P299 Farmington 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 >n r_ (� h 1"1'� hrg i L DATE PERMIT
N°
LOCATION
-- �. '�' � it.,t? i`.:.+ i11t'��eCe'iP (✓ ,it,
,�a M
SUBDIVISION NAME
HOUSE ® MOBILE HOME ❑ BUSINESS
LOT NO.
NO. BEDROOMS "z
NO. BATHROOMS
GARBAGE DISPOSAL UNIT
YES ❑ NO
❑
AUTO. DISHWASHER
YES ❑ NO
❑
AUTO. WASH. MACHINE
YES ❑ NO
❑
SITE SUITABLE {.t
YES ❑ NO
❑
SIZE OF TANK
NITRIFICATION FIELD
�tgal.
l,fa`0'
sq. ft.
DEPTH OF STONE IN LINES: 1"r.-►
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY
�•_,r�C"e,a :... , o -1
S. R. NO.
SECTION OR BLOCK NO.
299
House Trailer 800..G4,1. 400 _Sq..._..Ft.
Two Bedroom House [`800 Gal._-) 0,6*00, S Ft,.,y;1
Three Bedroom House 900 Gal. 900 Sq. Ft.
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
INSTALLED BY L"%i • %.
CERTIFICATE OF COMPLETION
71.71.gy Date J � ' ''�"
(8/16/73) *Construction must 8omply with all other applicable State and local regulations
LOT AREA
a