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OPHTE# t2, "5•al5 -i 1 Harnett County Department of Public Health PERMIT # 2 -�IC�i Operation Permit 22448 New Installation X Septic Tank)< Nitrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION: M+2�cs ep Name: (owner) C.v$neLQ+�Sa 0� SUBDIVISION �S�G� y�-fl LOT # System Installer: 1;;;;p liScw "N Registration # Basement with plumbing: ❑ Garage X Number of Bedrooms a Type of Water Supply: ❑ Community Public El Well Distance from well M 0 feet System Type: Types V and VI Systems expire in 5 years. (In accordance with Table V a) Owner must contact Health Department 6 months prior to expiration for permit renewal. ims system nas neen instauea in nrnulT rnunlrinul' 1 0.111111 VVII VIIIV IIJ. I. Performance: II. Monitoring: 111. Maintenance: IV. Operation: V. Other: with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization. N© vS L t II N System shall perform in accordance with Rule .1961. As required by Rule .1961. As required by Rule .1961. Other: Subsurface system operator required? Yes ❑ NOA If yes, see attached sheet for additional operation conditions, maintenance and reporting. M ❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line Following are the specifications for the sewage disposal system on the abov caption roperty. Type of system: El Conventional Conventional Other- 1 >Aec$F�Z, �b,� Septic Tank: J.000 gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field ditches �""� —. off each ditch i 0 feet ditches 3 feet ditches alA-3d inches French Drain Required \� �c��` e%\ Authorized State Agent_�� �+`���� } Date 1�5--ag11i