OPHARNETT COUNTY HEALTH DEPARTMENT
HTE,62- ENVIRONMENTAL HEALTH SECTION 16282
OPERATIONS PERMIT
Name: (owner) 77-,7-6e'mAoc-k4s Z:JC 2 New Installation 2~lseptic Tank
Property Location: SR# /86Z ZAVI~, oZI> C.1 Repairs X /Nitrification Line
Subdivision ~a1r►.!c Lot #
TaxID#
quadrant
Contractor: CR "Z1Z-V =914,ct Registration #
If F
Basement with Plumbing: 7 Garage: ~
Water Supply: 0 Well f2I/Public n Community
Distance From Well: SD . ft.
Following are the specifications for the sewage disposal system on above captioned property.
Type of system: Konventional 1 Other
Size of tank: Septic Tank:MOO gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch -/'5"e ft. ditches -5 ft. ditches IP- Z 4) in.
French Drain Required: Linear feet
Date:- 2 O
Inspected by. nviron - u~Cf -
q
PERMIT NO. 6 ® mental. Health Specialist