Loading...
OP RHTE #Jl� ®s3c� Harnett County Department of Public Health PERMIT # Operation Permit 22901 New Installation 'Z�K Septic Tank Nitrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION: Name: (owner) A2 -) 0Q�NNS ©0 VAO —C.5 SUBDIVISION LOT # I ®� System Installer: C>-,T- S sn, Registration # Basement with plumbing: ❑ Garage Number of Bedrooms Li Type of Water Supply: ❑ Community Public ❑ Well Distance from well V U® 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 oeen mstaueo in compoance wan appucaole nortn caronna tieneral statutes, Wes for sewage Ireatment and ntsposal, and all conditions of the Improvement Permit and Construction Authorization. Wdv'6 1 ` D C. d 1 S Cs "I&@) N IZ a-% a rtKPlll U)NUMUNY I. Performance: System shall perform in accordance with Rule .1961. 11. Monitoring: As required by Rule .1961. III. Maintenance: As required by Rule .1961. Other: Subsurface system operator required? Yes ❑ N If yes, see attached sheet for additional operation conditions, maintenance and reporting. IV. Operation: V. Other: ❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line Following are the specifications for the sewage disposal system on the above captioned property. Type of s stem: ❑ Conventional � Other 9 y rr.9� � ��- t—pw Septic Tank: t d � ® gallons Pump Tank: � 60 C/ gallons Subsurface o. of exact length width of depth of Drainage Field �ditches 3 of each ditch i feet ditches S feet ditches �� inches French Drain Reauired:c feet Authorized State Agent \\ \\ �\��.:�\ \ W - -1.16 Date ILf P 13- 53 530 (L-