241 Spillman 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 em-"IA-rio— DATE PERMIT
LOCATION . {r E-0/ N9 1144
e� S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME BUSINESS
+"[:1 House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS NO. BATHROOMS
�s�` Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO �L_IThree Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO L'1, Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO, WASH. MACHINE YES F5' NO ❑ :� ; �Y v ,f?'j
SITE SUITABLE YES ❑ NO b
SIZE OF TANK /040 0 . gal. �� t�c �- L�e,�/� SSR"--/�i %��S.►
NITRIFICATION FIELD 9-0-0 sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
i � s
IMPROVEMENTS PERMIT BY t G� c Y' - INSTALLED BY
CERTIFICATE OF COMPLETION By l r � Date
(8/16/73) *Construction must com with all other applicable-State and local regulations
LOT AREA .. 97 p�))f ` i (i
o � #
t t 1
:, �r ads. r9iT.F�eAA`R�t�aFA� „.
r " 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 WAgi ttS- /;� ;MDATE f —•j PERMIT
LOCATION `f,�_ �-: �, A, > , �n, � Sic 1144
r
c° S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSEMOBILE HOME tj BUSINESS E3
House Trailer 800 Gal. 400 Sq. Ft.
NO. BeIDROOMS -�v NO. BATHROUaS 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 CEJ" NO -S 7C
SITE SUITABLE YES ❑ NO
SIZE OF TANK 1 G cg El sal. �r �"��— �S r,�7`' S..�z__j .��i 1�yS
NITRIFICATION FIELDfir; ca sq. ft.
DEPTH OF STONE IN LINES: `• r ^y`_ E'�' N/,
WATER SUPPLY: Individual Public ❑ <. ����5�: ��
IMPROVEMENTS PERMIT BY ✓' 1, �1-+-c INSTALLED BY
CERTIFICATE OF COMPLETION
By . Date
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA
�M
i E 1
I
� r �
1
�)
vrY��y ,'y /)