2248 Farmington Rd (2) ~ DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR W,{d i nl yl x r+C DATE C: 16 7 S— PERMIT
LOCATION Yli►;�' . "�. N° 587
t. S.R. NO.
SUBDIVISION NAME LOT N0. SECTION OR BLOCK NO.
HOUSE MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS N0. BATHROOMS Two Bedroom House 800 LL 600
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 00 G J 0 Sq..,, "
AUTO. DISHWASHER YES ❑ NO [3 Four Bedroom House 1 0 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE_ YES ❑ NO ❑ ��
SITE SUITABLE YES ❑ NO ❑ 1'►�►c "a }�
SIZE OF TANK gala
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public �❑ f {
IMPROVEMENTS PERMIT BY INSTALLED BY
CERTIFICATE OF COMPLETIONh ►�
gV / J L '1/t--�'�;,t� Date �' Of(8/16/73) *Construction must compl ith all other applicable State and local regulations
LOT AREA
� 63
l '