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P1352 Hwy 601S
DAVIE 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 E t n ;1 L"o c1C. tC DATE fi = ,C;' PERMIT LOCATIONr1� �:.t {r 6 ren Itr-r �,.i• �':,,c' �'i�z�.�� j�;�..�. tit�;��ti�. L+r° r SUBDIVISION NAME LOT NO. HOUSE ❑ MOBILE HOME ® BUSINESS NO. BEDROOMS .2 NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ NO '©' AUTO. DISHWASHER YES ❑ NO Q AUTO. WASH. MACHINE YES E'i NO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK 76D ga1.'S`naa F ..�.' . NITRIFICATION FIELD 3;).o sq. ft. DEPTH OF STONE IN LINES: 24" bevel WATER SUPPLY: Individual Public ❑ IMPROVEMENTS PERMIT BY �v�t'£.1 vt-,S\b CERTI (8/16/73) LOT AREA S. R. NO. SECTION OR BLOCK NO. 1352 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 J:w.w.� lAw��bei1 TE OF COMPLETION " n1aMa� Date *Construction must comply with all other applicable State and local regulations 15 n, ex B//2,'lC„',L It 1) r : u c.-