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5555 Hwy 801S (2)DAVIE COUNTY HEALTH DEPARTMENT_, (Septic Tank) Improvements Permit and Certificate of Completion , (Ground Absorption Sewage DispIsal System -°G:S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR rz' DATE ?, PERMIT `7 4 No LOCATION 92 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE MOBILE HOME BUSINESS ❑ House Trailer 800 Gal." 400 Sq. Ft. N0. B DR0 MS NO. BATHROOMS Two Bedroom House 800 Gal.- 600 Sq. Ft. • -� GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 AUTO. DISHWASHER YES ❑ --NO 0 ---"Four Bedroom House 1000 Gal. 1200 Sq. Ft. AUTO. -WASH. MACHINE YES L`i" NO ❑ . SITE SUITABLE YES Q NO [3SIZE © OF TANK / gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER .SUPPLY:. Individual,�s�' (r Public ❑ � I�� '- �� '1 ' IMPROVEMENTS PERMIT BY BY CERTIFICATE OF COMPLETION- By Date��. (8/16/73) *Construction must , :omprf with all other applicable State and local regulations LOT AREA � e {+� ✓ V) s