OPHTE# 13'7 ° 3/K Harnett County Department of Public Health
PERMIT #<.2'7. -Operation Permit 22977
L�1 New Installation C�' Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION " , . 4V e) 1 ,J
Name: (owner) '4--9 SUBDIVISION t f' LOT # 26
System Installer: Registration #
Basement with plumbing: ❑ Garage umber of Bedrooms_
Type of Water Supply: ❑ Community Vpublic ❑ Well Distance from well feet
System Type: t%Zc y r�T—< T e V d stems expire in 5 years.
(In accordance with Table V a) `�� Ow r must contact Health Departm nt 6 months prior to expiration for permit renewal.
This system has been installed in compliant with applica Iig North Caroli I Statutes, Rules for Sewar'Treatmegt_ and Disposal, and all conditions of the Improvement Permit and Construction Authorization.
PERMIT CONDITIONS:
I. Performance:
ll. Monitoring:
III. Maintenance:
IV. Operation:
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
❑ H2OLine ❑ PWR Line
Following are the specifications
for the sewap disposal s
tem o the above captioned prop ertty. ,
� "7Septic
Type of system: ❑
Conventional [ Other 1,
VYA E"�
Tank: gallons Pump Tank: gallons
Subsurface
Drainage Field
No. of
ditches_
exact length
of each ditch f feet
width of depth of n
ditches feet ditches Z inches
French Drain Required:
Linear
feet
Authorized State Ag nt �— ---_� �° Date l ` 2 V /A
13 -5 -31449 (1)
13 -5 -31449 (2)
13 -5 -31449 (3)
13 -5 -31449 (4)
13 -5 -31449 (5)
13 -5 -31449 (6)
13 -5- 31449(11)
13 -5 -31449 (7)
13 -5 -31449 (8)
13 -5 -31449 (9)
13 -5 -31449 (10)
x Y
`z:" Nfia
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