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OP RHTE# I r,-5--1,01,411 iL, Harnett County Department of Public Health 24898 PERMIT # aj i 7, Operation Permit I New Installation -t Septic Tank ❑ Nitrification Line ❑ Repair ❑ Expansior PROPERTY LOCATION: GN Name: (owner) 0f+�Av5rE komc S LLC— SUBDIVISION WaL.Wv" Cgvv& LOT # —A System Installer. v,r,�G�{L Registration # Basement with plumbing: ❑ Garage 1KNumber of Bedrooms Type of Water Supply: ❑ Community 'L Public ❑ Well Distance From well feet System Type: "Ma -10 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 for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization rurni LURDIIIUNI: I. Performance: II. Monitoring: III. Maintenance: IV. Operation: V. Other. El 9-';-gVk,2 ^ t System shall perform in accordance with Rule .1961. As required by Rule .1961. As required by Rule .1961. Other. Subsurface system operator required? Yes ❑ No ❑ If yes, see attached sheet for additional operation conditions, maintenance and reporting. SEE Data A",t., oe Son. ice. 'P2 F'AL nRWy'at. SiC.G, F,c.?�i IONG C ❑ Alarm ❑ Following are the specifications for the sewage disposal system on the above captioned property. Type of system: ❑ Conventional ❑ Other Subsurface No. of exact length Drainage Field ditches of each ditch feet H2OLine ❑ PWR Line Septic Tank 11600 gallons Pump Tank 100a gallons width of depth of ditches feet ditches inches trench Drain Required' Linear feet Authorized State Agent Date 1 hal 4