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OP RHTE# — 6 --64416 Z Harnett County Department of Public Health 2439 PERMIT # 7- Operation Permit New Installation Pleptic Tank ttrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION: S/ OU r l Larks e arj?A S2 )aagl Name: (owner) `j . MarlIC PLccean_-..' SUBDIVISION LOT # S System Installer. G 1 I rt -1- 6�c Registration # Basement with plumbing: ❑ Garage 5 Number of Bedrooms .s Type of Water Supply: EJ Community Ldp Public ❑ Well Distance from well feet System Type: Types V and VI Systems expire in S years. (In accordance with Table V a) Owner most contact Health Department 6 months prior to expiration for permit renewal. This system has been installed in rompliance with applicable Runs Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization ?Hct To I I. 3 t got 25 io 2ocM� As2 io tib A2.itA Mp `sls I a ---� p zz 3 be �32.s' sZ` � y81 c io9' CTXFor�s� wnoas pczeyd Yt8N11 IOND1I1UN): I. Performance: System shall perform in accordance with Rule .1961. H. Monitoring: As required by Rule .1961. III. 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. IV. Operation: V. Other. ❑ D -Box ❑ Pump ❑ Alarm ❑ H20Line ❑ PWR Line Following are the specifications for the sewage disposal system on the above captioned property. Type of system: El Conventional L�6ther Z0, 4e.a . 6-0 F/oua Septic Tank: rovo gallons Pump Tank: gallons Subsurface No. of 3exact length O width of depth of Gj © 3 Drainage field ditches of each ditch g feet ditches J� feet ditches 30 / 2'16/ inches French Drain Required: Linear feet Authorized State Agentice%' if��2� Date 05/Oz / 1o )l I