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OPNTE#li, - S— —38Z-) Z Harnett County Department of Public Health 24197 PERMIT # ZS $ ZL , Operation Pe unlit Y New Installation © Septic Tank a Nitrification Line ❑ Repair ❑ Expansion PROPERTY LKATION:�z /y�ie is Name: (owner)ST�J't? asssml 61A.—s :2;7,r SUBDIVISION LOT # 4� System Installer: jo F+;ti. Registration # Basement with plumbing: ❑ Garage LN umber of Bedrooms 3 Type of Water Supply: ❑ Community LAY Public ❑ Well Distance from well feet System Type: 1�`%/7cefZ Z�/ G �z 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 applialIle North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all condition of the Improvement Permit and ConstructAn Authorization. I. Performance: 11. Monitoring: III. Maintenance: IV. Operation: V. Other. 2 Io6 't'ge ✓a(q, i.sns! 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. ❑ D -Box ❑ Pump ❑ Alarm ❑ H2O1-ine ❑ PWR Line Following are the specifications for the sewws;vdisposal system on the above captioned property. Type of system: ❑ Conventional lam' Other ut Septic Tank: I oa o gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage field ditches 3 of each ditch v o D feet ditches 3 feet ditches Z inches French Drain Required: Linear feet y�✓J ,' I'✓,'kS Authorized State A¢efit---q e /'i Date t— lir 16-5-38272 (1) 16-5-38272 (2) 16-5-38272 (3) 16-5-38272 (4) 16-5-38272 (5) 4 16-5-38272 (6) 16-5-38272 (7) 16-5-38272 (8) 16-5-38272 (9) 16-5-38272 (10) 16-5-38272 (11) 16-5-38272 (12) 16-5-38272 (13) 16-5-38272 (14) 16-5-38272 (15) I 16-5-38272 (16)