OP RHTE#-*/& " f1Z Harnett County Department of Public Health
PERMIT # 2-4, g o 1 Operation Permit 21 7 3 2
D New Installation Septic Tank [d Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: ,
Name: (owner) 3,72--t,/A,05 SUBDIVISION = LOT #
System Installer: ! Registration #
Basement with plumbing: ❑ Garage rber of Bedrooms
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
System Type: 1'5'/-> U ~ Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Owner must con act Health Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the
Permit and construction Authorization.
L.
e c,~ a
S
e
Li f5~L-
1
PERMIT CONDITIONS:
1. Performance: System shall perform in accordance with Rule .1961.
II. Monitoring: As required by Rule .1961.
111. Maintenance: As required by Rule .1961. Other:
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other:
❑ D-Box ❑ Pump ❑ Alarm ❑ H20Line ❑
Following are the specifications for the sew disposal system on the above captioned pro erty.
Type of system: ❑ Conventional Other F;~S ptic Tank:/ gallons Pump Tank:
Subsurface No. of exact length width of depth of
Drainage Field ditches Z. of each ditch J feet ditches feet ditches 7-
)oe
l
PWR Line
gallons
inches
French Drain Required: Linear feet
Authorized State nt Date°
a
x
h
~Y
fA 4~ .
I
J,.
r
.
r
I
l
J
A
Pt
G;
}r
Y'}~g
X a
/ ~ "fie ~
L pay, „ x }
{ .y
1i
I
ld ry t
Y ly Y _
i r s~
r S
J
~ JP~ t~ ~ 1
3
~ y ,I J
i f-
~ ?
s
j
~,~0`
f
V4,
_
M 4
j .
f
t,j.
< { y5
a'
A
f
t a7
f
f 4fi
A
t
Y ~
5, '
Harnett
0 0 0 N T Y
Department of Environmental Health
NORTH CAROLINA
www.harnett.org
Harnett County Government Complex
307 Cornelius Harnett Boulevard
On II AA4.T' performed an inspection of
a septic system. Permit # Z&(M 8 , HTE #_14 6 /!7_ , for applicant being:
_ C-hAA&'~~ & . ~ . Everything installed on this date met the conditions
of the permit.
However, an Operations Permit cannot be issued at this time because all of the conditions on the
Improvement Permit and Construction Authorization have not been met.
Sincerely,
Ja ` es E. Manhart, III, R.E.H.S.
Harnett County Department of Public Health
Environmental Health Section
l ~2 .
Lillington, NC 27546
ph: 910-893-7547
fax: 910-893-9371
strong roots • new growth