OP RRRHTE# o S ,Do- 19'-19 3 2Rl*- Harnett County Department of Public Health 20651
PERMIT # ;Z,5 3 !~L Operation Permit
-New Installation c9--._Septic Tank ❑ Repair(W Nitrification Line ❑ Expansion
PROPERTY LOCATION: f 1 t
Name: (owner) SUBDIVISION Cv~Xc)-7 of) k3 LOT # f y _
System Installer: G 6crrr Registration #
Basement with plumbing. ❑ Garage 9 Number of Bedrooms 3
Type of Water Su ly: ❑ Community ~ Public ❑ Well Distance from well feet
System Type: ( ' k '--f Tt~E bt 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 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.
J X
X y 7'
j i+-, k ~ lC
S-TI-~ f
>
f~
l
r
i
NO, I
PERMIT CONDITIONS:
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. Ida lF. SY1j~-, ~
1~11ik1 r! iA So Ltnrlc
Following are the specifications for the sews a disposal sy m on the abpve captioned property.
Type of system: ❑ Conventional Other Septic Tank: 1000 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch a 0 feet ditches feet ditches inches
French Drain Required: Linear feet
Authorized State Agent L-1 tom- Date
. 8
4
f ~
S
Ara s
of .8 - 3 -
U.C iAU
t
i,
now
71
~ ~ 4 T
d
DSCF0651.JPG
v
3 ~
C6
fi ~ d
F
i'
t
tr r~ „ ~ ~ x
$ ,d
DSCF0653.JPG
Av
i
? s
DSCF0652.JPG
r f
VtiF <4R3I
4 "af
[fAj a:
i y
~ a
DSCF0656.JPG