P252 Redland RdDAVIE COUNTY HE_ AL I H DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER' OR CONTRACTOR III ° DATE G: - ! /u;_ PERMIT
LOCATION '' �r ,5 ' k " :° l� ? 252
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE 1] MOBILE HOME IN BUSINESS
N0. BEDROOMS NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO 0
AUTO. DISHWASHER YES ❑ NO [D,-
AUTO.
"AUTO. WASH. MACHINE YES NF' NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK :rJ gal.
NITRIFICATION FIELD sq. ft.
DEPTH -OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
800 Gal. 400
o s,.
909Ga1. 900 Sq. Ft.
1000 Gal. 1200 Sq. Ft.
INSTALLED BY ///-d ,s / • Sev"vme
CERTIFICATE OF COMPLETION
By -$ Date �.'jlif
(8/161%73) *Construction must colppit
ly wh all other applicable State and locar regulatis
on
LOT AREA
t