P452 Dalton RdDAVIE COUNTY tlEA.LTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absoron Sebe Disposal System - G.S. Chapter 30 -Article 13C)
OWNER OR CONTRACTOR r;i eS DATEf ;-.�" PERMIT
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LOCATION 452
,t� ��' ,ft" ,� � ;� ' ;� , i;. r'� i_ � `` '� � -� ;;r f �, ;� � ,.�4 �- �" ,�
" S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME El BUSINESS ❑
NO. BEDROOMS NO.'BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK '^ gal.
NITRIFICATION FIELD ¢✓c'. C7� sq. ft.
DEPTH OF STONE IN LINES: it", -41
WATER SUPPLY: Individual. Public ❑
IMPROVEMENTS PERMIT BY rt
House Trailer 800 G.aall. 400 Ft.
Two Bedroom House L 800 Gal:,,� 600 S Ft.
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Three Bedroom House 900 Gal. 9(i0 Sq. Ft.
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
CERTIFICATE OF COMPLETION By_ .Nr� Date
(8/16/73) *Construction must co ply with all other applicable State and local regulations
LOT AREA