P438 Davie Academy RdDAVIE COUNTY HEALIffDEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
:._ (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
�OWNE$.,OR CONTRACTOR ' , , r , . DATE PERMIT
LOCATION ^` N9 438
AJC%•: .�c� 11 r. ar'�:`i Cr t' t vt` rr: ,.� (,t�h fat.�;.�r
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE
NO. BEDROOMS
GARBAGE DISPOSAL UNIT
AUTO. DISHWASHER
AUTO. WASH. MACHINE
SITE SUITABLE
SIZE OF TANK
NO. BATHROOMS "-1
YES
❑
NO
YES
Q"
NO
❑
YES
I3" .
NO
❑
YES
®
NO
❑
gal .
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800.Ga.1. 600, -Sq. F_t.
Three Bedroom House,,. 900 Gal.'!C'900 Sq. Ft.)
Four Bedroom House 1000 Gal. 1200"Sq. Ft.
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY Y�, �. •:. � �. '1 .•... •._ :.� INSTALLED BY
CERTIFICATE OF COMPLETION
By—
(8/16/73) *Construction must c
LOT AREA
t Date vt r U ! 3
with all other applicable State and local regulations
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