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OP RRHTEOI— SW3A, Harnett County Department of Public Health PERMIT # `�.6� 0 eration Permit 22959 New Installation Se tic Tank Nitrification Line El Repair F-1 Expansion r } PROPERTY LOCATION: NjexMILLS Name: (owner) ;a cC SS 1-�—� SUBDIVISION S -TgoG Cass LOT # System Installer: a. 0,1 M tALvj S, Registration # Basement with plumbing: ❑ Garage Number of Bedrooms Type of Water Supply: ❑ Communi Public ❑ Well Distance from well I © feet System Type: cr, 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 Uisposal, and all conditions of the improvement rermit and Lonstrucnon autnorizanon. 133' D fZ �pQ,IU E PERMIT CONDITIONS: I. Performance: System shall perform in accordance with Rule .1961. 11. Monitoring: As required by Rule .1961. III. Maintenance: As required by Rule .1961. Other: Subsurface system operator required? Yes ❑ N If yes, see attached sheet for additional operation ci IV. Operation: V. Other: maintenance and reporting. ❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ Following are the specifications for the sewage disposal system on the above captioned property. Type of system: ❑ Conventional Other S2..- Vila -W Septic Tank: I O gallons Pump Tank: _ Subsurface No. of exact length width of depth of Drainage- iiee -- -discs of each ditch feet ditches feet ditches - - 1� French Drain Reouia:ed: -zz:Linear feet Authorized State Agent \����� — Rte NS Date l0 t" 13 PWR Line gallons inches