P721 Farmington Rd DAVIE COUNT AWDEPARTMENT
ft (Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR/CQY/»zy.AV l goe ay ' DATE 'PERMIT
LOCATION /�I�/Q /O ;N /'4 r/�+i eve 7'�p w 1�O 721
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
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HOUSE ❑ MOBILE HOME E3 BUSINESS
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS NO. BATHROOMS Two Bedroom House 800 Gal. t60 Ft.GARBAGE DISPOSAL"UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. " qAUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1q. t.
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑ lit NE'S /�S� '�C.3�x /�� ��0/Ve
SIZE OF TANK gal.
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NLTRIFICATION FIELD _�QD sq. ft. to v ,�q,,. , �� per/ ?QMH".
DEPTH OF STONE IN LINES s C0
WATER SUPPLY: Individual ❑ Public1
IMPROVEMENTS PERMIT BY / ' ` INSTALLED BY
CERTIFICATE OF COMPLETION
By Date
(8/16/73) *Construction must comp with all other applicable State and local regulations
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DAVIE COUNT L DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
+ (Ground Absorption Sewage Disposal. System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR F_ a Ym 1/ar✓ IJ4161uYP �ely�P r- DATE -,- 'j— .s PERMIT
N° 721
LOCATION /ice+�:i' f lI�I�J ►r! /"'Cy^iz+ .'i�...; 1 �/ •
- / S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME E3 BUSINESS
Org House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS NO. BATHROOMS Two Bedroom House 800 Gal. S Ft.
GARBAGE DISPOSAL UNIT YES [3 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 ❑ NO ❑ .,,(
SITE SUITABLE YES NO, [32 ��rAl 1,�� �X +. r ' /?"�-f "VC .
SIZE OF TANK gal. -
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NITRIFICATION FIELD 20 0 sq. ft. 7::;�. j
/-5'V/'- .
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DEPTH OF STONE IN LINES: e It «
l .�f
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY + , / INSTALLED BY I�'S d��i .2;_-ry i c e, •'��� '
CERTIFICATE OF COMPLETION By Date "2 /a
(8/16/73) *Construction must comlpV with all other applicable State and local regulations
LOT AREA
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