OP RRHTE# t-)7- ►_-~3 y na__Harnett County Department of Public Health 2 0 6 3 2
PERMIT # ~aa Operation Permit
New Installation '_~Z Septic Tank ❑ Repair Nitrification Line ❑ Expansion
PROPERTY LO(ATION: }d7-7J
Name: (owner) e2-> SUBDIVISION o >^nn, ,.L l LOT # 3
System Installer. qP )c Registration #
Basement with plumbing: ❑ Garage ❑ Number of Bedrooms
Type of Water Supply ❑ Community ' 6- Public ❑ Well Distance from well J_Qc. feet
System Type: C f. ~-E u s S< 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.
> > nem au am, mnanea in compuance mun tPpuame ROM tarotma General Statutes, Rules for Sew a Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization.
h
r~
t
t Z'-7 J
PERMIT MINIMUM-
1. Performance:
II. Monitoring.
III. Maintenance:
IV. Operation:
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.
V. Other.
Following are the specifications for the sewage disposal system on the above captioned property. -LT - Type of system: ❑ Conventional r'U Other C ✓i , c t-- Septic Tank: gallons Pump Tangy gallons
Subsurface No. of exact length width of n depth of
Drainage Field ditches of each ditch u , 0 J feet ditches 7 feet ditches inrhac
French Drain Required: \ Linear feet
Authorized State Agent Date
V7r
C-V
~r
1
CN
f
k 1
ps 1 ~
'v J'l
'w ~nr
f t
1 n~ xE
t'
t +A
t C ~ = Y
~bY S
Y • w
Ain-
ray
a*=
{
"!Jtll
V ~ ~c
1
} s
,p ~ ti w T
c
FJ;