1503 County Line Rd'
(SEPTIC TANK)",IyV�aOTK
T AND CERTIFICATE OF COMPLETION
;. (Ground Ab sorp ion Sewage Disposal System - G.S.YChapter 130 -Article 13C)
OWNER OR CONTRACTOR
DATE C6 = 2j�f- � 3 PERMIT NO.
1 LOCATION
S.R. NO.
SUBDIVISION NAME nN LOT NO.
SECTION. OR BLOCK NO.
.HOUSE: MOBILE HOM BUSINESS
LOT AREA
I ' N0. DRO MS NO. BATHROOMS
GARBAGE DISPOSAL UNIT: YES Ct .NO
AUTO.` DISHWASHER YES Q NO Q
_r-
=' AUTO. WASH. MACHINE YES 0 NO =f
-
SITE SUITABLE` - YES h3 NO ]�
i SIZE OF TANK gal.': 44A � t;T- 60,
is
NITRIFICATION FIELD J00 0 sq. f t.
s DEPTH OF STONE IN LINES:
,. WATER SUPPLY: Individual , Public
-IMPROVEMENTS PERMIT BY.
INSTALLED B— ,^ C ..
CERTIFICATE. OF COMPLETION BY
DATE
(8/16/73). *Construction must comply with.all
other applicable State'and local regulations