P896 Hwy 601N4 DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Lnprovements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article
13C)
OWNER OR CONTRACTOR ;`.11�.: C' , ""`�"_ DATE
PERMIT
LOCATION .%f.'% i�' - /ti f'.r/ ,',r:il� �,�' i �J 7 //r1"I st.•� %�.t��a
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NO. } !�
SUBDIVISION NAME LOT NO. SECTION OR
BLOCK NO.
HOUSE MOBILE HOME BUSINESS ❑
1A
House Trailer 800
Gal. 400 Sq. Ft.
NO. BEDROOMS ... N0. BATHROOMS
Two Bedroom House 800
Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
Three Bedroom House 900
Gal. 900 Sq. Ft.
AUTO. DISHWASHER. YES ❑ NO ❑
Four Bedroom House 1000
Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES I8" NO ❑
SITE SUITABLE YES ❑ ❑
SIZE OF TANK
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NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
7*0
IMPROVEMENTS PERMIT BY�a.t ;1`, �..•,,.r-'`
INSTALLED BY
CERTIFICATE OF COMPLETION
By
(8/16/73) *Construction must(
LOT AREA
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with all other applicable State and local regulations
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