OPHTE# 13 -' - 3175L Harnett County Department of Public Health 23328
PERMIT # 2-1-T-73 Operation Permit
I� New Installation peptic Tank 2- Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:j.tS74;�s C�.►1
Name: (owner) ;5 J - t-1OXA4;o SUBDIVISION LOT #
System Installer: a' t �_3`7liGQr %e� Registration #�
Basement with plumbing: ❑ Garage ❑ember of Be ooms —_
Type of Water Supply: El Community Y Public Well Distance from well feet
System Type: ZVl 9+e,7 G Types V an� VI Systelis expire in 5 years.
(In accordance with Table V a) Owner must contac Health Depat! tent 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Dis`$sal, and all conditions of the Improvement Permit and construction Authorization.
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PERMIT CONDITIONS:
L Performance: System shall perform in accordance with Rule .1961. 40td
II. Monitoring: As required by Rule .1961. /
111. 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 sews disposal system on the above captioned property.
Type of system: ❑ Conventional Other ZS'%' /Z*DUC.iw1. Septic Tank: 10 v O gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch 17-0 feet ditches 3 feet ditches 18,418 inches
French Drain Required: Linear feet
Authorized State Ant o' /( I Date -7-1-1
13 -5 -31991 (2)
13 -5 -31991 (3)
13 -5 -31991 (4)
13 -5 -31991 (5)
13 -5 -31991 (6)
13 -5 -31991 (7)
13 -5 -31991 (8)
13 -5 -31991 (9)
13 -5 -31991 (10)
13 -5 -31991 (1)