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OPHTE #' -' _- -, (- 5 Harnett County Department of Public Health PERMIT ## Z"75° Operation Permit 22980 2' New Installation C' Septic Tank � Nitrification Line ❑ Repair ❑ Expansion _ PROPERTY LOCATION:25rt_i6S—Z- Name: (owner) 5r f--z1 68W SUBDIVISION LOT # System Installer: Ste.( 2ica - Registration # Basement with plumbing: ❑ Garage Number of Bedrooms Type of Water Supply: ❑ Community ❑ Public ©'`Well Distance from well Bb feet System Type: W G 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. PERMIT CONDITIONS: I. Performance: System shall perform in accordance with Rule .1961. II. Monitoring: As required by Rule .1961. III. Maintenance: As required by Rule .1961. Other: Subsurface system operator required? Yes ❑ No ❑ 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 pro_ perry. Type of system: ❑ Conventional Other 150l6 2ZIV-LT Septic Tank: 10 gallons Pump Tank: gallons Subsurface No. of _ exact length width of depth of Drainage Field ditches of each ditch "7 feet ditches 3 feet ditches 70 inches French Drain Required: Linear feet Authorized State Age t Date '3t' " 13 ti � �� ,, ,.,,: �� . � � � � t, �t� tiS 4 { i �� .. ... Y �� . f Wtfi? �` .. \ r ti 4i � i i , ttt� � @ i 1 tkt 1 �. 5 ( Y v,4 1 Fu` 4 g t iii,;ry h k� ��' �? e "�` ��. ;1 ��w<< t?Ai.0 � ..?�i� J �� t� ^i� �t �� 1 `{M1; iS�.. �1 'S`m:P�q} Y^�jy tlti ✓,tij��, �S t k�i ii k,i �!