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P391
DAVIE COUNTY HEALTH DEPARTMENT r - (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR -,CONTRACTOR ? --t DATE PERMIT LOCATION -.w. r 1\ 391 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE ,� i BUSINESS ❑ NO. BEDROOMS NO. BAT�ROOMS GARBAGE DISPOSAL UNIT YES [0, NO ❑ AUTO. DISHWASHER YES ❑�, NO ❑ AUTO. WASH. MACHINE YES O i NO ❑ SITE SUITABLE YES © NO ❑ SIZE OF TANK - ` gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual Pubj,ic ❑ IMPROVEMENTS PERMIT BY 5 r.. CERTIFICATE OF COMPLETION By—i (8/16/73) *Construction must c LOT AREA House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House „ 800.,Ga,l. 600 Sq._Ft. Three Bedroom Houser •900 ,G41.',, -90-0--:Sq–,Ft , Four Bedroom House 1000 Gal. J1200 Sq. Ft., INSTALLED BY Date -" S with alf other applicable State and local regulation's` to for/ldl ; e J. , \� p - _. 1 f f. s � a