293 N Pino RdA
DAVIE COUNTY HI✓ALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR,Ij DATE �]-- , - 'It' PERMIT
LOCATION ;,� N° . 244
r S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME A BUSINESS ❑
NO. BEDROOMS NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO L?
AUTO. DISHWASHER - YES `❑ NO ®r.
AUTO. WASH. MACHINE YES 0 " NO ❑
SITE SUITABLE YES ❑ 0 ❑
SIZE OF TANK e4m gal. c�.50,dpl1
NITRIFICATION FIELD U (7 sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual.� Public ❑
IMPROVEMENTS PERMIT BY
House Trailer 8
Two Bedroom House ,$Q1?., al
Three Bedroom House 900 Gal.
Four Bedroom House 1000 Gal.
400
900 Sq. Ft.
1200 Sq. Ft.
INSTALLED BY/,!J /
0
CERTIFICATE OF COMPLETIONBy Date
(8/16/73) *Construction must compM with all other applicable State and local regulations
LOT AREA
4,41
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