158-182 Cricket LnDAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absor tion Sewage Disposal, System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACT011T r_ DATE PERMIT
LOCATION
SUBDIVISION NAME
S.R. NO,
LOT NO. SECTION OR BLOCK NO.
HOUSE ®'... MOBILE HOME ® BUSINESS G1
NO. BEDROOMS NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES 0 NO
AUTO. DISHWASHER YES Cff- NO �]
AUTO. WASH. MACHINE YES CO.._ NO El
SITE SUITABLE YES D NO
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINESs
WATER SUPPLY: Individual 'Public
House Trailer 800 Gal. 400
Sq.
Ft.
Two Bedroom House 800 Gal. 600
Sq.
Ft.
Three Bedroom House . 900 Gal:. 900
Sq.
Ft.
Four Bedroom House 1000 Gal. 1200
Sq.
Ft.
Vv
- IMPROVEMENTS PERMIT BY INSTALLED BY
CERTIFICATE OF COMPLETION
gY—
(8/16/73) *Construction must c
LOT AREA
.a
fr
P �r
Date
with all other applicable State and local regulations
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