289 Danner Rd.. 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 ,,.:► .. i' ; i
DATE
PERMIT
526
LOCATION
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S.R.
NO. lvl
SUBDIVISION NAME LOT NO.
SECTION OR
BLOCK NO.
HOUSE ❑ MOBILE HOME M BUSINESS ❑
House Trailer 800
Gal. 400 Sq. Ft.
NO. BEDROOMS �-;�� NO. BATHROOMS
Two Bedroom House 800
q...
•Cal. 600.S Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
Three Bedroom House '900_G_al,,
x_900 Sc� F..
AUTO. DISHWASHER YES ❑ NO ❑
Four Bedroom House 1000
Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public ❑
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IMPROVEMENTS PERMIT BY ' _ ..r;,r F ,<..'• ,.
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INSTALLED BY �i.a_Q ��_2%�r✓
fi c �? _ lir � �
CERTIFICATE OF` -COMPLETION By ' `;"'` Date —
(8/16/73) *Construction must comp with a other applicable State and local regulations
LOT AREA
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