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OPHTE# O--) )Harnett County Department of Public Health PERMIT Operation Permit 21 8 8 6 New Installation `~J Septic Tank Nitrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION:_ 1~~Ltt~•s6'SOs t 4.9 Name: (owner) Y.roNNC C~~~a.~~~v cl SUBDIVISION LOT # System Installer: 1-~~z=1 S-+ C- Registration # Basement with plumbing: ❑ Garage Number of Bedrooms Type of Water Supply: ❑ Community 'R Public ❑ Well Distance from well t ©CD feet System Type: =17 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 Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization -50 d ~ 1d M08 iLE_ UOs~ 1 ~PLA~ I PERMIT CONDITIONS: 1. Performance: System shall perform in accordance with Rule .1961. ll. 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 ❑ Following are the specifications for the sewage disposal system on the above captioned property. Type of system: ❑ Conventional A Other t ) fLL C-)t\ V S Subsurface No. of exact length Drainage Field ditches of each ditch 3 00 feet French Drain Required: feet Alarm ❑ H201-ine ❑ PWR Line Septic Tank: 1000 gallons Pump Tank: gallons width of depth of ditches 3 feet ditches 118 inches Authorized State Agent f~ev-\S Date '11 ~ ~i ;k ~ , ~ ~ ` ~ s,. ' . s~- z~ 4 ~ - ~'4 • h g 13 ~ e ~ ` u ~ h, ~ ~ ~ ~ ^ a ~ `y ` ff h L A'.. i Pit + c' ~J' ~ : r ~ f Z " ~ ~ - Y.~ 1. U ~ ~ S - - k ~ ' ~ j~:. - vqY~ - u~~ t „A. is ~ ~ a < S / r~ - ~ r A ~ ~ i ~ ~ s ~ s ~ * ~ F , ' _ ~ y ~a r . ~y _ ~ Y f. 4~s b M S p.~,~ W „ y ~ ~ Z ~ F s ¢ a z` T _ . ~ ~ :ra r. xw l ~ _ . ~.i~ - # . ~ ~ t a # ~ # 1 _ t i a ~ w.~. ~ Y, ~I X ~ this 1001d of tire chips is from the fuel Grade location and meets the Nc specification as st: ;r~ rovrtivfl ypst4 a crf r system C provai IWWS-2002-03R for fire chip Sutsstrtution for Rock Aggregrate in Nitrification Fields.