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OP RHTE# Ot't -S-ill-15i~- Harnett county Department of Public Health 2 0 7 8 5 PERMIT # S~kg Operation Permit New Installation Septic Tank ❑ RepairX Nitrification Line ❑ Expansion PROPERTY LOCATION: S-,,-ic Ee2yEa. Name: (owner) Qr-" SE t n c LE",f SUBDIVISION LOT # System Installer. Jort,.r O7--vcL,c-H Registration # Basement with plumbing: ❑ Garage ❑ Number of Bedrooms 3 Type of Water Supply: ❑ Community X Public ❑ Well Distance from well too feet System Type: '-Vlr 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. t.PP _ I t '~+trr~ i I ~ ~ f 381 3 0' 3r}x.0 My I$o 5ftupg~ ~ ~ PERMIT 010ITUINC. 1. 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 ❑ NOA If yes, see attached sheet for additional operation conditions, maintenance and reporting Following are the specifications for the sewage disposal system on the above captioned property. Type of system: ❑ Conventional X Other 'r,aP C\y\ PS Septic Tank: ►cOb gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field ditches of each ditch _ , feet ditches 3 feet ditches I g'ai inches French Drain Reouired: Authorized State Date ~1a.10-., L' 3 k ~s _ ~d4 t ~ ~Y a~. ~ '~J 1`~• 'fir ~~y8' " Y t _ ~ ~ [ A~ ~ P' f r T: b i _ ' ~ u B ; i P 4 r ~ i s, ~ r, .,r, ~ s. 4 _ e~+ ~~i- ~`'~~Jy ti ~ ~ ti. - ~s ~ t*. y , o-y d , +n ~ ' ~ 1 , k( ~ `-^v 1.. ~ 1~: k > 1 , i:.. ~ < ~ ~ - a ~n_Y~ :T S~ ~ ' ~Y ~ , _ ~ ~~4 t ,Y t `i i ~ k p ~r _ i- r P)4lrt`ra~~~, (~~Cswro2 iira l'f ,~3(,1o,ldir~,y, }.t,.C 1616 I~I-Kay } f(wii (`'4jGI K TAYb}C7Y G4C fGL HC 1128,17.6 A 0 G'rot,-,,i~1.3*302G LD M Out Manual- Wt Tru~F.z (ATE I rex23:2G LB M T)i MamuaT Wit L'~a touxer» 4WOOO/GATE CUSTC44CIR tdott>ri; 800 L.B L:Oc Wfit:: MOBILE W-1:1 DI RUNG Ii tt. i ial r ie _ Okk-kot: i Lx 1,41i t Pate ran tlrr{: t:{s44x of t i -DI,. Tr Mi x eit L o:Ad Tort aL3 t e ris V i'5. WO Tor, $`59P. `1o FACW,/F:_J)v 1c 00, HC 1.00 UI I. t:3 .G1, i1~1:'l1ni 4~5. (JO - T~•~ l: ti) i-3t►~;~.trit<: kL:fa l . (3`3 DeptkIy wuvigha),A-,tc~ra GIs load of fire chips Is from In* Fuwl Grade location and meNt the Nc spaclllcalton ca stalled to innovative Wasbwatw system approval IWWS-2002-03R for *0 cNp i ullan tar tt ak AW*Qwh In NMr CWN Midi.