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P504 Turrentine Church RdDAVIE COUNTY HEALTH DEPARTMENT • (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130-A3ttJcle 13C) OWNER OR CONTRACTOR C Q r\ J Q e�j DATE \fj..'] J PERMIT LOCATION Y 1\ 504 S.R. NO. SUBDIVISION NAME HOUSE 1]' MOBILE HOME LOT NO. BUSINESS ❑ NO. BEDROOMS 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 q m sq. ft. DEPTH OF STONE IN LINES: a "Ie e,1 WATER SUPPLY: Individual Cl Public ❑ SECTION OR BLOCK NO. House Trailer 800 .Gal. 400 Sq. Ft. Two Bedroom House 800 Gal. 600 Sq. Ft. Three Bedroom House °900 Gal � t900 Sq. Ft'.° Four Bedroom House 1000 Gal. 1200 Sq. -'-PE-.' IMPROVEMENTS PERMIT BY - + t . LINSTALLED BY IFrarX C -G r r\hnra+ CERTIFICATE OF COMPLETION BYS . rnQ d Date (8/16/73) *Construction must omply with all other applicable State and local regulations LOT AREA Y i } o0'X3'AQ- A utl 93 �t 1 t �