P371 Danner RdDAVIE COUNTY HEA DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewa a Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR /- d ^fT- PERMIT
LOCATION 71
1\ . 3
S.R. NO. E a`- 1 • �
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 TANKS _ gal.
NITRIFICATION FIELD _�'s noi7sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ,Q. Public ❑
IMPROVEMENTS PERMIT BY
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House .18Q„Q.6al" ¢6Qgt
Three Bedroom House 900 Gal. 900 Sq. Ft.
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
r
-INSTALLED BY
CERTIFICATE OF COMPLETION
By a `a_.. - '; >> , �.�y>� 5�,-L Date l �' /.2
(8/16/73) *Construction must coml6yfwith all other applicable State and local regulations
LOT AREA
00�