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OPHTE# IG -51-3M. Harnett County Department of Public Health 24092 PERMIT # 0 Operation Permit 'TkNew-hrstaNatiort -2r Septic Tank A Nitrification Line ❑ Repair,�fExpansion PROPERTY LOCATION: $5 'Vi s,L-FaGG W ray Name: (owner) N t�ios5 SUBDIVISION tca -f-S .) YF C.-t_ra-,6C. LOT # System Installer: Pemex r105 5 Registration # Basement with plumbing: ❑ Garage Number of Bedrooms Type of Water Supply: ❑ Community Public ❑ Well Distance from well l©O feet System Types 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 been installed in compliance with applicable North Carolina General Shutout, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization PERMIT CONDITIONS I. Performance: 11. Monitoring: III. Maintenance: IV. Operation: La. house System shall perform in accordance with Rule .1961. As required by Rule .1961. As required by Rule .1961. Other. Subsurface system operator required? Yes ❑ NOA If yes, see attached sheet for additional operation conditions, maintenance and reporting. Other. 0L%r—1 . - 4-. Q U-v-V6P P,% -ca v>i�uo 3 1 es'TAz,- l: -N,,66 1k�CtN 1776 ❑ D -Box ❑ Pump ❑ Alarm ❑ H201-ine ❑ PWR Line Following are the specifications for the sewage disposal system on the above captioned property. Type of system: ❑ Conventional -)R Other E7- Septic Tank: soo O gallons Pump Tank gallons Subsurface_ of exact length width of depth of Drainage Field ditches French Drain Reouired:_ I a�O each ditch feet ditches 3 '%kiaear feet feet ditches 3O` -S,0 inches Authorized State Agent_ Rro-,5 Date -*6116 1 c -S-WIa)