P327 Howardtown Rd I)AYIE.,COUNTY. HEALTH DEPARTMENT_,,
"+ (Septic lank)-Improvements Permit and Certificate;of Completion
(Ground Absorption Set . ge Disposal System - G.S. Chapter 130-Article 13C)y
OWNER OR CONTRACTOR �� , ,�.ye� DATE PERMIT
.LOCATION . ARA N? 327
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME BUSINESS ❑.
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES C3 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 ublic ` ❑
IMPROVEMENTS PERMIT BY c INSTALLED BY
CERTIFICATE OF COMPLETION
BY A Date LI
(8/16/73) *Construction must om i ' itli al other applicable State and local reguhations
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... ., 7 z, , ,-„ ,' '.DAVIE;.COUNTY HEALTH DEPARTMENT; .jY
”(Septic Tank) Improvements Permit and Certificate-of Completion
(Ground Absorption ge Disposal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR4..�./' _ ,.•c".13- sem" DATE . �'�`,t�•--�!,, PERMIT
-i- �- N° 327
LOCATION �.r5c.�,l-L, r ,�r
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
' a1
HOUSE ❑ MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq., Ft.
GARBAGEDISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft. '
AUTO. DISHWASHER YES ❑ "NO ❑ Four Bedroom House 1000 Gal, 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ N0 ❑
SITE SUITABLE YES ❑ NO ❑ ii
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual1, j"ublic ❑ 3 4 M
IMPROVEMENTS PERMIT BY ;-t '` !��� INSTALLED BY /�.i .t e `1{tt�tj
CERTIFICATE OF COMPLETION 2` "� ' "' rte'"✓
By f Date
(8/16/73) *Construction must compl ith allyother applicable State and local regulations
LOT AREA7ra
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