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OP R
7143--ps-Y' HTE# 17-5 -3030/2 Harnett County Department of Public Health 23902 PERMIT # 18C85 Operation Permit / L✓ New Installation c Tank Q Nitrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION -.&u& -of Z±;& c- 4. \ r Name: (owner) 'VV114EAL36-1 43 / bK-E> SUBDIVISION LOT # System Installer: C / Registration # Basement with plumbing: ❑ Garage YAumber of Bedrooms 4 Type of Water Supply: ❑ Community Eir Public ❑ Well Distance from well feet System Type:z v �' Types V and VI Systems expire in S years. (In accordance with Table V a) Owner must contRt Health Department 6 months prior to expiration for permit renewal. I. Performance: System shall perform in accordance with Rule .1961. j 1II. Monitoring: As required by Rule .1961. 1 III. Maintenance: As required by Rule .1961. Other. Subsurface system operator required? Yes ❑ No ❑ 5 If yes, see attached sheet for additional operation conditions, maintenance and reporting. 1" IV. Operation V. Other. ❑ D -Box ❑ Pump ❑ Alarm ❑ 11201-ine ❑ PWR Line Following are the specifications for the sew�Be disposal system on the abgve captioned property. Type of system: ❑ Conventional N❑ Other 25`© /�<b�Di.� Septic Tank i Z 0'0 gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage field ditches 2 of each ditch 1 7`> feet ditches .3 feet ditches inches French Drain Required: Linear feet Authorized State Ag6nt Edi' Date 2- /5 ' �G L 15-5-3693OR (1) 15-5-3693OR (2) 15-5-3693OR (3) 15-5-3693OR (4) 15-5-3693OR (5) wall M W n.' 15-5-36930R (6) 15-5-36930R (7) 15-5-36930R (8) 15-5-3693OR (9) 15-5-36930R (10) .r 15-5-3693OR (11) 15-5-3693OR (12) 15-5-3693OR (13) 15-5-3693OR (14) 15-5-3693OR (15) OWN-9D4 15-5-3693OR (16)