P51 Sheffield RdDAVIE COUNTY HEALTH DEPARTMENT
• .,'(Septic Tank) Improvements Permit and Certificate of Completion
(Grou4"Absorption Sewage Disposal. System - G.S. Chapter 130 -Article 13C)
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OWNER OR 'CONTRACTOR r <_ , �- t� %,/ _( DATE ..:' - -PERMI1
; No 51
LOCATION
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME BUSINESS ❑
AUTO. WASH. MACHINE YES -Q, NO ❑
SITE SUITABLE' +; YES f❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD tea a Vii' sq. ft.
DEPTH OF STONE IN LINES: &Pr
WATER SUPPLY: Individual,.,Public ❑ r
IMPROVEMENTS PERMIT BY<>-; �. _�--s�vt, INSTALLED BY
CERTIFICA
(8/16/73)
LOT AREA
TE OF COMPLETION
By
*Construction must
1
Date
with all other applicable State and local regulations
r
House Trailer
8_.QD_ ,al.
4D-Ct—aZ.
Ft.
NO. BEDROOMS C: NO. BATHROOMS
Two Bedroom House
�00 Gal)
QOO.S�
Ft I
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
Three Bedroom House
900 Gal.
900 Sq.
Ft.
AUTO. DISHWASHER YES ❑ NO ❑
Four Bedroom House
1000 Gal.
1200 Sq.
Ft.
AUTO. WASH. MACHINE YES -Q, NO ❑
SITE SUITABLE' +; YES f❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD tea a Vii' sq. ft.
DEPTH OF STONE IN LINES: &Pr
WATER SUPPLY: Individual,.,Public ❑ r
IMPROVEMENTS PERMIT BY<>-; �. _�--s�vt, INSTALLED BY
CERTIFICA
(8/16/73)
LOT AREA
TE OF COMPLETION
By
*Construction must
1
Date
with all other applicable State and local regulations
r