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OPHTE# IG-51-OPY7U<) Harnett County Department of Public Health PERMIT # '1�1O3t-1 Operation Permit 24447 New Installation .)Q Septic Tank �( Nitrification Line ❑ Repair ❑ Expansion CX PROPERTY LOCATION: 0oc,S P� Name: (owner) Mc1�cF lip n�5 SUBDIVISION ©AX.no . LOT # t60 System Installer: E --o o� G oKi.r LxRegistration # Basement with plumbing: ❑ Garage '2< Number of Bedrooms H— Type of Water Supply: ❑ Community 'K Public ❑ Well Distance from well V feet System Type: 7 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 Construction Aummmatiun NOVS(; 1 A r — t,- E��'Asp�,L.6�, 'y PERMIT CONDITIONS I. Performance: System shall perform in accordance with Rule .1961. 11. Monitoring. As required by Rule .1961. 111. Maintenance: As required by Rule .1961. Other: Subsurface system operator required? Yes ❑ N9 -N If yes, see attached sheet for additional operation a IV. Operation: V. Other: maintenance and reporting. ❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line Following are the specifications for the sewa a disposa/l`sy�Stem on the above caption property. Type of system: ❑ Conventional Other UiPMQ�T CQ��� Septic Tank: IOQ gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field ditc e L of each ditch feet ditches feet ditches aL inches French Drain Required: -LjDear feet Authorized State Agent &A—k 5 Date