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OPHTE# --S-~q2a~ Harnett County Department of Public Health PERMIT Operation Permit 2 21 3 8 New Installation X Septic Tank ,X Nitrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION: Mc,Lep,,a CaR,QE~ C~,ucic,J , 1?~> Name: (owner) canteJe I" o~' SUBDIVISION LOT # 15 System Installer: '"~~x., 2®,,f~ Registration # Basement with plumbing: ❑ Garaged Number of Bedrooms 'iSit-feblit )9;Z-" Type of Water Supply: ❑ Community Distance from well 1®© feet Ccv e ,,y \,r4K7F-Qr System Type: --a h 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. a) -1,$ At:la-~ S "g ti R~tA~R 1 G 5 ~ 4 A~+Efk 1 x I f T~ 2d,`P,\C3 `Of o[oMrc fn11n IT1 n11f. I •.lV ell VVi\YIIIVI\J. 1. Performance: II. Monitoring: III. Maintenance: IV. Operation: V. Other: System shall perform in accordance with Rule .1961. As required by Rule .1961. As required by Rule .1961. Other. Subsurface system operator required? Yes ❑ NOA If yes, see attached sheet for additional operation conditions, maintenance and reporting. ❑ D-Box ❑ Pump ❑ Following are the s cifcations for the sewage disposal system on the above captioned property. Type of system: Conventional ❑ Other Subsurface No. of exact length -76 Drainage Field ditches - of each ditch feet French Drain Required:. s 6iaea Alarm ❑ H20Line ❑ PWR Line Septic Tank: 1 O® 0 gallons Pump Tank: gallons width of 3 depth of ditches feet ditches 3 0 inches Authorized State Agent '\1'- J~\~ ..fig Date g1ar' 1 A ^F k J y r ~ r t. ~ r ice.. x. r e ,