HomeMy WebLinkAboutOPHTE# 53`51 b Harnett County Department of Public Health
PERMIT # n °133 Operation Permit 23836
`
New Installation �K Septic Tank Nitrification Line ❑ Repair ❑ Expansior
PROPERTY LOCATION: Go"o C P G -c
Name: (owner) Ysysy C.o.asscttgc ito r, SUBDIVISION VQoiS6a..s .Q6E LOT # 12 '-1—
System Installer. 1a�ociS`; Q7 --5 Ptry t P, Nrn t, Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms 9
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet
System Type:'b Types V and VI Systems expire in S 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 Statures, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization
203 /
I -f
hov5� I AQ.Lfi (
LU
o ,
c1 'Z48
G1
GpLP Gvc
U
PERMIT CONDITIONS
I. Performance: System shall perform in accordance with Rule .1961.
If. Monitoring: As required by Rule .1961.
III. Maintenance: As required by Rule .1961. Other.
Subsurface system operator required? Yes ❑ NX
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other:
❑ D -Box ❑ Pump ❑ Alorm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewage disposal system on the above ca In roperty.
Type of system: CJConventional X Other P M
L P �• �— �tawv Septic Tank t o O O gallons Pump Tank: 1006 gallons
Subsurface No --,of, exact length width of depth of 11YY
Drainage Field ditches �•� of each ditch S feet ditches 3 feet ditches inches
French Drain Required: Linear feet
Authorized State Agent ,� \����� P:li Date
J
tt
Q�c9�.�—�—�1