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OP RHTE#M-s-Dn- ~ 9. Harnett County Department of Public Health 21335 PERMIT # Operation Permit New Installation K Septic Tank ❑ Repair X Nitrification Line ❑ Expansion PROPERTY LOCATION: C) Z Name: (owner) G Eo e.c E v Et J~,~ Fg£6z, SUBDIVISION LOT # System Installer: 4- L 11a Registration # Basement with plumbing: ❑ Garage Number of Bedrooms Type of Water Supply: ❑ Community Public ❑ Well Distance from well 50 feet System Type: 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. SN 0 w p'f:R Ilk L) tr c OL~V1p~ QtJ r ~nrni l.vnv Mvm). 1. Performance: System shall perform in accordance with Rule .1961. II. Monitoring: As required by Rule .1961. 111. 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: Following are the specifications for the sewage disposal system on the above captioned roperty. Type of system: El Conventional Other QV ~•P `C~ G~ P~N,~~cZ v 4. A Septic Tank: t © O 0 gallons Pump Tank: 10(30 gallons Subsurface No. of exact length width of depth of Drainage Field ditches _ of each ditch 5d feet ditches 3 feet ditches 3G^ 5 inches French Drain Reauire~ fopt Authorized State Agent Date 1-7 ~10 G o, a i ~ s i R 3 L~ y a,7F ~ J ~ to f . z p~ -s 1~. h ~ h y , tit xB i t 17 a t qk'- j 'mil i 4 MF" ° k~lc r _ .s 47 y¢+ ~ r .tip _ - _ '.r II+tti- " ~+tf} - 40 ?l, t'•_ ~ T" 'mss ~ ~ *~Y ~ ~ ' ~ yr' 'A K ~ . i` o$ - 5-a.p381~ ,i ~ a3. ~ a Zi- ~ s„ ~ 3 5tF,x a ti .E ~ tit ,+d✓t".A~ 'd!~1~' :a ITT* F 5-aa3~- Y i; a Y a z i~ P 1~ ` f• _ ~11y 9k tl~a } ~'v