OP RHTE# fS" s —3Gr7ZL./L Harnett County Department of Public Health 23883
PERMIT # _j Operation Permit
Y New Installation E�r Septic Tank 2- Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOfATION:sU&S3 ^4",,46
Name: (owner) SUBDIVISION LOT # J
System Installer. b S 772.ccf%Cs s� _ Registration #
Basement with plumbing. ❑ Garageumber of Be oms 3
pply
Type of Water Su: ❑ Community &Public V Well Distance from well feet
System Type: 0t��L// // .. u .Z C'-&Zc V and ASystems expire in S years.
(in accordance with Table V a) Owner must conlSisetAth Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North Carolina General Statutes, RuleXr Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization
I. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
NSG, b.5 U441
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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 ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewW disposal system on the above captioned property.
Type of system: ❑ Conventional 19 Otherftiv[`997)de.7y tit+ Septic Tank f oo0 gallons Pump Tank gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 3 of each ditch OP feet ditches 3 feet ditches Zt inches
French Drain Reauired: Linear feet
Authorized StateRel��. rr /y�� Date 12- Z -0'r S
ry `,
_ '•tel -A'
15-5-36726R (1) 15-5-36726R (2) 15-5-36726R (3) 15-5-36726R (4) 15-5-36726R (5)
15-5-36726R (6) 15-5-36726R (7)