689, 701, 717 Cornatzer Rd DAVIE COUNT1 TH_DEPARTMENT
(Septic Tank) Improvements,Pe and Certificate of Completion
(Ground Absorption Sewage Dis o `al' System - G.S. Chapter 130-Article 13C)
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OWNER OR CONTRACTOR :-"t r f ,r' `f DATE /p), ?J'' PERMIT
LOCATION �. .'+!: ti •�` :it t?�.n .�:S a .: «t r i rJ �.:`....,1 N . 812
--,S.R. NO.
SUBDIVISION NAME. LOT NO. SECTION OR BLOCK NO. .
HOUSE ❑ MOBILE HOME 0 BUSINESS ❑
House Trailer 800 Gal. 400 Sq.s_Ft.
N0: BEDROOMS ' NO. BATHROOMS Two Bedroom House 00 Ij
-= -- Gal. 600 Sq. Ft.
GARBAGE'DISPOSAL UNIT YES ❑ NO Three Bedroom House 900 Gal. 900 S'�
AUTO. DISHWASHER,' YES ❑ NO Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES C NO
SITE. SUITABLE YES [9-"NO ❑ o
SIZE OF TANK ga 1'., 0-r
NITRIFICATION FIELD, , �? sq._ ft. 3 ` �X ' X t c/� �' '�' �•
DEPTH OF STONE,`i LINES: �.. / J, J (,�s c► 'r,' ;,
WATER SUPPLY: Individuate Public [3IMPROVEMENTS PERMIT.BY INSTALLED BY
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CERTIFICATE OF COMPLETION` BY Date
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(8/16/73) *Construction must comply with all oth ap icable State and local regulations
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