P253 Seaford Rd _ DAME' COUNTY HEALTH DEPARTMENT Q
(Septic Tank) Improvements°.Perihit�`&d"Certificate'',of.Completion : "
:(Ground Absorption Sewage Disposal'.System - .G.S. Chapter 130-Article 13C)
OWNER'OR CONTRACTOR S_ t; ,-�..� can i; DATE ;, ^ ` ' (ll` PERMIT
,#� n N? 253
LOCATIONv"..i+tc L.<s.e •' ': ffp +�` ' ^aa. " t^ t� "a
S.R. NO. [
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. '
HOUSE" ❑ ; MOBILE HOME BUSINESS [3 .
House Trailer.. 8 40
NO:: BEDROOMS :, NO. BATHROOMS Two Bedroom House 800: 00. 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 xi gal. `
NITRIFICATION' FIELD -ice sq. ft.
'DEPTH.'.OF STONE ..IN LINES:
WATER SUPPLY: Individual4 Public, ❑
IMPROVEMENTS' PERMIT BY INSTALLED BY: .: al.G •' .
CERTIFICATE OF COMPLETION BY ; •z Date-
(0/16/73.)
ate(8/16/73.) *Construction must cXp-ly with all ,other applicable State and local regulations
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