OPHARNETT COUNTY HEALTH DEPARTMENT
HTE 4%C4 ENVIRONMENTAL HEALTH SECTION 16345
OPERATIONS PERMIT
Name: (owner)
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A New Installation
Se
tic Tank
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Property Location:
SR# 3►04Z!~`~
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Subdivision Lot #
Tax ID #
Contractor: 0 NL %-V %j oT ~c L An14Sc R~
Basement with Plumbing: 171 Garage: 0
Quadrant #
Registration #
Water Supply: C3 Well M Public n Community
Distance From Well: 100) ft.
Following are the specifications for the sewage disposal system on above captioned property.
Type of system: 0 Conventional Other is l ~ .4t ~e: C\0 P'ne .2
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Size of tank: Septic Tank: 3 Q' ~ gallons Pump Tank: 4000 gallons rA V's
Subsurface No, of exact length width of depth of
Drainage Field ditches~0 of each ditchiftd ft. ditches ft. ditches in.
French Drain Required: Linear feet
Date:
Inspected by:
PERMIT NO. G ~ 3 Environmental Healthecialist
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