OP RRHTE# 13-s-3Z`g3aZZ Harnett County Department of Public Health 23779
PERMIT # Z`aos / Operation Pe it ,_.,//
L`9 New Installation E Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATIONS-z_j"M /34--aa4p
Name: (owner) /%1: dy, e(1- u ft! 6i- SUBDIVISION LOT # -5—
System
System Installer. Abe:Lt Registration #
Basement with plumbing: ❑ Garage ff Number of Bedrooms
Type of Water Supply: ❑ Community ❑ Public [T Well Distance from well /00 r{ feet
System Type: ?-17s 5 ZjjZ&=-Lu 6 r --Z ft Types V and VI Systems expire in S years. 1je-1> Ube -
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(In accordance with Table V a) Owner must con ct Health Department 6 months prior to expiration for permit r waL /" ' "
This system has been installed in compliance with ainfrirahle North
Rules for Sewage Treatment and Disposal and all conditions of the Improvement Permit and construction Aulhorintion.
19
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I. Performance: System shall perform in accordance with Rule .1961. \\
II. Monitoring: As required by Rule .1961.
III. Maintenance: As required by Rule .1961. Other. -rV 05q --k loe� Sn•._A4 Sb
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 ❑
H2OLine ❑
Following are the specifications for the sewa a disposal system on the above captioned property.
Type of system: El (on 70ther t5% WgiZU, SGA\...._ Septic Tank: J5'Zvc� gallons Pump Tank:
Subsurface No. ofexact length width of depth of
Drainage Field ditches y of each ditch / S O feet ditches 3 feet ditches Z4-7/%
trench Drain Required: Linear feet
¢ / 2 �� o —
Authorized State Agent+^' /" 1�/i/+.`�Date /ji'
PWR Line
gallons
inches
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13-5-32493RR (1) 13-5-32493RR (2) 13-5-32493RR (3) 13-5-32493RR (4) 13-5-32493RR (5)
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13-5-32493RR (6) 13.5-32493RR (7) 13-5-32493RR (8) 13-5-32493RR (9) 13-5-32493RR (10)
13-5-32493RR (11) 13-5-32493RR (12) 13-5-32493RR (13) 13-5-32493RR (14) 13-5-32493RR (15)
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13-5-32493RR (21) 13-5-32493RR (22) 13-5-32493RR (23) 13-5-32493RR (24) 13-5-32493RR (25)
13-5-32493RR (26)