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OP RHTE# is -5- 37Q k Harnett County Department of Public Health 24121 PERMIT# 146y1 Operation Permit Ff�New Installation C'Septic Tank Lr" Nitrificationn�}me EJ Repair Expansion PROPERTY LOCATION: © 5f i'�Pr is W�Qm - Name: (owner) q SUBDIVISION LOT # -,J-'L System Installer: jr ` - Registration # Mpg— Basement with plumbing: ❑ Garage Number of Bedrooms Type of Water Supply: ❑ CommunityPu is ❑ Well Distance from well I� feet System Type: 11 " .lal, • n17f 6 Types V and VI Systems expire in S years. (In accordance with Table V a) :1C J40.,/, ,• 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 Statuses, Ru for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization. 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 ❑ Na If yes, see attached sheet for additional operation conditions, maintenance and reporting. IV. Operation: Other. Efr� 1 C4e&kQ0joS zs//L Alarm a H2O1-ine ❑ PWR Line k,e In Noli�SiAft ka specifications for the sewage disposal ❑ 5r r � ptioned prope a[ Septic Tank: / 0> Pump Tank: /BUD of system: Conventional Other 7� gallons Subsurface Drainage Field 2' S exact length of each ditch / width of 1 /% _ feet ditches feet — r t � b5 e t ,dd �P6„haQ, }gtec� Nit'� e 04,p --)F- 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 ❑ Na If yes, see attached sheet for additional operation conditions, maintenance and reporting. IV. Operation: Other. Efr� D -Box ❑ Pump ❑ Alarm a H2O1-ine ❑ PWR Line Following are the Type specifications for the sewage disposal ❑ 5r system on he a ve 2.7� ptioned prope a[ Septic Tank: / 0> Pump Tank: /BUD of system: Conventional Other gallons gallons Subsurface Drainage Field No. of ditches � exact length of each ditch / width of 1 /% _ feet ditches feet depth of ditches — 2-�— inches French Drain Required: Linear feet Authorized State a Date 7— / 7 -16,