P268 Beauchamp 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 CONTRACTOR DATE 7,;4PERMIT
No
LOCATION
914
CERTIFICATE OF COMPLETION
BY ' Date
(8/16/73) *Construction must com al other appli a State and local regulations
LOT AREA
S. R. NO.
SUBDIVISION NAME
LOT
NO. SECTION OR
BLOCK
NO.
HOUSE Wr MOBILE HOME
E3
BUSINESS ❑
'
House Trailer 800
Gal.
4QO
Sq. Ft.
NO. BEDROOMS '' N0.
BATHROOMS
<;.
Two Bedroom House 8QO.Gal.
6,00-Sq___Ft.
GARBAGE DISPOSALUNIT YES
❑
NO G3
Three Bedr'oom-Housef-`''`900
GaLl,f
9 .0
Sq, FU
AUTO. DISHWASHER YES
❑
NO
Four Bedroom House '1000:Gal.
_•�
F�200
Sq. Ft.
AUTO. WASH. MACHINE YES
U]"
NO ❑'
SITE SUITABLE YES
❑
NO ❑
SIZE OF TANK''.` gal.
NITRIFICATION FIELD r,;"
: '
' sq., ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual
Public ❑
IMPROVEMENTS PERMIT BY `:
r'`
INSTALLED BY (,
CERTIFICATE OF COMPLETION
BY ' Date
(8/16/73) *Construction must com al other appli a State and local regulations
LOT AREA