P363 Hwy 801SDAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Se , wage Disposal, System G.S. Chapter 130 -Article 13C)
OWNER OR C-ONTRACTOR DATE PERMIT
LOCATION •
SUBDIVISION NAME
HOUSE
HOME 0 BUSINESS
NO. BEDROOMS — 7 NO. BATHROOMS (;�
GARBAGE DISPOSAL UNIT YES El NO 0
AUTO. DISHWASHER YES 0 NO 0
AUTO. WASH. MACHINE YES [3 NO 0
SITE SUITABLE YES [3 NO 13
SIZE OF TANK Olt) ga 1.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual 0 Public ❑
IMPROVEMENTS PERMIT BY
CERTIFICATE OF COMPLETION
By
(8/16/73) *Construction -must coi
LOT AREA
... . ...... . ......
U- 11 1
SECTION OR BLOCK NO.
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
363
800 Gal. 400 Sq. Ft.
Ft -
1900 Gal' (.9_00 5q, Ft.
1000 Gal. 1200 Sq. Ft.
INSTALLED BY
Date
with all other applicable State and local regulations