P742 Eaton Church RdDAVIE COUNTY HEA^U DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR~ `" " ', a -
DATE.PERMIT
LOCATION:
N°
a\ •
742
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ' ❑ MOBILE HOME BUSINESS ❑
6
House Trailer 800 Gal. 400
Sq. Ft.
NO. BEDROOMS NO.(BA OOMS
Two Bedroom House 800 Gal. 600
Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO 0,�� ,
Three Bedroom House 900 Gal. ,
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AUTO. DISHWASHER YES ❑ NO Q��
Four Bedroom House 1000a`�"IT �""S�r
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AUTO. WASH. MACHINE YES Q, NO ❑
SITE SUITABLE YES [3- ---NO ❑
SIZE OF TANK _2i>o gal.
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NITRIFICATION FIELD s . ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
67X
IMPROVEMENTS PERMIT BY Y 1`,,.,
INSTALLED BY tea,
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CERTIFICATE OF COMPLETION`
By
(8/16/73) *Construction must comp w
LOT AREA
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4— 4'Date 1 CJ — -4 / " -1,-4-
th all other applicable State and local regulations
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