HomeMy WebLinkAboutOP RRRHTE# 1.�i'AJ �3�Q(1Q Harnett County Department of Public Health 24527
PERMIT #-0-A I )0 Operation Permit
New Installation � Septic Tank 4 Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: Odce Kyo
Name: (owner) N4 -Yr -r SUBDIVISION inrTGn's RNc,G& LOT # S
System Installer.1 f sock ccs w r� v 6 Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
System Type:1n 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.
Ines system has been installed in compliance with applicable Nonh Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Pennit and Construction Authorization
PERMIT CONDITIONS
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
System shall perform in accordance with Rule .1961.
As required by Rule .1961.
As required by Rule .1961. Other.
Subsurface system operator required? Yes ❑ No>(
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
❑ D -Boz
❑ Pump ❑
Alarm ❑ H2OLine
❑ PWR Line
Following are the specifications for
the sewage disposal system on the above captioned property.
Type of system: ❑ Conventional
Other 9 V -r " d —vat! "r
Septic Tank: S0o0 gallons
Pump Tank: Q gallons
Subsurface No. of
exact length
width of
depth of
Drainage Field �diteq
) _ of each ditch � feet
ditches _ feet
'pp
ditches inches
French Drain Required
Linear feet
Authorized State Agent 'N-Z�4' RQ -1:5 Date 3
133- 5-3aC-6-7 suz¢_