P1260 Redland RdDAVIE COUNTY HEALTH DEPARTMENT f " d'
(Septic Tank) Improvements Permit and Certificate of Completion ,>�.?'
(Ground Absorptio Sewage Disposal'S stem - G.S. Chapter 1-L0-Artjcle 13C)
OWNER OR CONTRACTOR DATE L= `° ' PERMIT
1 -� r'" -- N� 1260
LOCATION ~- } C' �/rui t, car 'S'.,. i f � .• 1 F ` �j y ,' .-,ro % � .� F";"- ;dam
"
S. R. NO.
SUBDIVISION NAME t-1- f r' T/D LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE
HOME
j$ BUSINESS ❑
NO. BEDROOMS
N0.
BATHROOMS
GARBAGE DISPOSAL UNIT
YES
T—
❑ - NO
AUTO. DISHWASHER
YES
g` -,NO
AUTO. WASH. MACHINE
YES
M" NO 'Y ❑
SITE SUITABLE
YES
❑ NO ❑
SIZE OF TANK
gal.
NITRIFICATION FIELD
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual
IMPROVEMENTS PERMIT BY
sq. ft.
Public ❑
CERTIFICATE OF COMPLETION By
(8/16/73) /*Construction must comp
LOT ARE''`A
House Trailer
800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal 600 Ftp
Ft.!Four
Three Bedroom House
00Gal 900 S
ro
Bed�m House6�"Ga
1200 Sq. Ft.
STALLED BY �� .� S. , Pte.
't In&.,& Date
with all other applicable State and local eegu ations