P824 Caudle, ARDAVIE 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) ,
PERMIT
LOCATION �,7-� .
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NU
824
S.R.
NO. r:. �, •i
SUBDIVISION NAME
LOT NO. SECTION OR
BLOCK NO.
HOUSE ( MOBILE HOME
BUSINESS
❑
/
f
House Trailer 800
Gal. 400
Sq. Ft.
NO. BEDROOMS NO.
BATHROOMS
_
Two Bedroom House 800
Gal. 600
Sq. Ft.
GARBAGE DISPOSAL UNIT YES
❑ NO ❑,-'A;:
Three Bedroom House 900
Gal. 900
Sq. Ft.
AUTO., DISHWASHER YES
❑ NO [2--'
Four Bedroom House 1000
Gal. 1200
Sq. Ft.
AUTO. WASH. MACHINE YES
C',NO ❑
SITE SUITABLE YES
[�]-'`� NO ❑
'� f
SIZE OF TANK gal.
NITRIFICATION FIELD
0,6 sq. ft.
DEPTH OF STONE IN LINES:
1ARK x
WATER SUPPLY: Individual
Public ❑
IMPROVEMENTS PERMIT BY 1
-.
4; -L':! _,o:�
.INSTALLED BY
CERTIFICATE OF COMPLETION By ' Date'' w j7` 14
(8/16/73) *Construction must comply with all of er p icable State and local regulations
LOT AREA
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