P34 Cherry Hill RdDAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article"13C)
OWNER OR CONTRACTOR �.) 4, �r ��1, ,� DATE PERMIT
LOCATION 4 2' ---�.f /[ '1�"� - ���-1j - ?f- ---- N? 34
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE
HOME 0' BUSINESS
NO. BEDROOMS - NO. BATHROOMS
T
GARBAGE DISPOSAL UNIT YES ❑ NO LH'
AUTO. DISHWASHER YES ❑ NO [-
AUTO. WASH. MACHINE YESZ;'NO NO ❑
SITE SUITABLE YES ❑
SIZE OF TANK VO,6 gal.
NITRIFICATION FIELD 51 ,,p j2 sq. f t.
DEPTH OF STONE IN LINES: 6b�r
WATER SUPPLY: Individual [Ei' Public ❑
IMPROVEMENTS PERMIT BY li—e
CERTIFICA
(8/16/73)
LOT AREA
House Trailer 800)Gal. 400 Sq. Ft.
Two Bedroom House x$00 Gal. 600 Sq. Ft.
Three Bedroom House 900 Gal. 900 Sq. Ft.
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
INSTALLED BYE / T r
TE OF COMPLETION By ( �4 r _ Date
*Construction must comjXy with all other applicable State and local regulations
_............. � ,......�
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DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR t / : ?. ,'�'f'e. k'!_i DATE { PERMIT
No
LOCATION {' I.lJf° ,�'r' //• !/ �'�r •
i
SUBDIVISION NAME LOT NO.
HOUSE
HOME ET BUSINESS
N0. BEDROOMS NO. BATHROOMS _L
GARBAGE DISPOSAL UNIT YES ❑ NO B'
AUTO. DISHWASHER YES ❑ NO [3 -
AUTO. WASH. MACHINE YES Cff°' NO ❑
SITE SUITABLE �. YES L NO ❑
SIZE OF TANK t) gal.
NITRIFICATION FIELD Al ,* e) sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual a"Public ❑
IMPROVEMENTS PERMIT BY /Vi
CERTIFICATE OF COMPLETION By -J
(8/16/73) *Construction must c
LOT AREA
S. R. NO.
SECTION OR BLOCK NO.
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
4�
800 al.
400
Sq.
Ft.
800 Gal.
600
Sq.
Ft.
900 Gal.
900
Sq.
Ft.
1000 Gal.
1200
Sq.
Ft.
INSTALLED BY
r !^, Date
with all other applicable State and local regulations
r
r