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OPHTE# oz~~cs Harnett County Department of Public Health PERMIT # Oaeration Permit 2 21 7 6 Q" New Installation 2"-Septic Tank 2"Nitrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION: Name: (owner) ~y~t^ C. Qkj,4,-.c-4- ooi-, SUBDIVISION r~o f~~ k LOT # 8 y System Installer: -7k6-r6, L J:,1 Registration # T Basement with plumbing: ❑ Garage 2" Number of Bedrooms q Type of Water Supply: ❑ Community 2"'Public ❑ Well Distance from well feet System Type: 8L B 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. ims system nas peen installed in compuance worn appucaoie nortn t.armina beneraf %tutes, naves for sewage treatment and Disposal, and all conditions of the improvement Permit and Construction Authorization. 41- V, -0-1 L4 In f f /T I ~ I i i~ eL C.~ Maids,- ~,J, rp,/ 1-,i - rtKMII LununwM: 1. Performance: System shall perform 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, maintenance and reporting. IV. Operation: V. Other. ❑ D-Box ❑ Pump ❑ Alarm ❑ H20Line ❑ PWR Line Following are the specifications for the sewdispos system on the above captioned property. Type of system: El Conventional LJ Other ,5 n! 4 49 l-2-Flo,, - Septic Tank: /Q©a gallons Pump Tank: / 00 4 gallons Subsurface No. of exact length width of depth of Drainage Field ditches (91- of each ditch feet ditches 3 feet ditches / 8 - 30 inches French Drain Required: Linear feet Authorized State Agent Date / 2°/ 7- s = 47 6t 8 e: M1 -I'J4 Y r t ' 1 ~ . h~ . _ w •,k. . Y, a k 3 { v, . M If° „ S. l r ' iv r A# d? t ~ a ,