Loading...
P1512 FryeDAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit, and Certificate of Completion (Ground Absc..rption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR DATE PERMIT LOCATION N? 1512 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE ❑' MOBILE HOME ❑ 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 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 Gal. 600 Sq. Ft. Three Bedroom House 900 Gal. 900 Sq. Ft. Four Bedroom House 1000 Gal. 1200 Sq. Ft. INSTALLED BY,t�Cii J app `Z CERTIFICATE OF COMPLETION By Date a �� (8/16/73) *Construction must comply with Al. other applicable State and local regulations LOT AREA DAVIE COUNTY HEALTH DEPARTi�ENT P. 0. BOX 57 r HOCKSVILLE, N. C. 27028 �\ (704) 634-5985 Statement for Septic Tank Improvement Permits and/or Site Evaluations NAME ,' <-1, •.. < �� ;,, .,��� DATE ISSUED ADDRESS .'Cc ' PERMIT NO. Explanation of charge AMOUNT DUE ;`Z, SANITARIAN ~, PLEASE RE14IT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.