OPHTE#�/S s-353os—Harnett County Department of Public Health 23504
PERMIT # 2—TZ ZU Operation Permit
ElNew Installation ❑ Septic Tank 2 Nitrification Line ❑ Repair Z xpansion
_ PROPERTY LOCATION: N-ts'3Z
Name: (owner) :l L)-54 ,J SUBDIVISION LOT #
System Installer: Registration #
Basement with plumbing: El Garage Elmber of Bedrooms q
Type of Water Supply: ❑ Community Z Public ❑ Well Distance from well feet
System Type: 2!`'16 lLlx rcA-tAr ., S, -7Z." -c C •- d es 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.
This system has been installed in compliaa h applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization
5 �C,
t CA
r ,
r.
J
t P
fss2 ,4-f� �-t-ai�L tt�
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 sews disposal system on the above captioned property.
Type of system: ❑ Conventional 2rOther z5 -%/S -41>0-7t— Septic Tank: ' gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 1 of each ditch t o D feet ditches 3 feet ditches Zy 21,P, inches
French Drain Required: Linear feet
Authorized State Age Date &-2-7—L5_
15-5-35305(1)
15-5-35305 (2)
15-5-35305 (3)
15-5-35305 (4)
15-5-35305 (5)
15-5-35305(6)
15-5-35305 (7)
15-5-35305 (11) 15-5-35305 (12)
15-5-35305 (8)
15-5-35305 (9)
15-5-35305 (10)