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OPHTE# Harnett County Department of Public Health PERMIT # ab 5' Operation Permit 2 2 2 4 8 New Installation >q Septic Tank Nitrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION: DOGS 9 Name: (owner) Cantrcly c,,50n-5 SUBDIVISION DAxt~a~t , LOT # System Installer: OnNt, Registration # Basement with plumbing: ❑ Garage Number of Bedrooms _ t Type of Water Supply: ❑ Community Public ❑ Well Distance from well Goa feet System Type: Types V and VI Systems expire in 5 years. (In accordance with Table V a) Owner must contact Health 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 conditions of the Improvement Permit and Construction Authorization ~ 5B r I 1 vNSU,~twB24 r i i \ PATs(y ~ 40 V'S E r 3 0 7' 2 E~Ec.v'V~v ~ flct.. YtKMII LUNL)IIIUWS: 1. Performance: System shall perform in accordance with Rule .1961. II. Monitoring: As required by Rule .1961. 111. Maintenance: As required by Rule .1961. Other: Subsurface system operator required? Yes ❑ NOX IV. Operation: V. Other: If yes, see attached sheet for additional operation conditions, maintenance and reporting. ❑ D-Box ❑ Pump ❑ Alarm ❑ H20Line ❑ PWR Line Following are the specifications for the sewage disposals stem on the above captioned property. Type of system: ❑ Conventional, Other ZSeptic Tank: 4 ©©0 gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field ditcftea_S~ of each ditch S~ 4 feet ditches feet ditches la-"R inches French Drain Required:.- _ inn"t Authorized State APent Date 1` 6' r - ~ ~ ' ~ ~ ' _ ' , . J ~ _ iI t i, i ~ r _ ~ ' I ' @PfRd ~~j 7~~~ ~ ~ ~ ~ ~M s.-~~~t"5 i. • ~ ~ ~ 42 . r W . ~ ~ , e T . F _ - ~ ' ~ j ~ ~ ~ n r - ~ "1 ~ i a ~ ~ ,yam ~ , ,i > A ~ ' % ~ ~ ~ ~ g v: , :r - 1~a G. _ ~ _ ,y ~.-y _ ~ , 4i _ . a, ~ ~ . S j' ~ ' 1 S x ~ ~ , t. Na4.1n r ~ ~ ~ 5 r ~ ~ } } - A ~ 9 ~ t . ,