OPHARNETT COUNTY HEALTH DEPARTMENT 16152
HTE r d',5-Y-53 ~ ENVIRONMENTAL HEALTH SECTION
OPERATIONS PERMIT
Name: (owner) ew Installation eptic Tank
Property Location: SR#_ f~ Repairs nitrification Line
Subdivision RLr I~ Lot # `
Tax ID #
Contractor:
LAU.~
Basement with Plumbing: 0 Garage: L
Water Supply: I] Well ~Qublic 0 Community
Distance From Well: ? ft.
Quadrant #
Registration #
Following are the specifications for the sewage disposal system on above captioned property.
Type of system: [Conventional 0 Other
Size of tank: ! Septic Tank: gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches- of each ditch ft. ditches- _ft. ditches) n.
French Drain Required: Linear feet
PERMIT NO. ~~u~~
Date: C
Inspected by:
En ironmental Health Specialist