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P7 Southwood AcresDAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground AbsQ�rp�Jion g/ew�jge Disposal System -,G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOE�,�'GiM f)►[id/R�r q�7 DATE ��%—,?--�� PERMIT LOCATION S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. NO. BAROOMS NO. BATHROOMS / s� GARBAGE DISPOSAL UNIT YES ❑ NO ❑ ` AUTO. DISHWASHER YES ❑ NO ❑ AUTO. WASH. MACHINE YES ❑ ' NO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINESs WATER ,SUPPLY: Individual'.' ❑ Public,.. 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. Four,.Bedroom House 1000 Gal. 1200 Sq. Ft. INSTALLED BY/�R.W-SZ i I f tee] CERTIFICATE OF COMPLETION Sy r Date (8/16/73) *Construction must coripff with ail other applicable State and local regulations (Ground OWNER OR CONTRA LOCATION d";, ,c_. to T/ SUBDIVISION NAME ti DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion 8 r ion Sewage Disposal System - G.S. Chapter 130 -Article 13C) DATE -. , PERMIT �s �seol,4Y . o �. N° 7 HOUSE //©` MOBILE NO. BE600MS GARBAGE DISPOSAL UNIT AUTO. DISHWASHER AUTO. WASH. MACHINE SITE SUITABLE SIZE OF TANK NITRIFICATION FIELD DEPTH OF STONE IN LINES: WATER SUPPLY: Individua IMPROVEMENTS PERMIT BY i HOME ❑ BUSINESS NO. BATHROOMS f i YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ gal. CERTIFICATE OF COMPLETION By - (8/16/73) *Construction must LOT AREA r i LOT NO. sq. ft. Public O.A. aw. SECTION OR BLOCK NO. House Trailer 800 Gal Two Bedroom House 800 Gal Three Bedroom House 900 Gal Four Bedroom House 1000 Gal 400 Sq. Ft. 600 Sq. Ft. 900 Sq. Ft. 1200 Sq. Ft. INSTALLED BY 1 iQ ✓•+� i % �' �J�� Date /2-3-71 with all other applicable State and local regulations 1 CERTIFICATE OF COMPLETION By - (8/16/73) *Construction must LOT AREA r i LOT NO. sq. ft. Public O.A. aw. SECTION OR BLOCK NO. House Trailer 800 Gal Two Bedroom House 800 Gal Three Bedroom House 900 Gal Four Bedroom House 1000 Gal 400 Sq. Ft. 600 Sq. Ft. 900 Sq. Ft. 1200 Sq. Ft. INSTALLED BY 1 iQ ✓•+� i % �' �J�� Date /2-3-71 with all other applicable State and local regulations 1