P1344 Mallard 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 "1;,y\ DATE —4/U77 PERMIT
LOCATION �it'n.,�,_tiz*�a�c j"! C.r�•e'�t 'C }�%+l:w i�tir��.a� �G��r- N?
SUBDIVISION NAME
HOUSE
0
HOME ❑ BUSINESS
LOT NO.
NO. BEDROOMS .3
NO.
BATHROOMS
GARBAGE DISPOSAL UNIT
YES
❑
NO
❑
AUTO. DISHWASHER
YES
❑
NO
❑
AUTO. WASH. MACHINE
YES
❑
NO
❑
SITE SUITABLE
YES
❑
NO
❑
SIZE OF TANK
NITRIFICATION FIELD ��' sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public
IMPROVEMENTS PERMIT BY(�& ,'
01
S.R. NO. 1il7o-
SECTION OR BLOCK NO.
1344
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. 600 Sq. Ft.
Three Bedroom House 900 Gal. 900 Sq. Ft.
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
i
INSTALLED BY �a�, u. S :T•
CERTIFICATE OF COMPLETION B � f\,(\ Date�Li77
Y- - --
(8/16/73) *Construction must co ply with all other applicable State and local regulations
LOT AREA
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Q
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100
DAVIE 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 —7; rr\ t t,"TeN , DATE RJ ? 7 PERMIT
LOCATION�(�rm�NS�w.- iu�cQ. 1� S-�-r�a'�- "�o R�". {�1}s'j" A1vot%co� (G►-{rr N?
SUBDIVISION NAME
BUSINESS
.R. NO.
LOT NO. SECTION OR BLOCK NO.
NO. BEDROOMS 3 NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK 0gh�us$al•
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:.
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BYgp-�__Y%aMJO
1344
House Trailer
800
Gal.
400
Sq.
Ft.
Two Bedroom House
800
Gal.
600
Sq.
Ft.
Three Bedroom House
900
Gal.
900
Sq.
Ft.
Four Bedroom House
1000
Gal.
1200
Sq.
Ft.
T-e?P,r - } nS}ail ntw sqs�+�+�
-3oo-A, 3'x/ v, leve !
INSTALLED BY bow S 7 • Fo .
CERTIFICATE OF COMPLETION B, Date V13177
(8/16/73) *Construction must Vomply with all other applicable State and local regulations
LOT AREA
5�u