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OP RHTE#OOJ --5--3'3~30-7R Harnett County Department of Public Health 21 5 0 8 PERMIT # Operation Permit New Installation Septic Tank ❑ RepairX Nitrification Line ❑ Expansion PROPERTY LOCATION: C1pu.c:55 V'o Name: (owner) Rn-C6i5 Si w 25 SUBDIVISION C L LOT # System Installer. 1~1.tIT.E ~j v tC\ PS~t-1 Registration # Basement with plumbing. ❑ Garage (,Number of Bedrooms Type of Water Supply: ❑ Community X Public ❑ Well Distance from well ©C'7 feet System Type: Types V and VI Systems expire in 5 years. (In accordance with Table V a) Owner must contact Health Department6 months prior to expiration for permit renewal. I PERMIT CONDITIONS: 1. Performance: II. Monitoring: III. Maintenance: IV. Operation: V. Other. System shall perform in accordance with Rule .1961. As required by Rule .1961. As required by Rule .1961. Other. Subsurface system operator required? Yes ❑ NoX If yes, see attached sheet for additional operation conditions, maintenance and reporting. Permit and Construction Authorization. Following are the specifications for the sewage disposall s,Zstem on a above captioned property. Type of system: ❑ Conventional I Other s %<Lr, tl i,. Q!5 Septic Tank: gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field ditches 5 of each ditch feet ditches feet ditches `g inches French Drain Reouired;~ ~ (ant Authorized State Agent - 5 Date