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P745DAVIE 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 ; ` ;, c.. DATE - - ' PERMIT. -. LOCATION � �. ,�. ; � - � f.� 745 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE [1 MOBILE HOME EJ 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 44*W sq. ft. DEPTH OF STONE IN LINES: .'.c. �Im , WATER SUPPLY: Individual ❑ Public IMPROVEMENTS PERMIT BY House Trailer Two Bedroom House Three Bedroom House Four Bedroom House 800 Gal. 400 Sq. Ft. 800 Gal. 600 Sq. Ft._ i 900 Gala _%9i70 5q.wFt.� 1000 Gal. 1200 Sq. Ft. r INSTALLED BY - CERTIFICATE OF COMPLETION BY M, Date J�r� ` t+ S� �� 7 (8/16/73) *Construction must comply with Al of r Oplicable State and local regulations LOT AREA