P277 Hickory HillDAME GO1JN HEALW DEPARTMENT
` (Septic Tank) Lnprovements Permit and Certificate of Completion .'
`(Ground Abeorgtion Sewage-Dispo.saSystem - G.S. Chapter 130 -Article
130
OWNER ..OR CONTRACTOR Y i .; ; . ; • 4 : ; t., .'i �� DATE ,. '� 1 .. �' 7
PERMIT
.
� ry r-�
277.
2
LOCATION
S.R.
NO.
SUBDIVISION NAME "�+ ico:a�,� fir I ; LOT N0. SECTION OR
BLOCK N0.
HOUSE -MOBILE:'HOME 13 BUSINESS [)
House Trailer 800
Gal. 400
Sq. Ft:
NO. BEDROOMS! .' NO..-BATHx00MS
Two Bedroom House 800
Gal.', 600
Sq. Ft:
GARBAGE DISPOSAL 'UNIT YES 0. N0 (
Three Bedroom House 900
Gal. 900
Sq. Ft.
AUTO. DISHWASHER YES Q'_ NO [3'
Four Bedroom.House 1000
Gal. 1200
Sq. Ft.
AUTO. WASH. MACHINE YES @ NO Q
SITE SUITABLEYES Q NO ii
t
}" ' z>✓a _: ►. �t��:v ,a,sF ° t
❑`
7s
SIZE- OF TANK gal
'
NITRIFICATION..FIELD -�!'� mil sq. ft.
DEPTH OF STONE IN.'LINESs