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P57 Foster Dairy Rd
DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorp on Sewage Disposal System - G.S. Chapter 130 -Article 4 3C) OWNER OR CONTRACTOR^/'�t ; !. e , �r;r�"1Z 6Y I ;'/ '.,DATE ! " `?_- PERMIT 11T° 57 LOCATION;r t S. R. NO. lrr21 SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE ® MOBILE HOME ❑ BUSINESS ❑ NO. BEDROOMS NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ NO ❑ AUTO. DISHWASHER YES ®^„r NO ❑ AUTO. WASH. MACHINE YES © NO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY Individual,-� ❑ Public ❑ IMPROVEMENTS PERMIT BY a", jC-� a .~ CERTIFICATE OF COMPLETION By --I (8/16/73) *Construction must c LOT AREA 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. INSTALLED BY 6Wy4J04,1Woly %- Sorl 4� •!+t.� Date !!K 7 © " with all other applicable State and local regulations