The URL can be used to link to this page

P1590 Angell RdDAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTORDATE} �} ti,(' . s �, Jc� t . DATE /rJ - `r'=' i` it PERMIT LOCATION Ane c +l lion rt N° 1590 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE OR— MOBILE HOME ❑ BUSINESS I NO. BEDROOMS NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ AUTO. DISHWASHER YES (� AUTO. WASH. MACHINE YES ❑ SITE SUITABLE YES SIZE OF TANK gal. NITRIFICATION FIELD NO ©� NO ❑ NO ❑ NO ❑ sq. f t. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual ❑ Public ❑ IMPROVEMENTS PERMIT BY House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House 800 Gal. 600 Sq. Ft. Three Bedroom House 900 Gal. 900 Sq. Ft. Four Bedroom House 1000 Gal. 1200 Sq. Ft. �� ,. (-(A-1 el a,f{ ri ,6. r�}t.:i "�' c'xR.��.t..,1 yCr t-0 r JIA INSTALLED BY CERTIFICATE OF COMPLETION By�/ _ Date (8/16/73) *Construction mus comply with all other applicable State and local regu ations LOT AREA ', (14-1 Z..Er i vV DAVIE COUNTY HEALTH DEPARTMENTA� `0 P. 0. BOX 57 HOCKSVILLE, N. C. 27028 (704) 634-5985 Statement for Septic Tank Improvement Permits and/or Site Evaluations NAME ��; ",i.; j�1.ItL1/t�� 76 NUt,ll!(t� Kn�� DATE ISSUED/,,^, � � ADDRESS l- %_ ,�,,`�t.. -� i A, PERMIT NO. %d (,-4-4 u Explanation of charge AMOUNT DUE'SANITARIAN PLEASE REMIT THE ABOVE AHOUNT ON RECEIPT OF THIS STATEMENT.