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OPNTE#D~-s~ 198/ -7 Srb Harnett County Department of Public Health 19836 8 I PERMIT # 0 eration Permit IC7 New Installation Septic Tank ❑ Repair IQ Nitrification Line ❑ Expansion PROPERTY LOIIATION: ~ 2~ r ~ 0 2p Name: (owner) ~,tJ durG~~a_ 5 ~i C SUBDIVISION LOT # System Installer.n Registration # Basement with plumbing: ❑ Garage umber of Bedrooms Type of Water Supply: 171 Community © Public ❑ Well Distance from well feet System Type: _ r 2fh J e~-7 p UT 6 gz Types V and VI Systems expire in s years. (In accordance with Table Y a` Owner must contact Health Department 6 months prior to expiration for permit renewal. This system has been installed in comphance with applicable North Carolina General Statutes, Aides for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Comtnnction Authoriation. Z met NaT" ~ f r 2' = of"re~~ 1 ' ` q PCOI 25DIO a R y ~j 3 ~ ~ t ~v/ 2b ~o fit ~q1~ 14-0 AP 1~a 12.f 1- t U Sfto r 61J -r5j'1 V-1"i 4-- PERMIT CONDITIONS: 1. Performance: System shall perform in accordance with Rule .1961. ll. 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 following are the specifications for the sew disposal system on the above captioned property. Type of system: ❑ Conventional Other 2b'o%flGbU Size of tank: Septic Tank: 1100 gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field ditches _Z'of each ditch I3D feet ditches 3 feet ditches 3 0 30 inches French Drain Required: linear feet Authorized State A ge Date I - S 6 $