P730 Redland RdDAVIE COUNTY HEALTH DEPARTMENT
(Septic- Tank) -Improvements Permit and Certificate of Completion
(Ground Absor tion Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR u0 :%) fDATE x; ; PERMIT
LOCATION ? t"' z: ' nr r iYe N v : , `y't NO
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SUBDIVISION NAME
HOUSE ❑
NO. BEDROOMS ..
19,14411
NO. BATHROOMS
INESS
6. K. NU.
LOT NO. SECTION OR BLOCK NO.
GARBAGE DISPOSAL UNIT YES ❑ NO CY"r
AUTO. DISHWASHER YES ❑ NO
AUTO. WASH. MACHINE YES [R --NO ❑
SITE SUITABLE YES mo—NO ❑
SIZE OF TANK I,O 0 gal.
NITRIFICATION FIELD �570 sq. ft.
DEPTH OF STONE IN LINES: / cgs ." P•r "','i
730
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 8 al. I S� Ft.
Three Bedroom House 900 Gal. _900M$Ft.;
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
WATER SUPPLY: Individual Pub c ❑
IMPROVEMENTS PERMIT BY . ..� ' d , `y',,) 1 ,., -LE—.L
f,., '} ��v,:.�w-�:.:� NSTALLED BYs
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CERTIFICATE OF COMPLETION/��, q
BY , t { % "'vi_._ Date
(8/16/73) *Construction must comply ith� all other applicable State and local regulations
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