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OPHTE# 1 Harnett County Department of Public Health PERMIT # aU-71 Operation Permit 2 2 7 3 0 New Installation I, Septic Tank X Nitrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION: ~o,aoc.2asp, ty Name: (owner) Cu inei ct-1.-owAy SUBDIVISION G~,n ate, N~, Zz2Qt o_S ^ LOT # System Installer: !Tc-® P,ccowN Registration # Basement with plumbing: ❑ Garaged Number of Bedrooms 3 Type of Water Supply: ❑ Community 'K Public ❑ Well Distance from well 10 O feet System Type: -=6. Types V and VI Systems expire in 5 years. (In accordance with Table V a) _j 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 Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization ht,p l/ ~t?U5E p Q rrnrttt t,vnurtivns: 1. Performance: System shall perform in accordance with Rule .1961. II. Monitoring: As required by Rule .1961. III. 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: ❑ D-Box ❑ Pump ❑ Alarm ❑ H20Line ❑ PWR Line Following are the specifications for the sewage disposal system on the abov capti d property. Type of system: ❑ Co entional ] Other Cti1P~tc~6 ~l°~►ix Septic Tank: 1b0 Q gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field ditches 1 f each ditch f a© feet ditches 3 feet ditches 34 a inches French Drain Reauired~\ e et Authorized State Agent `W~_ a~w y 7~ @." Date 1'4451 J