HomeMy WebLinkAboutOPHTE# kk 311n3 Harnett County Department of Public Health
2407
PERMIT # Operation Permit 0
New Installation V Septic Tank Nitrification Line ❑ Repair ❑ Expansior
PROPERTY LOCATION: 15S 2P.L flra,
Name: (owner) i:,r A(,A aj curv,(,' N" g SUBDIVISION Res3 Mcgp a Eqa,;,6 LOT # i
System Installer: 0171N.:, �;q.ccLP, aD Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms r
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
System Type: 0. 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 appliable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization.
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PERMIT CONDMONC-
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 ❑jA
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
Other.
❑ D -Box ❑ Pump ❑
L
H2OLine ❑
PWR Line
Following are the
specifications for the sewage disposals stem on the above captioned property.
Type of system:
❑ Conventional )I Other Z R 4W
Septic Tank: gallons
Pump Tank gallons
Subsu
Drainage Field
No. of exact length
i Z of each ditch 100 feet
width of
ditches 3 feet
depth of
ditches 3"30
French Drain Req
-4uar feet
inches
Authorized State Agent_ :!!k� Date 513111-9
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