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977 Duke Whitaker Rd (2)DAVIE COUNTY HEALTH DEPARTMENT _ t (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR ' DATE PERMIT LOCATION 1\ 1004 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUS BUSINESS NO. BEDROOMS "�l NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ NO.--' AUTO. DISHWASHER YES ❑-f NO ❑ AUTO. WASH. MACHINE YES El' NO ❑ SITE SUITABLE YES ©• NO ❑ SIZE OF TANK ,f.7''.) gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual ❑' Public IMPROVEMENTS PERMIT BY CERTIFICATE OF (8/16/73) *Construction mus 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 {` �AAQ, ," --) Date -//,-,/-,L — omply with all other applicable State and local regulations J . l DAVIE COUNTY HEALTH DEPARTMENT • (Septic Tank) Improvements Permit and Certificate of Completion 800 (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR poq C' 1A I r DATE a- q/-7(' PERMIT LOCATION I, a J p� %,_ rT� L V, . L c F�- — P �, , _ - % d - N9 1004 LPf1� 900 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE Q ' MOBILE HOME U BUSINESS NO. BEDROOMS - NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ NO Zl--. AUTO. DISHWASHER YES ❑-- NO ❑ AUTO. WASH. MACHINE YES ED' NO ❑ SITE SUITABLE YES [2" NO ❑ SIZE OF TANK gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual Oz Public ❑ IMPROVEMENTS PERMIT BY } 6'� 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 FIL S 77-, �y) CERTIFICATE OF COMPLETION Date" (8/16/73) *Construction mus comply with all other applicable State and local regulations LOT AREA