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P182 Madison RdDAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disp sal System - G.S. Chapter 130 -Article 13C) R,OR CONTRACTOR C ���'. I ; ;+'fit �� rr DATE -;1 - }%� PERMIT = {a r� p r 4 16 182 LOCATION cf, l� 1�T•° S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE ❑ MOBILE HOME ❑ 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 } d© gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATEk"SUPPLY: Individual Public ❑ IMPROVEMENTS PERMIT BY CERTIFICATE OF COMPLETION By --q (8/16/73) *Construction must c LOT AREA House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House 80 Gal. Ft. Three Bedroom House 00 Gal. 900. Ft. Four Bedroom House 1000 Gal. 1200 Sq. Ft. INSTALLED BY - Date with all other appl cable State and local rg la ins