OPHTE# /0 -s'a-37CS~- Harnett County Department of Public Health
PERMIT Operation PPermii-t 2 2 0 2 5
E(New Installation LI Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: I (wv o2? ~Jer F
Name: (owner) SUBDIVISION TlitgeA LOT # 31
System Installer: Registration # V
Basement with plumbing: ❑ Garage C' Number of Bedrooms -7
Type of Water Supply: ❑ Community 2" Public ❑ Well Distance from well feet
System Type: _ 7 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 compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization.
to
I a c.{L!
49
GF6s f t Ra&
'D f
R2~`:r
f'' (25'204
PERMIT CONDITIONC
Performance: System shall perform in accordance with Rule .1961.
Monitoring: As required by Rule .1961.
Maintenance: As required by Rule .1961. Other:
Subsurface system operator required? Yes ❑ No 53'
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other:
❑ D-Box ❑ Pump ❑ Alarm ❑ H201-ine ❑ PWR Line
Following are the specifications for the sews dispos system on the above aptioned property.
Type of system: ❑ Conventional 70th, ycs.w~ ~t Septic Tank: GCSC gallons Pump Tank: w0 gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch ~i feet ditches 3 feet ditches inches
French Drain Required: _ Linear feet
Authorized State Agent ~ ,1~ c f Date `f /12 7 k1a It
lc,r-x-376 L
;
k
l1~
} °
a
f Y~,
f'
fi
a
N
OW
A
rfi .v .
oil
Al
.
~
'
+
~
~r
~
y~„yet
.
~
~;1{
.
~
t
~
Y ~
~ .r
x
fF+~ t
ry
ILIA
a
}
r
Y
4
.
.
x
..O
_ t o o
,r
4
t
y
a
Al.
1 ~ w~_ err } 1 u~ Fa ~ ~rry♦
xt E Z ~ fr
r• ~r ~ - 1 • A' ~ 4 hi ~ -
WIN,
~~kcY+t t
} k ~ t r.
a, -z
}•l ~ M ,r a ,mod' t 9• C f
f: t
X11 ~ ~kj. ` ` ~ 4 k `'k& •
C t a~ ~ k } 0. j