P424 Markland RdDAVIE COUNTY H4
H DEPARTMENT
r (Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR DATE r t PERMIITT
LOCATION 1' 'f ,. 1 _ �. 1 l t �. N� 4247.
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE
HOME
Ej
BUSINESS ❑
;_,
House Trailer
800 Gal. 400
Sq. Ft.
NO. BEDROOMS
NO.
BATHROOMS
Two Bedroom House
800 Gal. 600
_sq -_.Et„.
GARBAGE DISPOSAL UNIT
YES
ElNO
❑
Three Bedroom House
x600 Gal?
AUTO. DISHWASHER
YES
❑
NO ❑
Four Bedroom House
1000 Gal. 1200
Sq. Ft.
AUTO. WASH. MACHINE
YES
❑
NO ❑
SITE SUITABLE r
YES
❑
NO ❑
w
Sc C—
SIZE OF TANK % -'
gal.
NITRIFICATION FIELD ..tom'
-r
4-0 sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual
p
Public ❑
IMPROVEMENTS PERMIT BY
r r
+ ' ' ; .•- .. :�
INSTALLED BY
CERTIFICATE OF COMPLETION
BY �F1,^. `n^cL., � � Date ��
(8/16/73) *Construction must coply with all other applicable State and local regulations
LOT AREA/ ,r z�
r
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