286 Dance Hall RdDAVIE COUNTY tTE-,k TH DEPARTMENT
` (Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTORDATE:; - PERMIT
LOCATION N9
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SUBDIVISION NAME
LOT NO.
HOUSE p MOBILE HOME Uk BUSINESS U
NO. BEDROOMS NO. BATHROOMS }
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ 0
AUTO. DISHWASHER YES ❑ NO 0'
AUTO. WASH. MACHINE YES C'f NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK i'"C' gal.
NITRIFICATION FIELD --17-:' sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual �� Public i ❑
IMPROVEMENTS PERMIT BY
S. R. NO. ;y/' ;L 91
SECTION OR BLOCK NO.
262.
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800_Ga.l,. 600..,-Sq._.....Ft.
Three Bedroom House x''900 Gal`. --900"tea FL,>
Four Bedroom House —16W Gal. 1200 Sq. Ft.
INSTALLED BY •�"''lv ;a ' `�'. :' .w' �) -
CERTIFICATE OF COMPLETION By Date
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA
ar �(" x, y ^ x /O 00