226 Neely RdDAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
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OWNER OR CONTRACTOR DATE ;°�' /`� . % %r y PERMIT
LOCATION 1942
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SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBIL
NO. BEDROOMS
GARBAGE DISPOSAL UNIT
AUTO. DISHWASHER
AUTO. WASH. MACHINE
SITE SUITABLE
SIZE OF TANK
BUSINESS
NO. BATHROOMS
YES ❑
NO
❑�
YES ❑
NO
❑
YES C17
NO
❑
YES CI
NO
❑
ga 1.
Gal.
1200. Sq.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: '
WATER SUPPLY: Individual ❑ Public U'
IMPROVEMENTS PERMIT BY 1,-
ez•,
0
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
800
Gal.
400 Sq.
Ft.
800
Gal.
600 Sq.
Ft.
900
Gal.
900 Sq.
Ft.
1000
Gal.
1200. Sq.
Ft.
INSTALLED BY
CERTIFICATE OF COMPLETION By T,, ( `� Date t l la � I
(8/16/73) *Construction must comply with All other applicable State and local regulations
LOT AREA