OP R•1 3-16L Harnett County Department of Public Health•.
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PERMIT #—t�.°�s Operation Permit
New Installation'�E Septic Tank ) ' Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: W t QP—
Name: (owner) 2)e -r yY Ant-�s LLC SUBDIVISION LOT #
System Installer: SAP-�rwt,.t Stp--y s G Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms !"1
Type of Water Supply: ❑ Community Public ❑ Well Distance from well i O 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.
tnis system has peen instanea to compuance wan appucanie north Larmma uenerai xatutes, naves for sewage treatment and
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and au conditions of the Improvement rermtt and Lonstructlon Authorization.
PERMIT CONDITIONS:
1. Performance: System shall perform in accordance with Rule .1961.
11. 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:
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V. Other: GSc 4--) V%K? 1'02 ���c•t E{'T�G �P.sEN1G�(: 1—oG�(�taaJ
❑ D -Box ❑ Pump ❑ Alarm ❑ 112O1-ine ❑ PWR Line
Following are the specifications for the sewage disposals --T a 1 . stem on the above ca�ptioned property.
Type of system: El Conventional Other u one w Septic Tank: {®(J' 0 gallons Pump Tank: � �� gallons
Subsurface No. of exact length width of ,3 depth of
Drainage Field ditcTsie — of each ditch y� d feet ditches feet ditches inches
French Drain Required: _ ., inear feet
Authorized State State Agent �� f- — s Date 41