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OP RHTE #J .3 1 C- fte Harnett County Department of Public Health 23105 PERMIT # 02 �1 78 Operation Permit Zf'New Installation ©'" Septic Tank 2"" Nitrification Line ❑ Repair ❑ Expansior PROPERTY LOCATION: /'?a,. kr kct Name: (owner) mace 96,-tu SUBDIVISION �'aop�,Ca.�-- LOT # 02.8 System Installer: gdj < < Gaa -/Ler Registration # Basement with plumbing: ❑ Garage ❑ Number of Bedrooms 3 Type of Water Supply: ❑ Community (Public ❑ Well Distance from well feet System Type: Z -6 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. ims system nas peen instauea in U4L rc..J/- 0(C PERMIT CONDITIONS: I. Performance: II. Monitoring: III. Maintenance: IV. Operation: V. Other: wnn appucaole norm larolma beneral Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization. ,2 T,4F r System shall perform in accordance with Rule .1961. As required by Rule .1961. As required by Rule .1961. Other: Subsurface system operator required? Yes ❑ No ❑ If yes, see attached sheet for additional operation conditions, maintenance and reporting. ❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line Following are the specifications for the seewws� dispos system on the above c ptio d pr perty. Type of system: ❑ Conventional l.i�' Other s. �p �a U,'v: r jk �L, ao btr Septic Tank: gallons Pump Tank: 100( gallons Subsurface No. of exact length width of depth of Drainage Field ditches ° each ditch A90 feet ditches —3 feet ditches li9 inches French Drain Reauired: —Liaear`Set Authorized State Agent \ � i `M Date C, \C-\ j -J-- � X e � A