The URL can be used to link to this page

OP RRRHTE # \} °5- a�- -NQLA( Q- Harnett County Department of Public Health 23377 PERMIT # ��5 °S Operation Permit New Installation `15� Septic Tank "'K Nitrification Line ❑ Repair ❑ Expansion Name: (owner) System Installer: Y A ta-c�r>vGwS Basement with plumbing: ❑ Garage Number of Bedroom! Type of Water Supply: ❑ Community Public ❑ Well System Type: (In accordance with Table V a) PROPERTY LOCATION: SUBDIVISION �—:!5 o ryC.C2Sr as LOT # Registration # 3 Distance from well 15 © feet Types V and VI Systems expire in 5 years. Owner must contact Health Department 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 Disposal, and all conditions of the Improvement Permit and Construction Authorization }�ttUSC �Q ZF -PJ),)e NIL A t 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 cc IV. Operation: V. Other: maintenance and reporting. ❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line Following are the specifications for the sewage disposal system on the above captio��D0.e,d property. Type of system: ❑ Conventional Other � lJrx,P�6 �Z ' o Z" Septic Tank: 1pC00 gallons Pump Tank: 10 ©O gallons Subsurface No. of exact length width of depth of Drainage Field ditches of each ditch ' S feet ditches feet ditches « inches French Drain Reauired: Linear feet _ �S Authorized State Agent Date ?