docs Rv
Name: (owner) r4c.%EE. Ho..,e-s LLC— SUBDIVISION LOT # 3 T2
System Installer. Enos L GPw-v.�Ea Registration #
Basement with plumbing: ❑ Garage �K Number of Bedrooms H
Type of Water Supply: ❑ Community �X Public ❑ Well Distance from well feet
System Type: till i, 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.
INS system has been installed in compliance with appliable North Carolina General Statutes, Ruies for Sewage Tmatmem and Disposa4 and all conditions of the Improvement Permit and Construction Authonution.
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PERMIT CONDITIONS
1. Performance:
It. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
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` I
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 55aaptioned property.
Type of system: [J Conventional Other
�N�^,(s:�SL L04Z.��C H Septic Tank: _ gallons Pump Tank: 1�50 gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches L of each ditch s i S- feet ditches 3 feet ditches V2 inches
French Drain Required: \ linear feet
Authorized State Agent :: ::, f"cy,�S Date