P515 Howardtown RdDAVIE COUNTY HLA LTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR DATE PERMIT
LOCATION , ; , N° 515
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME W BUSINESS ❑
NO. BEDROOMS rj NO. BATHROOMS '
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual V Public ❑
IMPROVEMENTS PERMIT BY
House Trailer 800—G_a1. 4D&-&q•.----F.t,.
Two Bedroom House x__$00 Gal,;; t-600 Sq.Ftp%
Three Bedroom House 900 Gal. 900 -Sq. Ft.
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
CO.ot RAN y
INSTALLED BY ?P)e,/ lU://SRA
CERTIFICATE OF COMPLETION By ti Qt Date 4/-
(8/16/73) *Construction must 4mply with all other applicable State and local regulations
LOT AREA
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