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477 Joe Rd DAVIE COUNTY HEALTH DEPARTMENT �., (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C) .OWNER OR CONTRACTOR rAs 0 it V e 1r e. ,q p�D'ATEJ /- a . —:'✓ ERMIT LOCATION 36 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE MOBILE HOME BUSINESS ❑ t House Trailer 800 Gal. 400 Sq. Ft. NO. BEDROOMS '"' NO. BATHROOMS c?i.. Two Bedroom House 800 Gal. 600 Sq. Ft. GARBAGE DISPOSAL UNIT YES ❑ NO ❑'"`" ' Three Bedroom House 900 Gal. 9,00 Sq. Ft. AUTO. DISHWASHER YES [ NO ❑ Four Bedroom House 100,01. 12 0�,,, q,. Ft. AUTO. WASH. MACHINE YES ( NO ❑ - --�a^^^�� SITE SUITABLEYES 03-" NO ❑ SIZE OF TANK .f: �"' gal. NITRIFICATION FIELD ax '.C-,45 sq. ft. DEPTH OF'STONE� IN LINES: WATER SUPPLY: Individual �0 Public ❑ . IMPROVEMENTS PERMIT, BY , ��• i •� • INSTALLED BY CERTIFICATE OF COMPLETION. Date (8/16/73) *Construction,mus,t com y with all other applicable State and local regulations LOT :AREA_' do A1C:,rC �Jir✓�i �OQ�X. � � ,� Ar r .....«..+ice . � .. © �' v -��-J) 13 ae��