P1010 Hwy 601NDAVIE 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 ,4 DATE PERMIT
LOCATION N? 1010
Lc S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE
BUSINESS
CERTIFICATE OF COMPLETION By m Date`S-
(8/16/73) *Construction must co9ply with all other applicable State and local regulations
LOT AREA
LED
s�g
House Trailer
800
Gal.
400
Sq.
Ft.
N0. 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
❑
NO
❑
SITE SUITABLE
YES
❑
NO
❑-�-
SIZE OF TANK 1"
gal.
NITRIFICATION'FIELD
sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual
❑'J
Public
❑
IMPROVEMENTS PERMIT BY
�'<R._(1
i"1 '� i._,.
-i
INSTALLED BY l�R�/c
i • Ct,�
CERTIFICATE OF COMPLETION By m Date`S-
(8/16/73) *Construction must co9ply with all other applicable State and local regulations
LOT AREA
LED
s�g