2323 Milling Rd DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal 'Srystem - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR �-- 1306,6:-R, DATE l 6 PERMIT
LOCATION r- An/4 L/Al N° 1648
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME 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 YESNO ❑
SITE SUITABLE YES C1 NO ❑ yet, ' „l
SIZE OF TANK gal. /
NITRIFICATION FIELD sq. ft.
DEPTH OF. STONE IN LINES:
WATER SUPPLY: Individual ❑ Public ❑
IMPROVEMENTS PERMIT BY INSTALLED BY Z� G[
CERTIFICATE OF COMPLETION B �C ✓ �,�/G /77
Y Date /
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA
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DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Dispos&-! `System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR +' ; r r'` DATE /f J /(: i r ) PERMIT
LOCATION - - Iy'1�.� l � /� iy'T> _ N9 1648
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME 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 NO
SITE SUITABLE YES NO ❑ -
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: /I? //
WATER SUPPLY: Individual ❑ Public ❑
IMPROVEMENTS PERMIT BY Q, ! , INSTALLED BYL ��C' i
CERTIFICATE OF COMPLETION By Date
(8/16/73) *Construction must comply with al other applicable State and local egu ations
LOT AREA
I
i1