OPHTE# CYZ-5-aQJ-1 Harnett County Department of Public Health
20548
PERMIT # a516~ Operation Permit
New Installation X Septic Tank ❑ Repair Nitrification Line ❑ Expansion
PROPERTY LOCATION:
Name: (owner) -So~~ N Ny CUttS }5vy SUBDIVISION LOT #
System Installer. C7-r zs 5,T ru u v N9 Registration #
Basement with plumbing: ❑ Garage ❑ Number of Bedrooms a
Type of Water Supply: ❑ Community ❑ Public ~ Well Distance from well lOc~) feet
System Type: 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.
ims system nas peen mstanea in compuance wan appucabie north Larolina General Statutes, Rules for Sewage Treatment and
I coav~sCsvuP~t.~
c.fPPsQ.
"LEA
0
B1t-t- $11"10-1W V,o
rLnrm WnuittVnr.
1. Performance:
11. Monitoring:
111. Maintenance:
System shall perform in accordance with Rule .1961.
As required by Rule .1961.
As required by Rule .1961. Other.
IV. Operation:
V. Other.
Subsurface system operator required? Yes ❑ NOA
If yes, see attached sheet for additional operation conditions, maintenance and reporting
Following are the specifications for the sewage disposal system on the above captioned property.
Type of system: X Conventional ❑ Other
Subsurface No. of exact length
Drainage field ditches 3 of each ditch feet
French Drain Reauired: \ ar feed`
and all conditions of the Improvement Permit and Construction Authorization.
Septic Tank: IClJO gallons Pump Tank: gallons
width of depth of
ditches 3- feet ditches inches
Authorized State Agent_ Date
-
~
~
_
a
~
>
*M.
9
~ A~ s
~
.
~
'
} {
~
Y
x
mar
~
1+ ; :
r:
~
A
~ _
s
`
:=f
s
=r'
fie,
`.tc
~
ti
s
,
~
Q 4
~
.
~
a
~
,
~ ~~3 t ,3
'
z _
i.~
»
'
~
.
~
~ ~
~
~q
~
w
> ,
_
~
~
~
_
~ ~~fi ~"Y
y
,
k~`
.
.
.
-
-
.y.
'
. .
~ .a°z
;r.
_
~
d
n+~
.~"R~ t~~ ~r
ar, _ .
,
.
,