OPHTE# - '-3s8 050 Harnett County Department of Public Health 23592
PERMIT # ZWei � C-44- Operation Permit
I -New Installation Septic Tank E? Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION 'Z /Z&
Name: (owner) d SUBDIVISION -4 LOT # 24-4
System Installer: ',5—AM) N{tPaS Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms
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Type of Water Supply: ❑ Community L� Public ❑ Well Distance from well feet
System Type: ZS% W 711 ZT110-3 s� %wna-Z14 r: Types V and VI Systems expire in S years.
(In accordance with Table V a) I p Ow int to ct 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.
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
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2 SXr I Y U
2
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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.
❑ D -Box ❑ Pump Cl Alarm ❑ H2OLme ❑ PWR Line
Following are the specifications for the sew disposal system on the above captioned property.
Type of system: ❑ Conventional VJ Other ZS°/� 0101 SsYLr, Septic Tank: 0 gallons Pump Tank: gallons
Subsurface No. ofenact length _ width of z depth of
Drainage Field ditches Z of each ditch S feet ditches 3 feet ditches inches
French Drain Required: Linear feet
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Authorized State A� /' 1�9�.1�j� '7— Date
15-5-35810 (1) 15-5-35810 (2) 15-5-35810 (3) 15-5-35810 (4) 15-5-35810 (5)
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WAML
15-5-35810 (6) 15-5-35810 (7) 15-5-35810 (8) 15-5-35810 (9) 15-5-35810 (10)
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15-5-35810 (11) 15-5-35810 (12) 15-5-35810 (13) 15-5-35810 (14) 15-5-35810 (15)
am,
15-5-35810(16) 15-5-35810(17) 15-5-35810(18) 15-5-35810(19) 15-5-35810(20)
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15-5-35810 (21) 15-5-35810 (22) 15-5-35810 (23) 15-5-35810 (24) 15-5-35810 (25)
15-5-35810 (26) 15-5-35810 (27) 15-5-35810 (28)