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P338 Bracken RdDAVIE COUNTY HEALTH •DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Dis1 f,posal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR �'i"`�I' t''� el! 1'1 .,j .i DATE r`"i,:�.'?;.�r, �'5"'`�+'PERMIT LOCATION.A l (9 .. SUBDIVISION NAME S. R. NO. LOT NO. SECTION OR BLOCK NO. HOUSE ❑ MOBILE HOME D BUSINE�S ❑ `R NO. BEDROOMS �N(SBATHROOMS GARBAGE DISPOSAL UNIT �-Eq ❑ NO U y AUTO. DISHWASHER YES ❑— NO Q AUTO. WASH..MACHINE YES ETA',, 'NO' ❑ SITE SUITABLE YES [ NO ❑j SIZE OF TANK oOtO gal. Jr �o �`,'j(ZC114s NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual , Public IMPROVEMENTS PERMIT BY House Trailer Two Bedroom House Three Bedroom House Four Bedroom House 338 800 Gal. 400 1Sq. Ft. 800 Gal., �- Or L5P_§ q .F t 1000 Gal. 1200 Sq. Ft. INSTALLED BYf r hV� ��p yrsN 5i • CERTIFICATE OF COMPLETION By (8/16/73) *Construction must comp!L with 'all other ap LOT AREA (� C.r[►C/t.A.Q__ Date 7'T —I f 4L ile State and local regulations