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P321 Edwards RdDAVIE COUNTY HEALTH DEPARTMENT i, (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal",,,tem - G.S. Chapter 130 -Article 13C) OWNER •QR CONTRACTOR DATE {� PERMIT Y LOCATION `" f ` " w',•'sv_.'��w ter S.R. N0. 4 SUBDIVISION NAME LOT NO. HOUSE JZI MOBILE HOME ❑.'' BUSINESS NO. BEDROOMS. NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ NO AUTO. DISHWASHER YES ❑ NO ©` AUTO. WASH. MACHINE YES 0<NO ❑ SITE SUITABLE YES EB-' NO ❑ SIZE OF TANK gal. NITRIFICATION FIELD yLS ` sq. ft. DEPTH OF STONE IN LINES: I' WATER SUPPLY: Individual c4yblic ❑ IMPROVEMENTS PERMIT BY SECTION OR BLOCK NO. 321 House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House 800 a Ft. Three Bedroom House a . F, Four Bedroom House 1000 Gala 1200 Sq. Ft. INSTALLED BY CERTIFICATE OF COMPLETION By �� .� n ..� Date 8-19- 7�, (8/16/73) "19- (8/16/73) *Construction must cooly with all other applicable State and local regulations LOT AREA bS ss, 44 f ' ♦ + 1 .. ..�`t St �.J