P1217 Joe Rd DAVIE COUNTY HEALTH DEPARTMENT '
(Septic Tank) Improvements Permit.and Certificate of Completion
(Ground AbsorptionSe age, Di o al ystem - G.S. Chapter 130-Article 13C)
-OWNER OR CONTRACTOR i .«�9 DATE: r" . PERMIT
LOCATION A tz. :f�'�'ti e.'. ,Y<�, �i .{_ :� �, ' N° 1217
S.R. NO.
,a
SUBDIVISION NAME LOT- NO. SECTION OR BLOCK NO.
-HOUSE ❑ MOBILE. HOME ^° BUSINESS ❑
F 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 ❑ NO Q �y Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES NO Q :. ,� ' ,. E - •` ,^ c.�
SITE SUITABLE YES :Q NO
. SIZE OF TANK r,�' �,., s
NITRIFICATION FIELD 2Z>0 sqo'! ft. d.' Jj ,•.. r,
s'
DEPTH OF STONE IN LINE S: t ,11
'•�,� __ � . . •�t '� ,� Cts f F ."w +.-'l o
WATER SUPPLY: Individual L1 Publici
f � gipp• �� _• : s
IMPROVEMENTS PERMIT• BY �, { 4 )d++t -d,�-INSTALLED 'BY-
CERTIFICATE .OF COMPLETION
BY Date ,r°• �' .
' (8/16/73) „*Construction must compEyj4ith, all other applicable State and local' regulations
LOT AREA
T
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