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OPHTE#IC.`.3A�A_Q$ Harnett County Department of Public Health 24446 PERMIT # ;.X031 Operation l�P,Imo,ermit X New Installation Septic Tank X Nitrification Line ❑ Repair ❑ Expansior \` PROPERTY LOCATION: $u cs r� 0,z Name: (owner) n,cr f 0s c, LLC- SUBDIVISION ©t,,yL-. oT-r% LOT # 13'-1 System Installer: Eg c C� an ti Registration # Basement with plumbing: ❑ Garage Number of Bedrooms x �'L Type of Water Supply: ❑ Community Public ❑ Well Distance from well _100 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 mmplianre with applicable North Carolina General Snmtes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization. ' xX ' 4 6 !PAff�� 1 I 9— I J 3S0 Q ; ti V w..7Ssv G PERMIT CONDITIONS I. Performance: 11. Monitoring: III. Maintenance: IV. Operation: V. Other: System shall perform in accordance with Rule .1961. As required by Rule .1961. As required by Rule .1961. Other: Subsurface system operator required? Yes ❑ NOX If yes, see attached sheet for additional operation conditions, maintenance and reporting. ❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line Following are the specifications for the sewage disposal system on the above caption/ed propff( Type of system: ❑ Conventional Other Pv,73a Cx.� I t y Septic Tank: 1600 gallons Pump Tank: tn00 gallons Subsurface No. of exact length width of depth of Drainage Field ditches '4 of each ditch feet ditches 3 feet ditches K inches French Drain Require Linear feet Authorized State Agent Date 1 Y 1