OPNTE# 1<-5=37V Harnett County Department of Public Health
PERMIT # d8<o53 Operation Pe mit
New Installation
PROPERTY LOCATION:
Name: (owner)//v;,, c SUBDIVISION
mj
System Installer: %CCl' ew J , Registration #�
Basement with plumbing: ❑ Garage I Number of Bedrooms 3 I
24031
Tank Nitrification line ❑ Repair ❑ Expansion
Type of Water Supply: ❑ Community E2 Public ❑ Well Distance from well feet
System Type: S ` ZF/ ✓ % S -Ern T . Types V and VI Systems expire in 5 years.
fFn actor nce wdeTabCe Yhim. apartment 6 months prior to expiration for permit re
This mtem has been installed in co nithan , with anolicable North Carolina General Statutes. Rules for Sewaee Treatment and Disoond. and all conditions of the Improvement Permiyand construction Authorization. i
I. Performance:
ll. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
System shall perform in accordance with Rule .1961. u-wv'S'-
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 ❑
� S
11201-ine ❑
Following are the
specifications for the
sew a disposal tem on the above captioned property.
jt ?5
❑ Conventional
7 —
gallons Pump Tank
i
No. of
I
depth of
PFNMIT I'Milhiffifffi
ditches `�
I. Performance:
ll. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
System shall perform in accordance with Rule .1961. u-wv'S'-
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 ❑
11201-ine ❑
Following are the
specifications for the
sew a disposal tem on the above captioned property.
Type of system:
❑ Conventional
70ther ZS% Septic Tank ! u o o
gallons Pump Tank
Subsurface
No. of
exact length width of
depth of
Drainage Field
ditches `�
of each ditch feet ditches
feet ditches zo
French Drain Reunited:
Linear feet
Authorized State A¢ent _>rSn—� /' /X//f i v p — Date 1—(o�
PWR Line
gallons
inches
(� I:1
OFF
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15-5-37403 (1) 15-5-37403 (2) 15-5-37403 (3) 15-5-37403 (4) 15-5-37403 (5)
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15-5-37403 (6) 15-5-37403 (7) 15-5-37403 (8) 15-5-37403 (9) 15-5-37403 (10)
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15-5-37403 (11) 15-5-37403 (12) 15-5-37403 (13) 15-5-37403 (14) 15-5-37403 (15)
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15-5-37403 (16) 15-5-37403 (17) 15-5-37403 (18) 15-5-37403 (19) 15-5-37403 (20)
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.44
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15-5-37403 (26) 15-5-37403(27) 15-5-37403 (28) 15-5-37403 (29)