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P331 Eddie Hubbard Farm
DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorptip gewageeDisp(jsaljS stem - G.S. ChapJt r 130 -Article 13C) ey OWNER OR CONTRACTOR �� �-`� �'-� i` -ZiA4" DATEL,J,9 -7 ` � � PERMIT LOCATION N / �` ? 331 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. NO. BEDROOMS GARBAGE DISPOSAL UNIT AUTO. DISHWASHER AUTO. WASH. MACHINE SITE SUITABLE SIZE OF TANK BUSINESS ❑ NO. BATHROOMS YES ❑ NO 0 O YESPNIO ©' YES O E]YES ❑ _ ga 1. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individua�Z,, Public ❑ IMPROVEMENTS PERMIT BY :-r ,��~�s�►-+,, House Trailer Two Bedroom House Three Bedroom House Four Bedroom House INSTALLED BY 4Q -Q 900 Gal. 900 Sq. Ft. 1000 Gal. 1200 Sq. Ft. r CERTIFICATE OF COMPLETION By Date (8/16/73) *Construction must com with all other applicable State and local regulations LOT AREA S