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OPHTE# 15-5-3-11-73 Harnett County Department of Public Health 23974 PERMIT # Operation Permit New Installation X Septic Tank 4 Nitrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION: VP-cgt;a Name: (owner) W Ea t62 N o "NGS H SUBDIVISION LOT # as System Installer: vs Registration # Basement with plumbing. ❑ Garage Number of Bedrooms 3 Type of Water Supply: ❑ CommunityPublic 1:1Well Distance from well .�, feet System Type: it I tiD Types V and VI Systems expire in S years. (In accordance with Table V a) Owner must contact Health Department 6 months prior to expiration for permit renewal. This system has keen installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and construction Authorization. 30 V VVSL D rz f F -A )caFAX os, -f F - PERMIT CONDITIONS I. Performance: System shall perform in accordance with Rule .1961. 11. Monitoring As required by Rule .1961. III. Maintenance: As required by Rule .1961. Other: Subsurface system operator required? Yes ❑ No)X If yes, see attached sheet for additional operation conditions, maintenance and reporting. IV. Operation: V. Other. ❑ D -Box ❑ Pump ❑ Alarm ❑ H2O1-ine ❑ PWR Line Following are the specifications for the sewage disposal system on the above captioned property. Type of system: ❑ Conventional 'X Other Nm4p7 n EZLer,, Septic Tank Y O©b gallons Pump Tank: l00 d gallons Subsurface No. of exact length width of depth of Drainage Field _dif'ere of each ditch Z b feet ditches 3 feet ditches a4-30 inches French Drain Required: feet Authorized State Alzent lae-ai3 Date -31 `tea ij yY { 15-53% 3L�