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495 Childrens Home Rd •► DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground 16.bsor ti n Sewage Dispo System - G.S. Chapte 130-Article 13C) OWNER OR CONTRACTOR ,yytJ DATE7b Vr.2 ERMI TT 1\ LOCATION o 1247 S.R. NO. SUBDIVISION NAME W17 A LOT NO. SECTION OR BLOCK NO. HOUSE ❑ MOBILE HQME BUSINESS ❑ House Trailer 800 Gal. 400 Sq. Ft. NO. BEDROOMS ��j N0. BATHROOMS Two Bedroom House 800 Gal.. 600 Sq. Ft. GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft. AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq.- Ft. AUTO. WASH. MACHINE YES ❑ NO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK / Zr27 ,o gal. NITRIFICATION FIELD ©p sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: IndividualPublic. [3E� IMPROVEMENTS PERMIT BY c INSTALLED BY AN CERTIFICATE OF COMPLETION BY Date (8/16/73) *Construction must comp with all other applicable state and local regulations LOT AREA 44 9 � jaD` rran� e�ls 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 A/41; ERMI T LOCATION N? 1247 S.R. NO. a, SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE ❑ MOBILE HOME BUSINESS ❑ NO. House Trailer 800 Gala 400 Sq. Ft. NO. BEDROOMS BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft. GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft. AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft. AUTO. WASH. MACHINE YES ❑ NO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK r' gal. NITRIFICATION FIELD C t sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual Public ❑ IMPROVEMENTS PERMIT BY `;" ,. .j -T -� INSTALLED BY CERTIFICATE OF COMPLETION By ' � >:, ..wa - L�, Date (8/16/73) *Construction must comply with all other applicable State and local regulations LOT AREA { I i r ' i deo /�"� `rn 1� r