P167 Pino Rd DAVIE COUNTY HEA),TH DEPARTMENT
(Septic,_Tank)'-,Iinrovements Permit and;,Certificate of.Completion "
(GrouAa,Absorption Sewage Disposal System-' G.S. Chapter 130-Article 13b'
OWNER OR CONTRACTOR �7 d ! 1''! t'> DATE 1,4-PERMIT
LOCATION N° 167
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S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.,
HOUSE .�l' MOBILE HOME BUSINESS ❑ -
f `4 House Trailer 800•Gal. 400 Sq. Ft.
N0. BEDROOMS N0. BATHROOMS - Two Bedroom House 800 Gal. 600 Sq. Ft, .
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft. .
AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1-1600 Gall j+1200 Sq ' FtA
AUTO. WASH. MACHINE YES ❑ NO ❑ -'
SITE SUITABLE YES ❑ NO ❑
1,�- -�..il
SIZE OF TANK gal. 7 ,f
, f
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: r' :`;.r' ;'► t
WATER SUPPLY: Individual,... Public ❑ / 1 �, r
IMPROVEMENTS PERMIT BY �. `. ! z, INSTALLED BY
CERTIFICATE OF COMPLETION 1 ---
Date
(8/16/73) - ' *Construction ust cdiipl wit sll-oil e''r�a�p�1l3�able State and local 'Yew
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