OP RHARNETT COUNTY HEALTH DEPARTMENT 1 7 9 1 3
HTE # ENVIRONMENTAL HEALTH SECTION
OPERATIONS PERMIT
Name: (owner) C-Cr~ Installation '1 Septic Tank ❑ Repair
Property Loc ion: SR# 9" 1Titrification Line ❑ Expansion
Subdivision t n ( ) (1) (t- Lot # Tax ID # Quadrant #
Contractor:
I
Basement with Plumbing: ❑ Garage: ❑ >
Water Supply: ❑ Well 15 Public ❑ Community
Registration #
-/L
C
Distance From Well: ~0 ft.
Following are the specifications for the sewage disposal system on above captioned property.
Type of system: ❑ Conventional O~Other
Size of tank: Septic Tank: gallons Pump Tank: \Z:>,) gallons"`
Subsurface No. of exact length width of depth of
Drainage Field ditches p of each ditch I~ ft. ditches 3 ft. ditches in.
French Drain Required: Linear feet Date:
IZ, .
PERMIT NO. y y y _ Inspected b6 A,kt-