HomeMy WebLinkAboutOPHTE# -� Harnett County Department of Public Health
PERMIT # 273 7e) .,0_peration Permit 23020
11
C7 New Installation ❑' Septic Tank 0 Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:
Name: (owner) X1)4c wr i ril-ile i l-if SUBDIVISION LOT #
System Installer: r,6 Registration #
Basement with plumbing: ❑ Garage Number of�Bedrs
Type of Water Supply: ❑ Community ❑ Public ; Well Distance from well I00 ` feet
System Type: ' '✓ ff.'s -� '' C s V and VI Systems expire in 5 years.
(In accordance with Table V a) contact 4ealth Department 6 months prixr�g.espicatten— for'permit renewal.
This system has been installed in
PERMIT
I. I
I I.
III.
with applicable North Caroina General Statutes, Rules for Sewage Treatment and
I
with Rule .1961.
and all conditions of the Improvement Permidand Construction Authorization.
Monitoring: As required by Rule .1961.
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 ❑ H2OLine ❑ PWR Line
Following are the specifications for the sews disposal system on the above captioned property.
Type of system: ❑ Conventional n Other 15', c iZ; X c j _ Septic Tank: I G9 0 0 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch 6C' feet ditches -3 feet ditches ZZ' inches
French Drain Required: Linear feet
Authorized State A;?e(It Date I
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Y
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13 -5 -30947 (11)
13 -5 -30947 (12)
13 -5 -30947 (13)
13 -5 -30947 (14)
13 -5 -30947 (15)
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13 -5 -30947 (16)
13 -5 -30947 (17)