P969 Farmington RdDAVIE COUNTY HEALTH DEPARTMENT
JSeptic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR+' DATE - PERMIT
LOCATION - 969
- - - S.R. N0.
SUBDIVISION NAME LOT NO. - SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME 0 BUSINESS �]-----�-- -• - ---- --
House Trailer 8_00 _Gal. 400 Sq. TFt1
N0: ,BEDROOMS N0. BATHROOMS-��Gal: 0�" Sq. Ft.
Two Bedroom House
GARBAGE DISPOSAL UNIT YES ❑ NO 0 Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO '.f Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO -
SITE SUITABLE YES NO ❑ �.f = t�iY)9 �i r'/%'- / �' ✓ 1 "r ,� ; , f ��f :;
SIZE OF TANK gal.
f -
NITRIFICATION FIELD sq. ft. '
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑ r""' ' ,f •_ r '. !s
IMPROVEMENTS PERMIT BY ?" r ; : w.: INSTALLED BY
CERTIFICATE OF COMPLETION
By. Date r —'74
(8/16/73) *Construction must ply with all other applicable State and local regulations
LOT AREA
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