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P980_ DAVIE 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 N9 980 S.R. N0. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE ❑ MOBILE HOME ❑ BUSINESS ❑ NO. BEDROOMS ,"W NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ NO ©' AUTO. DISHWASHER YES ❑ NO AUTO. WASH. MACHINE YES 3'' NO ❑ SITE SUITABLE YES ❑.- NO ❑ SIZE OF TANK ��' gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual ❑ Public �❑ , IMPROVEMENTS PERMIT BY House Trailer 800 Gal., 400 Sq. Ft. Two Bedroom House 800 Sq. Ft. Three Bedroom House _Gal,,, 11-0b Gal.' ;600 /900 Sq. Ft!. Four Bedroom House 1000-C'91'' 1200 Sq. Ft. J Y•i.j .. 35'y ; l E i INSTALLED BY •2 S CERTIFICATE OF COMPLETION By 1ij Date &- -7& (8/16/73) *Construction must comply with all her 4plicable State and local regulations LOT AREA ':