P113 Milling Rd 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 (�-r� r`��I t3 i �.,� r�3 DATE '74 PERMIT IT
LOCATION `1 f`�r, ' �a + I�... ( �'1 w c� ea G +' 3
' - S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE I;,OME, BUSINESS ❑
,. = House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDR00 � �_ NO. BATHROOMS cZ Two Bedroom House 80t0Ga
�1. 60
GARBAGE D PgIALJUNIT YES 0 N0 Three ,Bedroom House 00 Sq.' F.t
AUTO. DAASAP. YES (t 'NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. .WASH. MACHINE YES l�T NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF, TANK gal.
gal. -
NITRIFICATION FIELD'.- 4) sq. ft.
DEPTH OF STONE IN LINES: ..,t •�r
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BYNr��". '` ?�i-,st INSTALLED B
> r �•f
CERTIFICATE OF COMPLETION By , Date
(8/16/73) *Construction must co y with all other applicable State and local regulations
LOT AREA
w
V6
,it
lr _ f1/v