OP RHTE# r6-: =Z71 A,1,ic Harnett County Department of Public Health 22084
PERMIT # 265_3 j Operation Per it E2( New Installation Cc Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: /e/V`?
Name: (owner). SUBDIVISION 5s✓LOT # 2- c/
System Installer: s/-- Registration #
Basement with plumbing: ❑ Garage C? ,Number of Bedrooms -
Type of Water Supply: ❑ Community Z /'Public ❑ Well Distance from well feet
System Type:~~~~' Types V and VI Systems expire in 5 years.
(In accordance with Table V a)wner 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
PERMIT CONDITIONS:
1. 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-Box ❑ Pump ❑ Alarm ❑ H20Line ❑ PWR Line
Following are the specifications for the seewwa isposal system on the above captioned proper~y"
Type of system: ❑ Conventional 1 Other Mu - .10 7q l ilA 1-"Pl. eptic Tank: 6 gallons Pump Tank: 146 gallons
Subsurface No. of exact length width of depth of
-5 41
Drainage Field ditches of each ditch 60 feet ditches feet ditches 2 inches
French Drain Required: Linear feet
Authorized State Ao Date /1 -/5-//
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11-5-27696R (7)
11-5-27696R (1)
11-5-27696R (2)
11-5-27696R (3)
11-5-27696R (4)
11-5-27696R (5)
11-5-27696R (6)
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11-5-27696R (7)
11-5-27696R (1)