A24A 8Lot Size:
Sewage Disposal
Size of tank:
PERSON COUNTY HEALTH DEPARTMENT
SEWAGE DISPOSAL
IHPROVEMENTS PERHIT N0.
Issue Date: - � .
Owner:��
Loc�i�T� _�
on. � �. y ,;}p y' A� ' � �� � /-
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Sept c Tank Cont=actor: ` ��
Building Contractor:
water Supply: Private�Public
All wells should be 100 ft. from sewer system.
trification line:
Other disposal facility:
Water supply and sewage disposal facilities location,
protectiion must meet state and local regulations.
L�on and
Septic tank should be pumped out every 3 to 5 years and shall be
maintained by owner in such a manner as not to create a public health
hazard. Septic tank and nitrification line MUST BE INSPECTED AND
APPROVED BY A MEMBER OF THE PERSON CO. HEALTH DEPARTMENT STAFF BEFORE
ANY PORTION OF THE INSTALLATION IS COVERED AND PU USE. THIS
PERMIT VOID AFTER 3 YEARS. � 2��Q
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Date Well Approved: Sign 3 J{.
By: anitarian -
Date Sewage Disposal Approved:
iU-(�-� Counter-
By: signed
(Owner or his r resentative)
Certificate of Completion
./�� O.
Date Approved: l O` �V�' v v gy:
San tari
(Over)
Location of well and sewage disposal facilities sketched on back.
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