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P1024 Fairfield Rda DAVIE COUNTY HEALTH DEPARTMENT .(Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR '''J ' ' i DATE yl- PERMIT i LOCATION / - !- ' 9 1024 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE ❑ MOBILE HOME BUSINESS ❑ a Date - r ` I %. *Construction must Amply House Trailer 800 Gal. 400 Sq. Ft.,<>`' NO. BEDROOMS _ NO. BATHROOMS Two Bedroom House 800 Gal. 60.0....5 Ft. q `� 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 ❑ i SIZE OF TANK 1 6D gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: " ,�i if,,( ��, , "'', 4`�. �-, �cfir � Z. f WATER SUPPLY: Individual Public ❑ ay.4 . `.,� ��t j rc)1. t ,, ��;�; •,y �, IMPROVEMENTS PERMIT BYINSTALLED BY CERTIFICATE OF COMPLETION (8/16/73) AOT, AREA t� 'i By ev Date - r ` I %. *Construction must Amply with all other applicable State and local regulations d•J'cfj�s ta.C• ,a: A •�a� h.lv�- ,Qdcc d eA-, p,�0 q— (?-?to - Nercle-A A -"he 1 Will Call w�►ev% re -r-+ ofd` r-cti W.rna�to `�-�0-76 - to1 10v,10,/leh^c/ 9' IV -,,.4