P172 Howardtown Rd DAVIE COUNTY-HEALTH DEPARTMENT
(Septic Tank) Improvements,Permit and Certificate of Completion
(Ground Absorp ion Sewage D sgosal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR L r!' DATE ERMIT
:., .� ,�+ N° 1'72
LOCATION 64-c-ja �/' L K y ��'rf'7t/
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
OF
HOUSE ❑ MOBILE HOME/,NBUSINESS ❑
/ House Trailer 8QLGal. 400 S Ft.
NO. BEDROOMS NO. BATHROOMS ! Two Bedroom House < 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO Three Bedroom House 900 Gal. 900 Sq.
AUTO. DISHWASHER YES ❑ NO [+•'"' Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES 0 ❑
SITE SUITABLE YES NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE .IN LINES:
WATER SUPPLY: IndividualPublic ❑
IMPROVEMENTS PERMIT BY l ,tJ--KINSTALLED BY
CERTIFICATE OF COMPLETION By .C' Date
(8/16/73) ,Construction must c4gply with all other applicable State and local regulations
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LOT AREA/VY .,k
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