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OPNTE#-A 0-5-91L~ c~ _3 Harnett County Department of Public Health PERMIT # "4Dn Operation Permit 21 8 7 2 ,F1 New Installation N Septic TankI Nitrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION: Name: (owner) BULL.-utfLb SUBDIVISION WA~~ n Ica~,v~, LOT # A System Installer: ~,Q co C,< Registration # Basement with plumbing: ❑ Garage Number of Bedrooms L4 Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 d© feet System Type: 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 Larohna t,enerat )tatutes, Wes Tor sewage Treatment ana utsposa, ana an conmaons m cne improvement rermt ana lonstrucnOn xuumnzauun. I ~QA12 ~ , s" ge ~ { 5d is R r 4 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 ❑ No If yes, see attached sheet for additional operation conditions, maintenance and reporting. IV. Operation: V. Other: ❑ D-Box ❑ Pump ❑ Alarm ❑ 1-1201-ine ❑ PWR Line Following are the specifications for the sewage disposal system on the above captioned property. Type of system: ❑ Conventional Other Septic Tank: OO © gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field ditches of each ditch 300 feet ditches inrar'tee French Drain Reauired:--- feet ditches tIK inches Authorized State Agent \ ~Vv`-*~'' QX-,N5 Date t ► e J rt`j ,iN ~ 7 f 7 a~ t5 s k ,.a E - d . 1' t ~ ~,Y 1 ~~~yyy ~ te. ~ ; ~ y ~ ,r ~ ~ ' i ~ Fk . N ~ 4 x n a*_ 'r ~.iPye k F ~ ~ l ~ _ ; ~ J ~1 ~ ~ . F urv,,,..~w q u F 4 ' yn ~+kmwa two O A , V A -1 it: -A k u , F V 1 r RIM . { . i +