HomeMy WebLinkAboutOPHTE# ) -5-'41C08 Harnett County Department of Public Health 24629
PERMIT # Z` O Operation PPermiti
ew L�S Installation eptic Tank Fr Nltrtflwtion Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: :S ale Ln rsYe.T,tin�n g&d _ Sf y3%
Name: (owner)I"AV_ 61AS SUBDIVISION J o%nsnn Fi=rms LOT # h4
System Installer. tS Lj5 q Registration # /9Z9
Basement with plumbing: ❑ Garage �Nu "
� of Bedrooms i"
Type of Water Supply: ❑ Community Led'Publlc ❑ Well Distance from well feet
System Type: -Z S%o AL ck&xL(belSys. 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 Minable North Carolina
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PERMIT CONDITIONS:
1. Performance: System shall perform in accordance with Rule .1961.
11. Monitoring: As required by Rule .1961. /
111. 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.
conditions of the Improvement Permit and Construction Amhoriaation.
*t-'p4LV� DR44 ShaSN
be SQ Min oCL
SefyL e- s y d z en
❑
—D -Box 13Pump
E3Alarm Cl
1-12OLine ❑ PWR Line
Following are the
specifications for the
se:wages osal system on the above captioned property.
Type of system:
❑ Conventional
Id' Other gEg w w Septic Tank: 1 Z5 d
gallons Pump Tank: gallons
Subsurface
No. of
S
exact lengthQQ ��\\ width of
3
depth of
Drainage Field
ditches
of each ditch feet ditches
feet ditches ��,� inches
French Drain Required: Linear feet
Authorized State AgentU2=� ! Date c' * /C' S Z 0 1
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