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P89 Hwy 801N
4 DAVIE COUNTY HEALTHY L'-E-PARTMENT (Septic Tank) Improvements Permit and Certificate of Completion ' (Ground.Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR DATE ,3 S' – 4L PERMIT LOCATION 79�i��. %— f ,�,cs-� a-�_ NO SUBDIVISION NAME LOT NO. ,HOUSE ❑ MOBILE HOME ❑ BUSINESS ❑ NO. BEDROOMS _ NO. BATHROOMS c_�/__ GARBAGE DISPOSAL UNIT YES 0' NO ❑ -AUTO. DISHWASHER YES © NO ❑ AUTO. WASH. MACHINE YES Ll� NO ❑ SITE SUITABLE YES NO ❑' SIZE'—,& TANK 62p-0 gal. NITRIFICATION FIELD %„ n Q sq. ft. DEPTH OF STONE IN LINES: ' 1090 WATER SUPPLY: Individual Public ❑ IMPROVEMENTS PERMIT BY, J. i%. 1\V. SECTION OR BLOCK NO. House Trailer Two Bedroom House Three Bedroom House Four Bedroom House • 800 Gal. 400 Sq. Ft. 800 Gal. 600 Sq. Ft. 900 Gal. 900 Sq. Ft. �100T'Ga1 12 Sq. Ft. INSTALLED BY ,�+�./,z� / CERTIFICATE OF COMPLETION ' By Date (8/16/73) *Construction must c ly with all other applicable State and local regulations LOT AREA L`J` Il 'J 0