548 Todd Rd (2) t
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
DATE,-, - i jZ PERMIT
LOCATION
ev �� 1275( 5
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME 4� BUSINESS ❑
;� f House Trailer 800 Gal. x400 S.q Ft.
-
NO. BEDROOMS \ NO. BATHROOMS Two Bedroom House
800 Gal? 16 00..Sq Ft.
GARBAGE DISPOSAL UNIT YES El NO 0.. Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO Q Four Bedroom House 1000 Gal. 1200 Sq. Ft._
AUTO. WASH. MACHINE YES [9--'- 'NO ❑ « %�," .'� y/
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal. 9 1
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: '���
WATER SUPPLY: Individual ❑ Public ❑
IMPROVEMENTS PERMIT BY rel r� i� - ' '�' :`=!- INSTALLED BY
CERTIFICATE OF COMPLETION
BY � Date_o?--2 3—<T
(8/16/73) *Construction must com with all other applicable State and local regulations
LOT AREA
.1
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