P32 Duke Whittaker RdDAVIE COUNTY HEAT TH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absor tjon Sewage�f�ispos 1 System - G.S. Chapter 130 -Article 13C)
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OWNER OR CONTRACTOR k
& / rt U '� .t
DATE
��MIT PER
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N°
32
LOCATION It'd /Z 1.
S.R. NO. tri/,.,
SUBDIVISION NAME
LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME
BUSINESS ❑:�
(t,�1.0
"8 '0"0'
NO. BEDROOMS NO.
BATHROOMS
House Trailer
Gal. 400
Sq. Ft.
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Two Bedroom House
800 Gal. 600
Sq. Ft.
GARBAGE DISPOSAL UNIT YES
❑ NO ❑
Three Bedroom House
900 Gal. 900
Sq. Ft.
AUTO. DISHWASHER YES
❑ NO ❑
Four Bedroom House
1000 Gal. 1200
Sq. Ft.
AUTO. WASH. MACHINE YES
❑ NO ❑
SITE SUITABLE YES
❑ NO ❑
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SIZE OF TANK 7'? gal.
NITRIFICATION FIELD
�Q,d sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual
❑Publ c ❑
IMPROVEMENTS PERMIT BY ,Si !� = ��+,._
INSTALLED BY U J:
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CERTIFICATE OF COMPLETION
By -
1414 -
Date _
(8/16/73) *Construction must comply with all other applicable State and local regulations
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LOT AREA
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