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P733 Turrentine Church 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 ' r DATE j ',! ? - ?) PERMIITT lr LOCATION ? 733 S.'R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. LIM HOUSE ❑ MOBILE HOMEBUSINESS ❑ NO. BEDROOMS NO. BATHROOMS House Trailer 800�a_1 400 Sq- Ft. ... Two Bedroom House 80_0 Gall 60 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. AUTO. WASH. MACHINE YES ❑ NO ❑ „ ,�,;iJr'S SITE SUITABLE YES [] NO ❑ ,� Y `.. "f SIZE OF TANK gal. •� , a NITRIFICATION FIELD sq. ft. or f= ' DEPTH OF STONE IN LINES: WATER SUPPLY: Individual Public ❑ IMPROVEMENTS PERMIT BY / ,/.,..e✓',�',}. INSTALLED BYA.�'.�.. CERTIFICATE OF COMPLETION BY Date (8/16/73) *Construction must c ply with all other applicable State and local regulations LOT AREA _ jilt 1 R a i } H