P727 Bingham StDAVIE COUNTY,HEALTH DEPARTMENT
(S.ephc: an k).,:Improvements,.Permit and.CertifiCat�;{gf_Completion
nd
(GrouAbsorption Sewage Disposal System - G.S. Chapter 130-Article`13C)
OWNER OR CONTRACTOR +;;" t :' DATE ,$:. , 7 dr. PERMIT
LOCATION /f i .;P—+�Iw +� .�- ,,,e�G /i r+> l' 727
S. R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME BUSINESS ❑
/
N0. BEDROOMS N0.
BATHROOMS""'
House Trailer
Two Bedroom House
80_0 Gal. 400 S Ft.
"$OOrGa1.�+ 600q."t
GARBAGE DISPOSAL UNIT YES
❑ NO 03,
Three Bedroom House
a t.
AUTO. DISHWASHER YES
&' NO ❑
Four Bedroom House
1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES
SITE SUITABLE YES
[D ANO ❑
®' - NO ❑
,r /
R . J
•, 3
(y 1�S r�
SIZE OF TANK DO gal.
IX
NITRIFICATION FIELD QQ sq. ft.
' — -. 43 y
DEPTH OF STONE IN LINES:
!1
WATER SUPPLY: Individual
❑ Public
41"
IMPROVEMENTS PERMIT BY
�)r�e:` _
INSTALLED BY
CERTIFICATE OF COMPLETION " - -1--
��� _
By _t.e Date ..
(8/16/73) *Construction must comp with all other applicable State and local regulations
LOT AREA