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120 Austine Lane Lot 2
DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements. Permit and Certificate of Completion (Ground Absoiption.Sewage//Disposal System - G. S. 'Chapter., 1,3 -0 -Article. 13C) OWNER OR . CONTRACTOx EQ rd /,14C Mi I— DATE PERMIT, 0 _Si!Tt`,y 4j Q h ,141, s - 1, N?. 379 LOCATION � � -- II S:R. NO. SUBDIVISION NAME _ r9"y �ry0-` �? +�F LOT NO. SECTION OR BLOCK N0. HOUSE ❑ MOBILE HOME BUSINESS I NO. BEDROOMS (I;. NO. BATHROOMS GARBAGE DISPOSAL UNIT; YES ❑ NO LE-1 .� AUTO. DISHWASHER II YES ❑ NO -AUTO. WASH. MACHINE YES 9T NO ❑ SITE SUITABLE 'j YES 121'= 0 " ` SIZE OF TANK . gal. 'I -A NITRIFICATION. FIELD sq. ft. DEPTH OF STONE IN LINES s .R y "{ .1 1it WATER SUPPLY:. Individuals Pub ic. ❑ 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. Your Bedroom House '1000 Gala 1200 Sq. Ft. INSTALLED Bette` CERTIFICATE OF .COMPLETION By- � _� �` r P �/�D++�i Date' - — (8/16/73) *Construction must �ompl /with all other applicable State and local regulations LOT AREA 7.7'" ._�• }�.7 f� f'�» �f R" �'` l � - '�. � �Y Ori .... _ L ff �: Lot No. j Tax Block: ----,.--,.— Subdivision - _ :'.pplicant: Location: Address! )ate: PERCOLATION TLSTS RESULTS TEST HOLE RESULTS 1 Minutes per Inch 2 ��•� Minutes per Inch 3 Zy. © Minutes per Inch 4 %7 / Minutes per Inch 5d% Minutes per Inch 6 SA D Minutes per Inch DATE TESTS COMPLETED.1 2 I hereby certify that the above test results were obtained by following the procedures outlined in this form and that these results are accurate and correct. Signed es ,+-- -V •dee. eg'stered Engineer ° COP, co 43�� s��red E��