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HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION ~ ~ 16038
OPERATIONS PERMIT
Name: (owner) ~o rt V ?,Vj s New Installation S tic Tank
Property Location: SR# IqZ& 6 h'W Repairs Nitrification Line
Subdivision
TAX ID#.
Lot #
Quadrant #
Contractor: Z"ro. f / S /3w'" Registration #
Basement with Plumbing: El Garage:
Water Supply: Well Public Community
Distance From Well: SGT ft.
Following are the specifications for the sewage disposal system on above captioned property.
Type of system: dconventional tither P.-_T-A..+~/wt~
Size of tank: Septic Tank: 1Z-0 gallons Pump Tank: 17-00 gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch O® ft. ditches 3 ft. ditches.14' in.
French Drai,~ Linear feet
UU , D Date: q' Zf' d-5
PERMIT NO. 01 1 aa►.
0 Inspected by:
\ :nvironmental Health Specialist
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