OPHTE# j. _ 3 Harnett County Department of Public Health
PERMIT # Operation Permit 23018
0 New Installation 13 Septic Tank DeNltrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: &,.Iq jrd 1i L,_ L<�
Name: (owner) I) V SUBDIVISION Cl'w LOT # IS
System Installer: Cant —/7 Li, '4"_6'L4 r4- 4 Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms 4
Type of Water Supply: ❑ Community Public ❑ Well Distance from` ell feet
System Type: 2�aa i n Types V and VI Systems expire in 5 years.
(In accordance witk Table V a) Own must contact Heal Department 6 months prior to expiration for permit renewal.
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This system has been installed ir�comnliance with aoolicable North Carolina General Statktes, Rkles for Sewa'ee Treatment and DisA ul. and all conditions of the
PERMIT CONDITIONS:
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
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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.
Permit and Construction Authorization.
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewaX disposal system on the above captioned property.
Type of system: El Conventional C( Other /5% a1� t, �� Septic Tank: 14--0 gallons Pump Tank: T gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 7 of each ditch 2cc) feet ditches 3 feet ditches l ti'r inches
French Drain Required: Linear feet
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Authorized State to t --�� ,�' � Date I - t
13 -5 -32333 (1) 13 -5 -32333 (2) 13 -5 -32333 (3) 13 -5 -32333 (4) 13 -5 -32333 (5)
13 -5 -32333 (6) 13 -5 -32333 (2) - Copy 13 -5 -32333 (1) - Copy