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OPHTE# 1G- 5-1(ay Harnett County Department of Public Health 24687 PERMIT # ZC rQu Operation Permit 12New Installation Septic Tank El,-Kkrdtcation Line ❑ Repair ❑ Expansion PROPERTY LOCATION: t(..G A.a4cwn C5/L r9/tel Name: (owner) )Cc h 6rr,rj SUBDIVISION LOT # C System Installer: Registration # Basement with plumbing: ❑ Garage 9?1 umber of Bedrooms -3 Type of Water Supply: ❑ Community ❑ Public Ei--WER Distance from well 7-Z5 feet System Type: Zbj 4.eXkQcl-' can szs TAT_ 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 Statutes, Rules [or Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization 13AeLt-1 D —,c4K 4F6 arf C-"tc)r. \ - Grt orf 1'ur4" \ 3Bti S • C> \ P Act( ' noJ rylc cc. Na far .� O � At v \ 0 ec v /i xT Ds2'r Otit✓� z V M N 3n.EE�6 V>J rcnnu uanumvrn: 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 requiredt Yes ❑ No 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 captioned °Perty. Type of system: ❑ Conventional leer if e'w' � '+"'TJ Septic Tank t 0�y gallons Pump Tank gallons Subsurface No. of a.( exact length width of depth of Drainage Field ditches of each ditch :40 feet ditches 9 feet ditchesz.G-3a3a inches French Drain Required: Linear feet Authorized State Agent Date 6,::'r1 1'3/C;o e r� « ��. ��. "' .y�� �. r ',y, � a � - �. a'�. kt l'« r e�'� r � k ¢ � �v _ � �� �� a. +o -� ��'6 by Y��" �. '���•�� nM� _ F ���� m{ ' � �� �: ��'' , 5.__ c. ,� , r..;. � �., �+ ={fir �.w j'��-�. u F� '� , y 'ro �w `4 fi ,. ,� i ,�� �;.� inn . � ` ' �y � 4 1 '; ,, "�a�, < �,`, h ''t'P, `,' �� ` � � , �� �z. � ,,, ¢�z, �� � �� �'^ '� � �:. ,����� 1 \ � 6, �/\/ �� � \� \ rd/ \ �Z � \ ƒ� . ƒ< % / : ±.« . ®^ �` - � � </:/ /�� j � y � : . \�\��� . y � \ � . � �+d \�^� ���. _ y . : a«\?�£ : ©y3�' � � £� \ /� \ \ �,�\/.� ©� y�� t� � / �. «:��3� }\d 2Jv» �} � �