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ET with revised OP based on proposed poolHTE #: 13 -5 -30559 HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 EXISTING SEPTIC SYSTEM INSPECTION Name: McKee Homes Phone #: 322 -2016 Address: 5112 Pine Birch Dr Raleigh NC 27606 Name of Mobile Home Park or S /D: Oakmont lot 10 Name of Owner (if different): Address of Owner (if different): Property Location (State Road name and #): 1116 Docs Rd Purpose of Inspection: Inground Pool (20'x40') The aforementioned site has been evaluated by the Harnett County Health Department Environmental Health Section. At the time of inspection, there appeared to be a septic system serving this site. If the system should malfunction, the owner is responsible for any necessary repairs. THIS INSPECTION IS VOID IF: 1. the intended use of the septic system should change, and/or 2. the system should fail or malfunction, and /or 3. the owner or tenant of the property change, and /or 4. after six months N LVA DKII V.111 '. 1 UTHORIZATION OF EXISTING SYSTEM Signature of Environmental Health .ialist a Date HTE# la.—� -a� `? Ha.ett County Department of Publi, Health PERMIT # a619-1 Operation Permit 22321 i� New Installation I& Septic Tank "'g Nitrification line ❑ Repair ❑ Expansion PROPERTY LOCATION: ©ocs 94> _ Name: (owner) SUBDIVISION 0c u,,oi3T LOT # 40i System Installer: (;PgA.tE<L_ S3Ac c.v,.o C Registration # Basement with plumbing: ❑ Garage Number of Bedrooms LJ Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 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 141 RC ��ts• , G �ZL)r.) t3 P cC I r�2C P ta' Nou's �Eczt�twooS� PL1�cL- PERMIT CONDITIONS: 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 grope Type of system: ❑ Conventional X Other evrr►�o Q!1Q rc i13 Q>�� Septic Tank: 1060 gallons Pump Tank: t.Oo© gallons Subsurface —fta* exact length width of depth of Drainage Field ditches �of each ditch Qua feet ditches 3 feet ditches �8 -ate inches French Drain Required: _ , et Authorized State Agent wd�_s Date 61 1)