P788 Hwy 158DAVIE.,COUNTY-HEA:,TH DEPARTMENT
' (Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR DATE t i:_' PERMIT
LOCATION "788
SUBDIVISION NAME LOT NO.
HOUSE
BUSINESS
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 9!Ip gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Q Public ❑
IMPROVEMENTS PERMIT BY
' S. R. NO.
SECTION OR BLOCK NO.
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. 600 Sq. Ft.
Three Bedroom House 90U GaT '9D0 Sq.' Ft�`y
Four Bedroom House7300"G9'.``Sq:�"�t.
INSTALLED BY
CERTIFICATE OF COMPLETION By Date l- 2-3- 7
(8/16/73) *Construction must comply with all o er applicable State and local regulations
LOT AREA
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