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P1995 Rosewood Lane
C - DAVIE COUNTY HEALTH DEPARTMENT F�J'(Gr9u_nd_Abs'oT' (Septic Tank), Improvements Peimit and Certificate of Completion on.,Sewage Disposal System.-. G.S. Chapter 130 -Article 13C) , : OR PERMITOWNER ONTRACTO$ DATE LOCATION �17 es 1995 S.R. NO. SUBDIVISION NAME .kC/ LOT NO. SECTION OR' BLOCK NO. HOUSE. MOBILE HOME ❑ BUSINESS NO.. BEDROOMS NO. BATHROOMS-- GARBAGE DISPOSAL UNIT. YES ❑ NO ©" AUTO..DISHWASHER YES NO ❑ AUTO. WASH. MACHINE YES ( NO ❑ SITE SUITABLE YES C] NO ❑ SIZE OF TANK gal'. NITRIFICATION FIELD sq. ft. i DEPTH.'OF STONE IN. LINES: 4. WATER SUPPLY: Individual: ❑ ' Pu laic i ❑ r, r IMPROVEMENTS PERMIT BY • �'&+ House Trailer , 800 Gal. 400 Sq. Ft. Two Bedroom House 800 Gal. 600 Sq. Ft. Three Bedroom House 900 Gal. 900 Sq. Ft. Bedroom House Gal., Sq. Ft. ,p^Four 11000 *1200 INSTALLED BYE`✓�%fin/ �.u.Yri+✓ Date applicable State and local regulations - . 7 f