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OP RRHTE #16' 5-38Z6-76K2. Harnett County Department of Public Health 24443 PERMIT # `1c',©�—i Operation Permit New Installation 'k Septic Tank Nitrification Line I--]Repair El Expansion (K'� PROPERTY LOICATION: Ls�nv6r_ Br_c., 12o Name: (owner)�t;'ac2j -a P, NSdN N)amts LLC, SUBDIVISION Gw,r_..cc>sc LOT # L11 System Installer: Looe C� trL Registration # Basement with plumbing: ❑ Garage 'fiT Number of Bedrooms Type of Water Supply: ❑ Community )� Public ❑ Well Distance from well 1 O feet System Type: ;M; e. 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. This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Coronction Authorization 4 I Y t 1�tlVSr: 3a E � I A , 36" a � -� � .� _ -� ►-mac � � �... �. �� � -. ,-� C,.c�S'SS�A\N PERMIT CONDITIONS 1. Performance: System shall perform in accordance with Rule .1961. II. Monitoring: As required by Rule .1961. 111. Maintenance: As required by Rule .1961. Other. Subsurface system operator required? Yes ❑ NoAk If yes, see attached sheet for additional operation conditions, maintenance and reporting. IV. Operation: V. Other. 1Q.6 05. C)gNN" ❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line Following are the specifications for the sewage disposal s stem on the above �f ptioned aperty. Type of system: ❑ Conventional Other �1�,(�tgQ,EfL l(1 Septic Tank 1000 gallons Pump Tank gallons Subsurface No. of exact length width of depth of Drainage Field ------ de L of each ditch L11 O feet ditches 3 feet ditches inches French Drain Required: linear feet Authorized State Agent � ` R Date 16- 5 — 3 ci�-1 G —1 QCL