P385 Cooleemee - SpillmanDAVIE 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 DATE a r PERMIT
LOCATION r w� t lr 385
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE p MOBILE HOME ❑ 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 2049 gal. '30 a �
NITRIFICATION FIELD 3 1 7 sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual. ❑ Public ❑
IMPROVEMENTS PERMIT BY
CERTIFICATE OF COMPLETION
• BY—
(8 W73) *Construction must
LOT AREA
j4
5�
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
8QQ__Ga_1.
400
S.q. Ft.
8Q0.Ga1�
600
,Sq.__Ft
900 Gal.
900
Sq. Ft.
1000 Gal.
1200
Sq. Ft.
INSTALLED BY
Date 1.2
with all other applicable State and local regulations
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0
144,.
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