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1005 Yadkin Valley Rd (2) 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 ' r DATE'S PERMIT LOCATION ! i' 1/: ;,_. �: �` r �'{ 1� . 994 {, S.R.`N0. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE ❑ MOBILE HOME tj BUSINESS ❑ f ' .», House Trailer 800 Gal. 400 Sq. Ft. NO. BEDROOMS s2, NO. BATHROOMS f �q. Two Bedroom House 800 Gal. 600 .--Ft GARBAGE DISPOSAL UNIT YES ❑ NO Three Bedroom House 900 Gal.. ,.-900 Sq. Ft. AUTO. DISHWASHER YES Q -.-NO [3 Four Bedroom House 1000 Gala 1200 Sq. Ft. AUTO. WASH. MACHINE YES a3- NO ❑ l- SITE SUITABLE YES ©', NO [3 IL: SIZE OF TANK gal. �,�� ,� t ' .'`',r ; r e,► j' NITRIFICATION FIELD 900 sq. ft. .` �',-...1% 4:1r;' DEPTH OF STONE IN LINES: WATER SUPPLY: Individual Ef Public ❑ IMPROVEMENTS PERMIT BY _L� ��/� .•7„i�t ;+.� s-t_ INSTALLED BY6Z. T - CERTIF.IgATE OF COMPLETION y • By � Date (8/16/73) *Construction mus comply with al other applicable State and local regu ations 1),>1-7 LOT AREA � � Y � y. s V .