P361 Howell 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 DATE PERMIT
LOCATION C'.i .i.k;.'' !`{-. `.''„ lr .
vti e ✓ .t fV S.R. NO.
SUBDIVISION NAME ' LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME ❑ BUSINESSIM
NO. BEDROOMS NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ "NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK {E"�� gal.
NITRIFICATION FIELD < = sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual, Public ❑
IMPROVEMENTS PERMIT BY
CERTIFICATE
(8/16/73)
LOT AREA
361
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. 600 Sq. Ft.
Three Bedroom House 900 Gala 900 Sq. Ft.
Four Bedroom House J1000 Gal. 1200 Sq. Ft.
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INSTALLED BY
OF COMPLETION Date
*Construction must com with all other applicable State and local regulations
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