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P86DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion ... (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) '" / PERMIT OWNER OR CONTRACTOR DATE •�.� N° LOCATION 86 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE ., MOBILE HOME El BUSINESS ❑ NO. BEDROOMS NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ NO ❑ AUTO. DISHWASHER YES,❑ NO ❑ AUTO. WASH. MACHINE YES t_1 NO ❑ SITE SUITABLE YES ❑ N� 0, ❑ SIZE OF TANK 00 gal. - J NITRIFICATION FIELD c © sq. ft. DEPTH OF STONE IN LINES: j,:)7 1S'A a A-, WATER SUPPLY: Individual ,Public ❑ IMPROVEMENTS PERMIT BY J `• 'iJ CERTIFICATE OF COMPLETION By_ (8/16/73) *Construction must LOT AREA House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House _ 800.Gal. 600 Sq. -Ft. c_...Three-Bedroom House. _ ._900_.. Gal- 900 Sq. Ft. Four Bedroom House 1000 Gal. 1200 Sq. Ft. INSTALLED BY Date ')- X- vs - with all other applicable State and local regulations j l/r r