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OP RHTE # \ fl1�sZ Harnett County Department of Public Health PERMIT # X70 � Operation Permit 22752 New Installation Septic Tank K Nitrification Line 1:1 Repair El Expansion PROPERTY LOCATION: VD Name: (owner) ,,O-o, iV X_cr -a 1s SUBDIVISION �.N C c,�,c,(_ LOT # System Installer: D; Registration # Basement with plumbing: ❑ Garage X Number of Bedrooms_ Type of Water Supply: ❑ Community Public ❑ Well Distance from well i© O feet System Type: � l� 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 9 r � 1 0 .g.UtJ Nt�ti1Y�jN5 f tKMI I LUNUII IUNN: I. Performance: System shall perform in accordance with Rule .1961. 11. Monitoring: As required by Rule .1961. III. 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 sewage disposal system on the above captioned property. Type of system: ❑ Conventional , Other — FLOW Septic Tank: to ®O gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field citche of each ditch aid feet ditches 3 feet ditches 1�° inches French Drain Required:— _ feet Authorized State Agent �-)N5 Date I�,: � -��6�� �l �..