P185 Jericho Church Rd DAVIE COIT14TYHEALTH DEPARTMENT
*w' (Septic Tank) Improv,ments Permit and Certificate of Completion
IER*R
round Absorptionwage Disposal System - G.S. Chapter 130-Article 13C)
CONTRACTOR DATE PERMIT
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LOCATION $ ! 1\ . O 5
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BE ROOMS 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 VEr' Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ( NO ❑
SITE SUITABLE YES ( NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD • t.S'i sq. ft.
DEPTH OF STONE IN LINES: • r`
WATER SUPPLY: Individual `Public ❑ �'`a
IMPROVEMENTS PERMIT BYg YYr .J INSTALLED BY
CERTIFICATE OF COMPLETION .. 3✓�
BY Date
(8/16/73) *Construction must Omply with all other applicable State and local regulations
LOT AREA ITO X !fhb`
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