OPHARNETT COUNTY HEALTH DEPARTMENT
' ENVIRONMENTAL HEALTH SECTION 16151
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OPERATIONS PERMIT
Tax I/D# Quadrant #
Contractor: cr Registration #
Basement with Plumbing: Garage: 71 "0 Y~
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Water Supply: Well Public Community N-K , 'A
Distance From Well: D ft.
Following are the specifications for the sewage disposal system on above captioned property.
Type of system: 171 Conventional Xother 04~-4, 4 d
Size of tank: Septic Tank:Z 02-0 gallons Pump Tank: 1&_0 gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch ft. ditches _-ft. ditches in.
French Drain Required: Linear feet
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Date:
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PERMIT NO. 0 7 En ironmental Health Specialist
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