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OP RHrE#Ivo 5 3q�C,2fL Harnett County Department of Public Health 24320 PERMIT # Operation Permit New Installation �K Sep �tic Tank Nitrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION:yu r�scyys of_ 0a_ Name: (owner) V\cX,.,C�F kot•Nf-S LLC SUBDIVISION T -T LOT # System Installer. G Q. Registration # Basement with plumbing: ❑ Garage 'X Number of Bedrooms Type of Water Supply: ❑ Community ;K Public ❑ Well Distance from well V©p feet System Type: 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 Statute; Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and construction Authorization. T al T cL6pA,Q J fro o st O a C�O'UniiCLZ5,0E aQ��r E. PERMIT CONDITIONS I. II. III. IV. Performance: System shall perform in accordance with Rule .1961. Monitoring: As required by Rule .1961. 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. Operation: V. Other. ❑ D -Box ❑ Pump ❑ Alarm ❑ 112O1-ine ❑ PWR Line Following are the specifications for the sewage disposystem on the/above captioned pp� rty. Type ot-" ❑ Conventional Other v�P >� 0 `}Ray,a" EZ Septic Tank: OCA gallons Pump Tank t 60 0 gallons Subsurface( exact length width of depth of Drainage Field ditches of each ditch 300 feet ditches 3 feet ditches I inches French Drain Required: linear feet Authorized State Agent . '� wGmc, Date