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OP RHTE# 7x' F, z S-/DZ Harnett County Department of Public Health PERMIT # z(:(,v Operation Permit Ell/New Installation © Septic Tagk Nitri cat PROPERTY LOCATION: z. Name: (owner) SUBDIVISION P _ LO System Installer: r~-s Registration # Basement with plumbin • ❑ Garage ❑l Number of Bedrooms t (:3x- Type of Water Supply: Community Ltd' Public ❑ Well Distance from well feet System Type: V6 C_ a° Z Types V and VI Systems xpire in 5 year (In accordance with Table a) Owner must contact Health Departm nt 6 m the prior to ex iration for Dermit renewal. This system has been installed in cam 'ance with applicable North Carolina Giral Statutes, Rules for 41 PERMIT CONDITIONS: 1. Performance: System shall p dorm in accordance with Rule .1961. II. 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, mai IV. Operation: all conditions of the Permit and Construction Authorization. Our /-0 "Z 7 tI -o X_'% 'A' reporting. V. Other: ❑ D-Box ❑ Pump ❑ Alarm ❑ H20Line ❑ PWR Line Following are the specifications for the sewage disposal system on the above ca tioned property. Type of system: El Conventional Other 2i;'%oi~l t ►'2C~ Septic Tank: ~~(.9 gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage field ditches of each ditch ~,-7 feet ditches feet ditches inches French Drain Required: Linear feet Treatment and 22260 n line ❑ Repair ❑ Expansion Authorized State A Date 15 wk K'f `,F r- - °u 11-5-2654OR (1) 11-5-26540R (2) tau 11-5-2654OR (12)