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OPHTE# ] 1i- Harnett County Department of Public Health 23407 PERMIT # ®S Operation Permit New Installation N Septic Tank Nitrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION: Name: (owner) Vfnc_� Stu SUBDIVISION dta M© LOT # \)a System Installer: S-pc,yz- Registration # Basement with plumbing: ❑ Garage :�< Number of Bedrooms Type of Water Supply: ❑ Community Public ❑ Well Distance from well _t<'Q> feet System Type: 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 Been mstauea in compnance wim appucanie nortn Larolma uenerai )tatutes, Nules for Sewage Ireatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization. ►35• rtnrlll LUNUIIlUNY I. Performance: II. Monitoring: III. Maintenance: IV. Operation: V. Other: 1N0 is(. 0 v� EJ_c>>v '0 rl- 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. lvv' ❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line Following are the specifications for the sewage disposal stem on the above c ptione property. Type of system: ❑ Conventional "'� Other A tX'i.$02 �'s Septic Tank: 1QL 50 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�'a�� inches French Drain Required: Authorized State Agent �+ `' �i5 Date 10