5306 Hwy 158 �. DAVIE COUNTY AMR DEPARTMENT
* (Septic Tank) Improvements Permit and Certificate of Completion,,
(Ground"A6sorpt on-t wage. D posalG.S.- 'Chapter^•� "
,,.,Systfem - 130-Article 13C)
OWNER .OR CONTRACTOR Ir l �'S CFrh �C DATE 1� --/.'� PERMIT
N° 208
LOCATION _ w�.
S.R. N0,
SUBDIVISION_ NAME- 3 :F ,+,14Df�"'r r.`4 LOT NO. SECTIONOR BLOCK ANO.
7 1
HOUSE ❑ MOBILE HOME BUSINESS
House Trailer -800 Gal ` 400 Sq. Ft.
N0. BEDROOMS N0. BATHROOMS T Two Bedroom House 800 Gal.. : 600 Sq. Ft. -
GARBAGE DISPOSAL UNIT YES ❑ NO Three Bedroom House Ga 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO [Br Four Bedroom House 1000 Gal. 1200 Sq. Ft.,
AUTO. WASH. MACHINE YES ❑ NO
SITE .SUITABLE YES C5". .NO ❑
SIZE OF TANK' ',"r, gal.
` NITRIFICATION .FIELD , sq. ft..
DEPTH OF .STONE IN LINES:
WATER SUPPLY: Individual Pub is ❑
.- IMPROVEMENTS PERMIT: ^r / �w �t.��.r•,t,.,.., INSTALLED BY
,. :.CERTIFICATE OF. COMPLETION- By s Date — 7
(8/16/73). *Construction must c ly with all other applicable State and local'regulations
LOT AREA
14a. X
•3�•. r�a 1.'9. C1:�• , 71.
}
O°
} 'Y4i+6Mt/�1M.#r+b.YM+eye.• .MavMw.,f a.+- FM'+a� �� .