P996 Pete Foster RdDAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR DATE PERMIT
LOCATION r N? 996
S.R. NO.
SUBDIVISION NAME - LOT NO. SECTION OR BLOCK NO.
HOUSE fU MOBILE
NO. BEDROOMS_
GARBAGE DISPOSAL UNIT
AUTO. DISHWASHER
AUTO. WASH. MACHINE
SITE SUITABLE
SIZE OF TANK
BUSINESS
NO. BATHROOMS
YES
❑
NO
®°.
YES
❑
NO
❑'"
YES
0`
NO
❑
YES
❑
NO
❑
— gal. Fop - %-�a a yr
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.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: 1 1/ If ue I
WATER SUPPLY: Individual Q` Public ❑
IMPROVEMENTS PERMIT BY INSTALLED BY C -
CERTIFICATE OF COMPLETION � Date (1"5"71—
(8/16/73) *Construction must c ply with all other applicable State and local regulations
LOT AREA