HomeMy WebLinkAboutOPHTE# ►7-'5-" «'l Harnett County Department of Public Health 24879
PERMIT # a'9 ro" Operation Permit
New Installation )k Septic Tank -A Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: i>o,R'S roT
Name: (owner) il SUBDIVISION---T'Zaat7 WE.S LOT #
System Installer: GGn o �»�—EMV L E Registration #
Basement with plumbing: ❑ Garage iK Number of Bedrooms
Type of Water Supply: ❑ ConnoteqL�� Public El Well Distance from well feet
System Type: .1:�_ 5 Types V and A 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 Nonh Carolina General Stamps, Rules for Sewage Treatment and Disposal, and all conditions niche Improvement Permit and Construction Authorization
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I. 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 ❑ Noo
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other.
❑ D -Box ❑ Pump ❑ Alarm ❑ H20Une ❑ PWR Line
Following are the specifications for the sewage disposal s stem on the above captioned property.
Type of system: El Conventional Other Z Vi. en -y Septic Tank: S 0 O 0 gallons Pump Tank S 0 O 0 gallons
Subsurface No. of exact length width of depth of {
Drainage Fielddditchesa3 of each ditch s feet ditches 3 feet ditches inches
French Drain Required:, , ar feet
Authorized State Agent ��� �� +is Date