P599 Hwy 601SDAVIE 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 DATE / ; u' ' >> : PERMIT
LOCATION 1 . / , -7 .;' r: • 1' ;r' ( -�.,,� �� lr 599
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SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE) MOBILE HOME,] BUSINESS
NO. BEDROOMS _:;i NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD 9'Oy sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Q Public ❑
IMPROVEMENTS PERMIT BY
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 8,_,Q.D_ c 1. 6Q0L-.
Three Bedroom House (x900 Gala r 00 S�Ft.j
Four Bedroom House 100 Gal. 1200 Sq. Ft.
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INSTALLED BY 'D P., .t- S l- CD t
CERTIFICATE OF COMPLETION BY�1^� Date
(8/16/73) *Construction must c mply with all other applicable State and local regulations
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