P297 Spillman RdDAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
k--i�t-Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
J _E OR CONTRACTOR 1J �:�. , c:� rx G_ DATE %D • ' PERMIT
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C..__ _ N . 297
LOCATION Iry l n C i x....
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
BUSINESS
NO. BEDROOMS -�4 NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD iS tb sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY
House Trailer 80-0-GaJ.409 - ,. Ft.
Two Bedroom House 00 Ga r60,E 0 Sq. Ft
Three Bedroom House 900 Gal. 900 Sq. Ft.
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
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INSTALLED BY St.4t', l a in
CERTIFICATE OF COMPLETION Byq& rA Date 10--f-7Y
(8/16/73) *Construction must c mply with all other applicable State and local regulations
LOT AREA
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