OPHTE# 15 " —3� Harnett County Department of Public Health 23817
PERMIT # Z87-33 Operation Permit
C" New Installation E�( Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION -?V 27 i s— Z412azAtL (!? —E-x� !Z)
Name: (owner) ZLn—d—tart. cfLea CLI--isen, SUBDIVISION /71 >) LOT # _
System Installer: t' SAA.) Ace _ -T Registration #
Basement with plumbing: ❑ Garage C3, Number of Bedrooms
Type of Water Sup ly: ❑Community ❑ Public ❑ Well Distance from well feet
System Type: % aa%st K..¢-�rs= -nas f ono iZP�- E�LR lsadf and VI Systems expire in 5 years.
(In accordance with Table V a) caner must contact Hea Department 6 months prior to ezoiration fo[ permitVrwal.
I. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
in cpmDliance with aoolicable North Carolina General Statutes. Rules for Sewage Treatment ad Disoosal. and all conditions of the Improvement Pemk and
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.
I4
❑ D -Box ❑ Pump ❑ Alarm ❑ N201-ine ❑ PWR Line
Following are the specifications for the sa disposal system on the above captioned property.
Type of system: EJewa Conventional Other slcrizti Septic Tank: i uu D gallons Pump Tank: gallons
Subsurface No. ofexact length width of depth of
LL''
Drainage Field ditches � of each ditch go feet ditches j feet ditches —5 t inches
French Drain Required: Linear
feet
Authorized Stat gent_, C� Date J t — 113 — I
15-5-35485 (1) 15-5-35485 (2) 15-5-35485 (3) 15-5-35485 (4) 15-5-35485 (5)
'�•' Vii'.+:
15-5-35485 (6) 15-5-35485 (7) 15-5-35485 (8) 15-5-35485 (9) 15-5-35485 (10)
15-5-35485 (11) 15-5-35485 (12)� ` 15-5-35485 (13) 15-5-35485 (14) 15-5-35485 (15)
•' 0.'e; -
15-5-35485 (16) 15-5-35485 (17) 15-5-35485 (18)