OP RRRHTE #/5-- 3-- 3s"2`l9 KTZZ Harnett County Department of Public Health 23892
PERMIT # ZStp7-7 Operation Permit —/
Cdr New Installation 12' Septic Tank LTJ Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION;,5<,SZ (Yiee' /nJr< /7-b
Name: (owner) SUBDIVISION LOT #
System Installer: _- bh, TA�s - S,�6r' Aq,- L I gistration #
Basement with plumbing: ❑arage/tt'umber of Bedrooms .3
Type of Water Supply: ❑ Community LSF Public ❑ Well Distance from well feet
System Type: % -T-rr 6 Ch er V and VI Systems expire in S years.
(in accordance with Table V a) Owner must contact '-F
(in 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 condmuno of the Improvement Perms and lomtrn@on Authornabon
PERMIT CONDITIONS
I. Performance:
If. Monitoring:
III. Maintenance:
IV. Operation:
Other.
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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 ❑ N20Line ❑ PWR Line
Following are the specifications for the se a disposal system on the above captioned property.
Type of system: El Conventional 70ther 25% ILEi) u crLu— Septic Tank: 10 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 3 of each ditch 1-6 feet ditches �� feet ditches 22 inches
french Drain Required: Linear feet
Authorized State Ages[ S /, u!v Date " 2
15-5-35299RRR (1)
15-5-35299RRR (2)
15-5-35299RRR (3)
15-5-35299RRR (4)
15-5-35299RRR (5)
15-5-35299RRR (6)
15-5-35299RRR (7)
15-5-35299RRR (8)
15-5-35299RRR (9)
15-5-35299RRR (10)
15-5-35299RRR (1)
15-5-35299RRR (6)
15-5-35299RRR (2)
rtt. x-
15-5-35299RRR (7)
15-5-35299RRR (3)
15-5-35299RRR (8)
r _
15-5-35299RRR (4)
15-5-35299RRR (5)
15-5-35299RRR (9) 15-5-35299RRR (10)