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OPHTE# 14-0 -03y6S Harnett County Department of Public Health 23249 PERMIT # �7 �° 5 Operation Permit FNew Installation P"-Septic Tank ErNitrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION: + 11?J. Name: (owner) k_.13 >1A CGS r.c�-.Ok, SUBDIVISION I,,- 44z.- f ,:3c,L LOT # 8 System Installer: Registration # Basement with plumbing: ❑ Garage ❑ Number of Bedrooms Type of Water Supply: ❑ Community G2/71Public ❑ Well Distance from well feet System Type: ,%L q 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 aoolicable North Carolina General Statutes. Rules fnr Sewaae Treatment and ri onul and A rnnditinns of the Imn —ment Permit and rnn t,n tine durh r6 6 rCnrttt U/rWIIJUNY Vr •� __ ,� ._, I. Performance: System shall perform in accordance with Rule .1961. II. Monitoring: As required by Rule .1961. 111. 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: ❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line Following are the specifications 2 f system on the above captioned property. Type of system: El Conventional Z�X Septic Tank: f©oU gallons Pump Tank: gallons Subsurface Drainage Field No. of ditches s depth of feet ditches -i 8 inches French Drain Required: Linear feet o Lk AI' rCnrttt U/rWIIJUNY Vr •� __ ,� ._, I. Performance: System shall perform in accordance with Rule .1961. II. Monitoring: As required by Rule .1961. 111. 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: ❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line Following are the specifications for the sews disposal [Other system on the above captioned property. Type of system: El Conventional Z�X Septic Tank: f©oU gallons Pump Tank: gallons Subsurface Drainage Field No. of ditches exact length width of of each ditch a g0 feet ditches 9 depth of feet ditches -i 8 inches French Drain Required: Linear feet Authorized State AQeni/ 2,, /Kf/, .,',cif Date l � S =33 /��