P939 Children's Home RdDAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewa a Disposal System - G.S. Chapt r 13icle 13C)
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OWNER OR CONTR4CTOR,,.,— �J ,'��,. i +<. y f ,,.: -DATE , :PERMIT
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LOCATION 6i /• L . 4.�1% f ',r i .~ d = i '? ��'t %r,. • 1� r�►
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939
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SUBDIVISION NAME LOT NO. SECTION OR
BLOCK NO.
HOUSE ❑ MOBILE HOME BUSINESS ❑
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House Trailer 800
Gal. 400
Sq. Ft.
N0. BEDROOMS NO. BATHROOMS
Two Bedroom House 800
Gal. 600
Sq. Ft.
.
GARBAGE DISPOSAL UNIT YES ❑ NO �
Three Bedroom House 900
Gal. 900
Sq. Ft.
AUTO. DISHWASHER YES ❑ AiO (
Four Bedroom House1000
Gal. 1200
Sq. Ft.
AUTO. WASH. MACHINE YES C1' NO ❑ ,
YES [J""NO ❑
SITE SUITABLE C)
f., el
SIZE OF TANK—/-, gal.
NITRIFICATION FIELD ft.
DEPTH OF STONE IN LINES: �f`�� ..'r!•t
WATER SUPPLY: Individual 4 ®' Public ❑
IMPROVEMENTS PERMIT BYt� " '.t; •.„ •-~"
INSTALLED BY li ` j'
CERTIFICATE OF COMPLETION BY
(8/16/73) *Construction must comply with all oth a
LOT AREA
Date
icable State and local.regulations