2172 Milling Rd (2) DAVIE COUNTYA HEA`l~TH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion \
(Ground Absorption. Sewage�Disposal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR _' ?,, .; :f.�-r.: t/ Y. DATE 2199-PERMIT
LOCATION 'I 4X , ..:' r:.". C ;...- '= ,, r r:,•�, ,r 11
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK SIO.
HOUSE ❑ MOBILE HOME �j BUSINESS ❑
f House Trailer ,aa0 Gal. 400 Sq. Ft.
N0. BEDROOMS N0. BATHROOMS Two Bedroom House F800 Gal.—
GARBAGE
al.—GARBAGE DISPOSAL 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 ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD rmo sq. ft.
DEPTH OF STONE IN LINES: /1
WATER SUPPLY: Individual '',(}� Public ❑
IMPROVEMENTS PERMIT BY f/ �•`� ✓~✓t-°✓_ L INSTALLED BY /
CERTIFICATE OF COMPLETION
BYal 1 DatL
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA
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