OP RRj -HARNETT COUNTY HEALTH DEPARTMENT
HTE V ENVIRONMENTAL HEALTH SECTION
OPERATIONS 16597
PERMIT
Name: (owner)
r t` G ew Installation "Zgeptic Tank
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Property Location: SR#
71 Repairs _q titrifieation Line
Subdivision C Lot
Tax ID #
Quadrant #
Contractor:" Registration #
Basement with Plumbing: 171 Garage: 0
Water Supply: 0 Well Public 1 Community
Distance From Well:
Following are the specifications for the sewage disposal system on above captioned property.
Type of system: 0 Conventional Other gvr)o ci,
Size of tank: Septic Tank: gallons Pump Tank gallons
Subsurface No. of exact length c width of depth of
Drainage Field ditches of each ditch ~ ft. ditches- ft. ditches in.
French Drain Required: Linear feet
~ If
PERMIT NO.
Date: 0~
Inspected by: Q\ - W s
E vironmental Health Specialist
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