732 S Salisbury StDAVIE COUNTY HEAfTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewa a Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR �- 1 (C r DATE ;� - - % - PERMIT
N° 158
LOCATION, C $
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME ❑ BUSINESS1
NO. BEDROOMS —n— NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK EO -D gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: /Z )n• G��,- �"
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY --
CERTI
(8/16/73)
LOT AREA
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
INSTALLED BY
800
Gal.
400
Sq.
Ft.
800
Gal.
600
Sq.
Ft.
900
Gal.
900
Sq.
Ft.
1000
Gal.
1200
Sq.
Ft.
TE OF COMPLETION By ma"A% Date
*Construction must co ly with all other applicable State and local regulations