HomeMy WebLinkAboutOP RHTE# 13 -- — 316$z!Z Harnett County Department of Public Health 23490
PERMIT # L$v`1 S / / Operation Permit —
C2' New Installation [_Z' Septic Tank D Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:5/L/70/ /)e1rn4 �ti;•>
Name: (owner) SUBDIVISION LOT # Z
System Installer: D•c-- Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms .3
Type of Water Supply: ❑ Community ❑ Public Well Distance from well / s o' feet
System Type: 75%au —T pes V and VI Systems expire in 5 years.
(In accordance with Table V a) Owner must contact Ifealth 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.
too 4"
15' ,
L
L
PERMIT CONDITIONS:
I. Performance: System shall perform in accordance with Rule .1961.
11. Monitoring: As required by Rule .1961.
Ill. 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:
1
V. Other:
❑
D -Box ❑
Pump ❑ Alarm
❑ H2OLine ❑ PWR Line
Following are the
specifications for the sewa
disposal system on the above captioned property.
Type of system:
El Conventional Other
T5°lo 05�b TZvI__.,
Septic Tank: /yo O gallons Pump Tank: gallons
Subsurface
No. of
exact length
width of depth of
Drainage Field
ditches
of each ditch Z-` D feet
ditches 3 feet ditches Z`i>/P inches
French Drain Required: Linear feet
Authorized State A Date
13-5-31182R (1)
13-5-31182R (2)
13-5-31182R (3)
13-5-31182R (4)
13-5-31182R (5)
13-5-31182R (6)
13-5-31182R (7)
13-5-31182R (11) 13-5-31182R (12)
13-5-31182R (8)
13-5-31182R (9)
13-5-31182R (10)