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1925 Hwy 158DAVIE COUNTYINEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Abhor tion Sewage Disposal Sy`ste - G . Chapter.T30-Article"'13) OWNER OR CONTRACTOR -1-J r, +f �'� ' '' /; i t'kt_ /� r 'DATE r-� ah— PERMIT CERTIFICATE OF COMPLETION BY— (8/16/73) *Construction must LOT AREA rd's DateY--- �?� th all other applicable State and local regulations .N° 164 LOCATION S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE ❑ MOBILE HOME t3 BUSINESS ❑ House Trailer 800.Gal.' 400 Sq. Ft. NO. BEDROOMS NO. BATHROOMS Two Bedroom House 81 al. ©Sq� F,t. GARBAGE DISPOSAL UNIT YES ❑.f NO Er"' ,,. Three Bedroom House 00 Ga AUTO.; DISHWASHER YES Q,' NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft. AUTO. WASH. MACHINE YES C'.1 NO ❑ fw SITE SUITABLE YES ❑ NO ❑� r,�- f 4,mM �` SIZE OF TANK f,' 0 gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: �. WATER SUPPLY: Individual Public ❑ IMPROVEMENTS PERMIT BYt ��y -- "' + INSTALLED BY CERTIFICATE OF COMPLETION BY— (8/16/73) *Construction must LOT AREA rd's DateY--- �?� th all other applicable State and local regulations