P1087 Howell Rd 'DAVIE COUNTY HEALTH DEPARTMENT-
(Septic.
EPARTMENT(Septic Tank) Improvements Permit and ,Certificate of Completion
(Ground Absorption Sew a Disposal' System G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR RIA L/ gtf I DATE r, �' :, PERMIT
LOCATION i• a:i ' $+ J . + tf d�. 's s. ! �i. N° 108
S.R. NO.
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SUBDIVISION NAME LOT NO. G SECTION OR BLOCK NO.
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HOUSE ❑ MOBILE HOME BUSINESS.❑ 11
HousefTrailer. 800 Gal 400 Sq. Ft.
NO.. BEDROOMS . N0. BATHROOMS Two' Bedroom House 800 Gal. 600 Sq.. Ft.
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GARBAGE DISPOSAL UNIT YES ❑ :NO �', Thr,,ee ,Bedroom •House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO 0 Four Brdroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES; V ��.NO ❑ j
SITE SUITABLE. .' ` YES ❑ NO ❑ ;
SIZE OF TANK gal. .10a►.,14.V"T•4o . f
• 111• t . .
NITRIFICATION FIELD 0 sq. ft. ii
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑ ?�,
IMPROVEMENTS PERMIT BY _ ' �� INSTALLED BY
CERTIFICATE OF COMPLETION J �',• 'r• �(�
ByCWatt Date.
(8/16/73) *Construction must amply with all other applicable State and local regulations
LOT AREA1C
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