P639 Mr Henry Rde
DAVIE COUNTY41IEAL. H DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absbr tion Sewa a Disposal System - G.S. Chapter 130 -Article 13C)
OWNER `6R` CONTRACTOR. > C�Il1 a!l F , HA �Je- DATE. �.F - '7.�'"` PERMIT
(t RA L . � ' Pa � <t- 1ldy N°,
LOCATION ..l�rlc c nw# ute .f'it� n.v
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SUBDIVISION NAME
LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME BUSINESS ❑
1
�'+
House Trailer
800 Gal. 400 Sq. Ft.
NO.' -BEDROOMS NO. BATHROOMS
Two Bedroom House
800 Gal. 600 Sq. Ft.
"GARBAGE DISPOSAL UNIT YES ❑ NO ge
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 ❑
F
SITE SUITABLE YES NO [3SIZE OF TANK 00 gal.
NITRIFICATION FIELD 0 e2 sq.
ft.
DEPTH OF STONE IN LINES: !�
.WATER SUPPLY: Individual Public
❑
IMPROVEMENTS PERMIT BY 4 '-�
INSTALLED BY
CERTIFICATE OF COMPLETION B Date
(8/16/73) *Construction must comply with all of r applicable State and local regulations
LOT AREA
box o" 15144
;yes 13.3
IAI
410
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