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P273 Hwy 801S=AVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion -A(Ground Absorption Sewage Disposal System - G.S. Chapter.130-Artie-13C) OWNER OR CONTRACTOR DATE P E RMI T NO 273 LOCATION ©l 1 al- R -i lk-V 4 a, -a— f) t, av-1— S.R. NO. SUBDIVISION NAME y LOT NO. SECTION OR BLOCK NO. HOUSE ❑ MOBILE HOME BUSINESS El House Trailer 800 Gal. 400 Sq. Ft. NO. BEDROOMS NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft. GARBAGE DISPOSAL UNIT YES El NO C3 Three Bedroom House 900 Gal. '900. Sq. Ft .- AUTO. DISHWASHER YES (:3 NO [I Four Bedroom House 1000 Gal. 1200 Sq. Ft. AUTO. WASH. MACHINE YES 0 NO [3 . I 1 , i t- . . -. Tw SITE SUITABLE YES [3 NO [I SIZE OF TANK C1 OF gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual Public ❑ IMPROVEMENTS PERMIT BY INSTALLED BY J= CERTIFIFA (8/16/73) LOT AREA OF COMPLETION By *Construction must c with all other applicable State and local regulatibns- Q COUNTY OF DAVIE CERTIFICATE OF ZONING COMPLIANCE. ilk This is to .certify that �• Y have fully complied with the provisions of the Davie County1-7 Zoning Ordinance in the Proposed constructions, alterations, additions, or uses of a buildinE or other structure loca or to be located a t: C As Follows: This / `lav o 19,7/ -�f %4ze r—, - Davie County Zoning Enforcement Officer Phone: 634-3340 CERTIFICATE OF OCCUPANCY This is to certify that the proposed constructions alter- ations, additions, or used have been completed in comformity to the Davie County Zoninp Ordinance. This Day of '19 Davie County Zoning Enforcement Officer Phone: 634-3340