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P248 John W DavisDAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article .13C)., OWNER OR CONTRACTOR ��Ann ��;%� �,� ;,�'F.r"'� DATE i'"_• F� PERMIT -` N. ° 248 .. LOCATION ..1>-,..x 1 '. , n l +' 'f '`� ! •".. ,,. S. R. NO. I•!,$?! SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE EM MOBILE HOME El 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 sq. ft. House Trailer ,.800...Ga1..-, r.,4DQ_Sg,_F.t. Two_Be,droom House 800 Gam k600 Sq. Three Bedroom House 900 Gal. 900 Sq. Ft. Four Bedroom House 1000 Gal. 1200.Sq. Ft. DEPTH OF STONE IN LINES: r WATER SUPPLY: Individual,, Public ❑ IMPROVEMENTS PERMIT BY -_-INSTALLED BY CERTIFICATE OF COMPLETION By�j, 9_ .7 t� ., r Date � a (8/16/73) *Construction must amply with all other applicable State and local regulations LOT AREA