P733 Turrentine Church Rd 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 ' r DATE j ',! ? - ?) PERMIITT
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LOCATION ? 733
S.'R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
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HOUSE ❑ MOBILE HOMEBUSINESS ❑
NO. BEDROOMS NO. BATHROOMS House Trailer 800�a_1 400 Sq- Ft.
... Two Bedroom House 80_0 Gall 60 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 ❑ „ ,�,;iJr'S
SITE SUITABLE YES [] NO ❑
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SIZE OF TANK gal. •� ,
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NITRIFICATION FIELD sq. ft. or f= '
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY / ,/.,..e✓',�',}. INSTALLED BYA.�'.�..
CERTIFICATE OF COMPLETION
BY Date
(8/16/73) *Construction must c ply with all other applicable State and local regulations
LOT AREA _
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