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P72 Spillman Rd DAVIE COUNTY HEALTH DEPARTMENT �-_ (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorpt �n ��ewage ispos 1 System - G.S. Chapter 130-Article 13C) 64- tib- CONTRACTOR m� l'_:� l �t.r� DATE —r7 I- � ERMIT LOCATION Q ���.� N? 72 ' S.R. NO. SUBDIVISION NAME LOT N0. SECTION OR BLOCK NO.' HOUSE [I MOBILE HOME BUSINESS ❑ House Trailer 800 Gal. 400 Sq. Ft. ' NO. BEDROOMS NO. 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 1000 Gal. 1200 Sq. Ft. �WU,TO. WASH. MACHINE YES Lz7"'ANQ ,0 SITE-, ITABLE YES I U —NO [3SIZE Nu--,TANK gal. NITRIFICATI�ELD %36-0 sq.'. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual Public ❑ IMPROVEMENTS PERMIT BY % « INSTALLED BY CERTIFICATE OF COMPLETION By Date -1 2 ~ 7 (8/16/73) *Construction must omply with all other applicable State and local regulations LOT AREA 1 f �, DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption SewagetiAisposal, System G.S. Chapter -130-Article ,l3C) k OW�aa.F••F OR CONTRACTOR .'`a � ,_ .. %,a }�r'?"' DATE S -r7 J- ti4-PERMIT ' N° 72 LOCATION -'�Nt %y S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE ❑ MOBILE HOME BUSINESS ❑ House Trailer 800 Gal. 400 Sq. Ft. _ NO. BEDROOMS NO. BATHROOMS Two Bedroom House 800 Gala 600 Sq. Ft. GARBAGE DISPOSAL UNIT YES ❑ NO 0� Three Bedroom House 900 Gal. 900 Sq. Ft. AUTO. DISHWASHER YES E:3NO ❑ l"' Four Bedroom House 1000 Gal. 1200 Sq. Ft. AUTO. WASH. MACHINE YES �'NO_......❑ SITE SUITABLE YES [3--NO ❑ SIZE OF .TANK gal. NITRIFICATION`FIELD ' sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual Public El1, V l IMPROVEMENTS PERMIT BY i y 4-"- INSTALLED BY CERTIFICATE OF COMPLETION BYZ2 46 Date (8/16/73) *Construction must omply with alf other applicable State and local egu afio s LOT AREA � ! s e t 4 r 1 3 s q f r i 1