OP RHTE#15-5-3753-7 Harnett County Department of Public Health 23985
PERMIT # a"64 Operation Permit
New Installation Septic Tank �W Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: C,asarz�,i 1-1
Name: (owner) _Mc)i 1AOr^Es LLC- SUBDIVISION C>Pxr,oas; LOT # L53
System Installer: Eno , c GR nr cn Registration #
Basement with plumbing: ❑ Garage X Number of Bedrooms .�
Type of Water Supply: ❑ Community 'V Public ❑ Well Distance from well 160 feet
System Type: - a 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:
1. 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 ElAlarm ❑ H2OLine 11PWR Line
Following are the specifications for the a disposal s stem on the above caption roperty.
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Type of system: ❑ Conventional Other •- > u. Septic Tank: 100C/ gallons Pump Tank gallons
Subsurface No. of exact length width of depth of
Drainage Field di hes % of each ditch oil 0 feet ditches 3 feet ditches inches
French Drain Required: Linear feet Bucy Np (JZAZ 6ap,�
Authorized State Agent ";& Date Date
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