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OP RRHTE#Or--5-15" 3-le0- Harnett County Department of Public Health 2 0 8 2 7 PERMIT # a5~f~a Operation Permit New Installation ~K Septic Tank 0 Repair'X Nitrification Line 0 Expansion PROPERTY LOCATION: _7;OE - o Name: (owner) ~.N rs0 010 SUBDIVISION `rte aa~ow tJ LOT # A System Installer: n x,.. c-o Registration # Basement with plumbing: ❑ Garage ❑ Number of Bedrooms 3 Type of Water Supply: ❑ Community Public ❑ Well Distance from well ►o O feet System Type: `1 TC_ Types V and VI Systems expire in S 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 the Improvement Permit and Construction Authorization. ebb ~a / PUMP TO l R ~ asjo ~ t fZCC> L' -T 0 N / V C l sys~~.ty\ ~ \ c~~ilS u JOE: CLLI-\~S ~LC~ nrnwr rnunlnn~lr 1 LI\1111 WI\VIIIVIIJ. I. Performance: II. Monitoring: III. Maintenance: System shall perform in accordance with Rule .1961. As required by Rule .1961. As required by Rule .1961. Other. IV. Operation: V. Other. Subsurface system operator required? Yes ❑ No ❑ If yes, see attached sheet for additional operation conditions, maintenance and reporting. ~At~t~.." G 4 C~ p O i 8 O 't 6T P✓+h "\sl.l.~~ E Following are the specifications for the sewage dispos I system on the above captioned property. Type of system: ❑ Conventional X Other V",*1o F-ZKs-ew Septic Tank: l©CY3 gallons Pump Tank: JOCNiQ gallons Subsurface No. of - exact length width of depth of Drainage Field ditches f each ditch add feet ditches 3 feet ditches ~4 3t{ inches French Drain Required:.,. Authorized State Agent N, 11-S Date ~S~ I_..C 1 t~- 1001133rt4 IC AG NCI;F3)` V01,411 'R0ti+1i A 0 1;('O. iG: ar- r20 I_.Ie M OUt tqt(rttdtl bit; Tr°!_a(.k: GAt Tire:3CIP20 Ut N In hl -nual W.t GwAcmver : 400000/0A i'E CUSTOMER t It~ F ~ 21 LA00 LP (i't.ti'!•:, i'Y17E~L t"'1(_I',I.tp COMMA HIKE RA Ctt.tatltit,'y i_I(lit, PCtp OIALAMt: 1 ~►f' DF. 12 i )ICti QF't't -t cio 10. 90 (f~n~ Vc P. 00 0fr c'39. 60 FO: i.c Out I•iC x'.00 Utd k's CA ta,I Fatal AniuuoF' i~/8. 58 - iver~ t!~~t.t~y ►~ighma~ t~r~' r . Libby n This load of tire chips Is from the Fuel Grade location and meets the Nc specification C* stated In Innovative Wastewater system approval IWWS-2002.03R for fire chip Substltution to Rods Aggrograis in Nitrification FWft