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P316 Deadmon RdDAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorpxtf_on Sewage�Dijslposal System - G. S. Chaper 1 At cle 13C) OWNER OR CONTRACTOR `, � �'✓L.'^ i . `� --�'� -' .. DATE " ,t PERMIT O LOCATION M• -•'it. : >.,. , � , r � �` �� T %' �: Ra :. a i f S.R. NO. SUBDIVISION NAME HOUSE ® MOBILE HOME ❑ BUSINESS NO. BEDROOMS NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ NO AUTO. DISHWASHER YES [5" NO ❑ AUTO. WASH. MACHINE YES ©'o NO ❑ SITE SUITABLE YES [ NO ❑ SIZE OF TANK 700 gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: NO. SECTION OR BLOCK NO. 316 House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House QS?.,Gal,t Three Bedroom House 9QO.- L%Q_0 Sc� .,t,�Ft. Four Bedroom House 1000 Gal. 1200 Sq. Ft. WATER SUPPLY: Individual APublic ❑ IMPROVEMENTS PERMIT BY/ t' ,.w'"-' INSTALLED BYrC+ CERTIFICATE OF COMPLETION By Date _ (8/16/73) *Construction must c � ly with all other applicable State and local regulations LOT AREA i