198 Bowman RdDAVIE COUNTY HE EPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorpt on Sewage pisposalSystem - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR /'r 0 DATE =� PERMIT
LOCATION Z qy� � E) �/ J f�a c�, NO
SUBDIVISION NAME LOT NO.
HOUSE p MOBILE HOME A BUSINESS C
NO. BEDROOMS NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: -q A /�/,G;
WATER SUPPLY: Individual) ❑ Public ❑
IMPROVEMENTS PERMIT BY
CERTIFICATE OF COMPLETION
S. R.
SECTION OR BLOCK NO.
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
INSTALLED BY
/
204
800 Gal.
400 Sq. Ft.
00 Ga
600 S Ft
900 Gal.
900 Sq. Ft.
1000 Gal.
1200 Sq. Ft.
ByDate
(8/16/73) *Construction must co y with all other applicable State and local regulations
LOT AREA Q 4.�_ k /% /
DAVIE COUNTY HE PARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorptfon,Sewage pi�osal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR ��� r' ilt� fit'• L'.3� DATEPERMITO
N
r' ..'-c cam„ ; { , t J
LOCATION r %�'£, t •
S.R. NO.
SUBDIVISION NAME
LOT NO.
HOUSE ❑ MOBILE HOME I& BUSINESS ❑
NO. BEDROOMS
NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER
YES ❑ NO ❑
AUTO. WASH. MACHINE
YES ❑ NO ❑
SITE SUITABLE
YES ❑ NO ❑
SIZE OF TANK
gal.
NITRIFICATION FIELD
sq. ft.
DEPTH OF STONE IN LINES; �'`C't�, .f 21
WATER SUPPLY: Individual EJPublic ❑
IMPROVEMENTS PERMIT
BY
CERTIFICATE OF COMPLETION
BY—
(8/16/73) *Construction must
LOT AREA
SECTION OR BLOCK NO.
W
House Trailer 800 Gal. 400,§,q. Ft.
Two Bedroom House <h80. Gar,> 600
Three Bedroom House 900 Gal. 900 Sq. Ft.
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
INSTALLED BY .�
r Date
y with all other applicable State and local regulations
70
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