254 Richie Rd DAVIE COUNTY HEALTH.D,EPARTMENT
4 ?` (Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absor tion Sewag Disposal System G.S. Chapter 130-Arlt le 13 .
OWNER OR CONTRACTOR t `� s ;: - p .«
. . DATE I'1 PERMIT
LOCATION ?J��' 451
f r v� •
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ OBIL9 ' BUSINESS ❑
,.,£% ✓ House Trailer 800 Gal 400'Sq. Ft.
NO. BEDROOMS
NO.-BATHROOMS
Two Bedroom House Qa- 600 S t.
Three Bedroom House O,O...,G :90
GARBAGE DISPOSAL UNIT YES ❑ NO 0� � � �.1���,+
AUTO. DISHWASHER YES [3 -NO Q Four Bedroom House 1000 Gal. 1200 Sq. Ft.
per
AUTO. WASH. MACHINE YES LI` NO ❑ , ley
SITE SUITABLE YES ( NO ❑ � # :,? .t. S�y £"" ""
SIZE OF TANK i'. gal.
NITRIFICATION FIELD �f,S�, sq. ft. ! �.. „N 31,
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY . �r r C•' � •� w ... INSTALLED BY
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CERTIFICATE OF COMPLETION By Date f y Z
(8/16/73) *_Construction must comp with all other applicable State and local regulations
LOT AREAi�t..•
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