OPHTE#J'5— -S—'�'7tp?� Harnett County Department of Public Health
24057
PERMIT # 29Operation Permit
E2/New
Installation Septic Tank Nitrification Line ❑ Repair El Expansion
PROPERTY LOCATION9Z/604 :144.Sv—.WU.G10A
Name: (owner) �'� T-syc SUBDIVISION (�4 LOT # r N
System Installer: l ab l1� Asl L r�of s drooms Registration #
Basement with plumbing: El Garage l� Number Be3
Type of Water Supply: ❑ Community L Public ❑ Well Distance from well feet
System Type:: Pit=,, Z$'"2% fZ64)w 'Ln ri. 57.g :rgi!mt, Types V and VI Systems expire in S years.
(In accordance with fable V a) 93�a. Er j04ner must contact Health Department 6 months prior to expiration for permit renewal.
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PERMIT CONDITIONS
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. 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.
x/ 75 /7'P 4'X1'7jt .__,
❑
D•Box ❑
Pump ❑
Alarm ❑ H2OLine
❑ PWR Line
Following are the
specifications for the sew e disposal
system on the above captioned property.
Type of system:
❑ Conventional Other %�o
UGIL�,
Septic Tank: /! 7T7 gallons
Pump Tank:` gallons
Subsurface
No. of
exact length
width of
depth of
Drainage Field
ditches 7
of each ditch I%/D feet
ditches _� feet
ditches inches
French Drain Required: Linear feet
Authorized State A n— Date —7— 1 2 "� �o
` �. (�,( u Kul �1� � •y F� � �' F' *�
1
of
4-
15-5-37679 (11) 15-5-37679 (12) 15-5-37679 (13) 15-5-37679 (14) 15-5-37679 (15)
Emu
lu
15-5-37679 (16) 15-5-37679 (17) 15-5-37679 (18) 15-5-37679 (19) 15-5-37679 (20)
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15-5-37679 (21) 15-5-37679 (22) 15-5-37679 (23) 15-5-37679 (24) 15-5-37679 (25)
15-5-37679 (26) 15.5-37679 (27) 15-5-37679 (28)