383 Speer 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' "`` ` DATE ' PERMIT
LOCATION r :, -- , ? 13 0 0
1\
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME /EBUSINESS ❑
House Trailer 800 Gal. 400' Sq. Ft.
NO. BEDROOMS NO. BATHROOMS Two Bedroom House ;800•Gal. .600 S Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO 0'7-- Three Bedroom House -900•-Gal.-1 '"900 Sq.-Ft.
AUTO. DISHWASHER YES ❑ ,,,NO 13Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑ r "" � • '
SITE SUITABLE YES ❑ NO ❑ x i w, ,• :•,:.:/{
SIZE OF TANK gal.
NITRIFICATION FIELD Asq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ -Public ❑
IMPROVEMENTS PERMIT BY `' '`--t-INSTALLED BY ,W,
CERTIFICATE OF COMPLETION By �� m0�� Date
6-W
(8/16/73) *Construction must co ply with all other applicable State and local regulations
LOT AREA
o,—x' Iwo,—
x'16
16
fold 9a�• fides✓C
Y
]r f
j
' r
l ,
}
4