REPAIR OP - no ET issued. Signed off in lieu ofHTE# Harnett County Department of Public Health 23938
PERMIT # c2 10 Operation Permit
r 16,6-- 37374 ❑ New Installation ❑ Septic Tank dNitrification Line K Repair ❑ Expansion
PROPERTY LOCATION:
Name: (owner), sor �Tra (C,a✓oe .car_ e SUBDIVISION LOT #
System Installer. ;r" Registration #
Basement with plumbing: ❑ Garage El umber of Bedrooms a I:j:% �
Type of Water Supply: El Community Ld" Public ❑ Well Distance from well feet
System Type: M: At Types V and VI Systems expire in S 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
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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 ❑ No
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other.
❑ D•Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PAIR Line
Following are the specifications for the sew3g4 dispos system on the above captioned property.
Type of system: ❑ Conventional CICS Othery M(1 f B LCL ��d w Septic Tank 'f gallons Pump Tank: � gallons
Subsurface No. of exact length width of depth of �'�/
Drainage Field ditches of each ditch C0 feet ditches feet ditches inches
French Drain Required: Linear feet
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Authorized State Age c4 Date 0 12 ZC—