P537 Hwy 601N DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements #Pernutand Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR ar ,� ..., j ;t DATE �Y- ;. "r PERMIT
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LOCATION N� 537
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S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME BUSINESS ❑
N0. BEDROOMS ».3, N0. BATHROOMS House Trailer 800„„gal. 40. Ft.
Two Bedroom House �O. Gal� b00�S
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. -900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD _T_�"�1 sq.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual fl . Public ❑
IMPROVEMENTS PERMIT BY v ". '. - INSTALLED BY
CERTIFICATE OF COMPLETION By Date `
(8/16/73) *Construction must com with all other applicable State and local regulations
LOT AREA
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