The URL can be used to link to this page

1011 Peoples Creek Rd DAVIE COUNTY HEALTH DEPARTMENT A0 (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C) OWNER OR CONTRACTOR l'�'3�iF?!�,a -i'a f , �E'1 DATE ` ! '� PERMIT LOCATION POD��/tP.� f: �� :.,{ f _ �.n.j : ..:tom. �` N° 1534 +`c..u�� S.R. NO. SUBDIVISION NAME U LOT NO. SECTION OR BLOCK NO. HOUSE' Ct" MOBILE HOME E3 BUSINESS ❑ 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 ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft. AUTO. WASH. MACHINE YES 0' NO ❑ SITE SUITABLE YES ❑' NO ❑ f< C 2i. i',v " 'c•fes; %//V/�/�/ 1% SIZE OF TANK gal. NITRIFICATION FIELD `to o sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual ❑ Public ❑ IMPROVEMENTS PERMIT BY j�(1.,,. t'r -/� INSTALLED BY CERTIFICATE OF COMPLETION ' By Date -F (8/16/73) *Construction must comply wid all her applicable State and local egulations LOT AREA ��3//7 l t DAVIE COUNTY HEALTH DEPARTMENT �IA � P . 0. BOX 57 MOCKSVILLE, N. C . 27028 \. (704) 634-5985 Statement for Septic Tank Improvement Permits P P and/or Site Evaluations NAMEDATE ISSUED �11�7-)5� ADDRESS � PERMIT N0. � wo6• t53 Explanation of charge ' AMOUNT DF� SANITARIAN T. 1` PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS ST T.