OP RHARNETT COUNTY HEALTH DEPARTMENT
HTE 02 Y6 6 Z ~ ENVIRONMENTAL HEALTH SECTION 16281
OPERATIONS PERMIT
Name: (owner) Cz f 1`1.( ' 1 rl ~ew Installation Septic Tank
Property Location: SR# 17 Repairs /'4!1 Nitrification Line
Subdivision_ Lot #
Tax ID # Quadrant #
Contractor: l - c Registration #
Basement with Plumbing: ~ Garage: 0
Water Supply: C3 Well Public 0 Community
Distance From. Well: ft.
Following are the specifications for the sewage disposal system on above captioned property.
Type of system: *Conventional 17 Other
Size of tank: Septic Tank: gallons Pump Tank: gallons
Subsurface No. of exact length width of 3 depth oft
Drainage Field ditches of each ditch ft. ditches ft. ditches/y- in.
French Drain Required: Linear feet
PERMIT NO.'
2 0.3
Date: t
Inspected by:
nvironmentaI Health Specialist
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