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P1712 Hwy 801S
DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements P;rmit and Certificate of Completion (GroundAbsorpt(� n Sewage Disposal System -'G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR Pxd b p l Q eAA,4-4 DATE PERMIT LOCATION e'01 ddya,,� l s� Q /'�� c11 N? 1712 S. R. NO. SUBDIVISION NAME HOUSE ©' . MOBIL.' NO. BEDROOMS 3 LOT NO. BUSINESS ❑ NO. BATHROOMS 2— GARBAGE GARBAGE DISPOSAL UNIT YES ❑ NO AUTO. DISHWASHER YES ❑ NO AUTO. WASH. MACHINE YES ❑ NO SITE SUITABLE ,�,� YES [3 NO q SIZE OF TANK � gal. NITRIFICATION FIELD 4" sq DEPTH OF STONE IN LINES: /� ~ leve L WATER SUPPLY: Individual ❑' Public IMPROVEMENTS PERMIT BY ri SECTION OR BLOCK NO. 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. t• tp. j,.t/�' INSTALLED BY CERTIFICATE OF COMPLETION BY Date (8/16/73) *Construction must comply with all other applicable State and local regulati n LOT AREA t 1 r y,; 4 �yy \il r 11-� 0-&A-1 11 ) - y) # DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) ER OR CONTRACTOR p�j;/%;49 DATE PERMIT LOCATION eI / ��ct�vt - / 5= 7�; ,•T /lam I N? S. R. NO. L SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE [21' MOBILE HOME ❑ BUSINESS ❑ NO. BEDROOMS 3 NO. BATHROOMS 3 - GARBAGE DISPOSAL UNIT YES ❑ NO ❑ AUTO. DISHWASHER YES ❑ NO ❑ AUTO. WASH. MACHINE YES ❑ NO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK a) gal. NITRIFICATION FIELD e�lcrn sq. ft. DEPTH OF STONE IN LINES: /,„/e"`e WATER SUPPLY: Individual [;-- Public ❑ IMPROVEMENTS PERMIT BY House Trailer Two Bedroom House Three Bedroom House Four Bedroom House 1 800 Gal. 400 Sq. Ft. 800 Gal. 600 Sq. Ft. 900 Gal. 900 Sq. Ft. 1000 Gal. 1200 Sq. Ft. INSTALLED BY CERTIFICATE OF COMPLETION By Date (8/16/73) *Construction must c ply with all other applicable State and local regulations,t LOT AREA ��, . f@2,•y c�%t--�s'i/ jDa� a%�'` 77. �.l 0A L 1