OP (Cannot sign off on OP per V.C. customer has not purchased permit)HTE# r zjiZ-~"
Harnett County Department of Public Health
PERMIT # Operation Pent 2 2 0 61
New Installation E Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: H2t"Zi x>f3
Name: (owner) a t5 SUBDIVISION ~ &2r LOT #
System Installer: (•t Registration #
Basement with plumbing: ❑ Garage D umber of Be ooms
Type of Water Supply: El Community 14 Public Well Distance from well > a) feet
System Type: p /`'T~i Lem/'S Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Owner must contact Health Department 6 months prior to expiration for permit renewal.
This system has been installed in
with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the
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PERMIT COMIONS:
1. Performance: System shall perform in accordance with Rule .1961.
11. 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:
Permit and Construction Authorization.
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❑ D-Box ❑ Pump ❑ Alarm ❑ H20Line ❑ PWR Line
Following are the specifications for the sews a disposaall,,sYstem on the above captioned property y,
Type of system: El Conventional Other i & Septic Tank: i gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch I-V feet ditches 3 feet ditches inches
French Drain Required: Linear feet
Authorized State
Z Date ° ° /C
08-5-21154(1)
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73
08-5-21154 (6) 08-5-21154 (7)
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08-5-2 1 1 54 (11)
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08-5-21154 (12)
08-5-21154 (13)
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08-5-21154 (5)
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08-5-21154(1) 08-5-21154(2) 08-5-21154(3) 08-5-21154(4) 08-5-21154(5)
777
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08-5-21154 (6) 08-5-21154 (7) 08-5-21154 (8) 08-5-21154 (9) 08-5-21154 (10)
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L7 --7 -7 a. at't -
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08-5-2 1 1 54 (11) 08-5-21154 (12) 08-5-21154 (13)
08-5-21154 (1) 08-5-21154 (2) 08-5-21154 (3) 08-5-211 - (4) 08-5-21154 (5)
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08-5-21154 (6) 08-5-21154 (7) 08-5-21154 (8) 08-5-21154 (9) 08-5-21154 (10)
7
08-5-21154 (11) 08-5-21154 (12) 08-5-21154 (13)
WS load of fire chips is from the fuel Grade location and meets the Nc speefticatton
stated In Innovative Wastewator system as
approval IWWS2002.038 for fire chip
SubstOution for Rock,Aggregrate In Nltritlcation Fl IW