OPHTE # AL- S =3&>�a Harnett County Department of Public Health 24230
PERMIT # Z6&17 Operation Permit �
/New Installation W/
Septic Tank L11 Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LO[ATION:,;W..Y 9 .4-77CIP,25 re
Name: (owner) S 3ctt/ SUBDIVISION Af —og-A6 d�Q�_.er_ o LOT # &a,System Installer: / Registration #
Basement with plumbing: ❑ Garage _� umber of Bedrooms
Type of Water Supp ❑ Community Vublic ❑ Well Distance from well feet
System Type: 74 % 0GA0'-4 ,lira 3 ZT (s ttt Types V and VI Systems expire in S years.
(In accordance with Table V a� Owner must con ct Health Department 6 months prior to expiration for permit renewal.
Inns system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Consaumon Authorization.
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PERMIT CONDITIONS:
Performance: System shall perform in accordance with Rule .1961
Monitoring: As required by Rule .1961.
Maintenance: As required by Rule .1961. Other.
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other.
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the Sewa disposal cyst on the above captioned property.
Type of system: ❑ Conventional Other �,�%. Septic Tank !7—jQ ( gallons Pump Tank gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches .3 of each ditch /oa feet ditches Is feet ditches ..0'218 inches
french Drain Required: Linear feet
Authorized State Ageytrfi- -, cam`/ ��5 Date /0'
16-5-38660 (1)
16-5-38660 (2)
16-5-38660 (3) 16-5-38660 (4)
16-5-38660 (6)
16-5-38660 (7)
16-5-38660 (11)
16-5-38660 (8) 16-5-38660 (9)
i
16-5-38660 (13)
16-5-38660 (5)
16-5-38660 (10)