P696 Wagner RdDAVIE COUNTY HEA),TH DF-PARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal
System - G.S. Chapter 130 -Article 13C)
(OWNER)OR CONTRACTOR�~
DATE "'PERMIT
r
N�
696
LOCATION
S.R. NO.
SUBDIVISION NAME
LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME
BUSINESS
House Trailer 800 Gal. 400
Sq. Ft.
NO. BEDROOMS NO.
BATHROOMS
Two Bedroom House 800 Gal. 600
Sq. Ft.
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
❑
NO ❑
SITE SUITABLE YES
❑
NO ❑
- - ti'• .:: .
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SIZE OF TANKX14^ta'a1•
ga 1.
_
(1 ='' r < < < r": I • "'
NITRIFICATION FIELD
sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual
Public ❑
IMPROVEMENTS PERMIT BY
{^
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INSTALLED BY
CER
FICATE OF COMPLETION 11
By—
(8/16/73) *Construction must
LOT AREA
Date 11- I Z-7 5
omply with all other applicable State and local regulations
of cif p V r