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OPNTE# �� - s L� ©3y Harnett County Department of Public Health 24889 PERMIT # �t�L� Operation Permit New installation "K Septic Tank '�K Nitrification Line ❑ Repair ❑ Expansion PROPERTY LOfATION:_`41i-.� Name: (owner) Cr C.ON 3) . SUBDIVISION S aGGshtwT LOT # 5,_ System Installer: 0a�L%�N �E4' ,c Registration # Basement with plumbing: ❑ Garage "R Number of Bedrooms 3 Type of Water Supply: ❑ Community ,K Public ❑ Well Distance from well feet System Type: �T� Types V and A Systems expire in 5 years. (In accordance with Table V a) Owner must contact Health Department 6 months prior to expiration for permit renewal. tun system nos been installed in compliance with applicable North Carolina General Statutes, Rules for sewage Treatment and Disposal, and all wnditions of the Improvement Permit and Comtmciion Authomation. 1 � 1 E I' A ( 1 1 J � ) T 1, X7' 6. PERMIT CONDITIOK I. Performance: II. 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 ❑ NOA 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 property. Type of system: ❑ Conventional Q Other E'zVa..e Septic Tank: 1000 gallons Pump Tank gallons Subsurface No. of exact length width of depth of Drainage Field ditches y of each ditch ai-10 feet ditches 3 feet ditches AA -24i inches French Drain Required: �\ Linear feet Authorized State Agent '� : �, er N 5 Date