P889 Swicegood, JerryDAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvemeng Permit and Certificate of .Completion
(Ground"-Abs'oiption Sewage Disposal System G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR
DATE >j, PERMIT
LOCATION
889
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME E3 BUSINESS 0
NO. BEDROOMS NO. BATHROOMS
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO 0
Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO 0
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO
C
SIZE OF TANK gal. - J)C�' :"S. "T'
NITRIFICATION, FIELD sq. ft.
DEPTH OF STONE IN LINES:
J"'(
If WATER SUPPLY:,, Individual 0 Public
IMPROVEMENTS PERMIT BY tip
INSTALLED BY
CERTIFICATE OF COMPLETION
By Date Ik- 76
must
(8/16/73) *Construction mst ccdily with all
other applicable State and local regulations
LOT AREA
-7e
"IN