231 Sweetwood Ln 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 0207 7 e PERMIT
LOCATION t t c►ra . ISIS G ro ss T.TC 6.a, C.. --TR I f<, 5 tlt.'-
' N? 1436
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS 3 NO. BATHROOMS Two Bedroom House �800-�Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES El NO Three Bedroom House u . 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO E2" Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES NO ❑ q OD
SITE SUITABLE YES NO ❑ I
SIZE OF TANK gal. avv'X��X/b'��
NITRIFICATION FIELD sq. ft. o ylsr-a1�
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual IJ Public ❑ //
IMPROVEMENTS PERMIT BY T 1 I \a ' to. INSTALLED BY
CERTIFICATE OF COMPLETION
By Datea 8, /977
(8/16/73) *Construction must comply with all other applicable State and local reg lations
LOT AREA
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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 ti h A iti.�! ��r c 1 DATE -5-47""3/77 PERMIT
LOCATION _C�i zl c, ! e : t 4. "?'{ - lr 1436
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS .3 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 e NO ❑ i Grp► � n K
SITE SUITABLE YES Ej NO ❑
SIZE OF TANK gal. '' ";� �A j tit �t ,�Ct
NITRIFICATION FIELD 4,av sq. ft. ';;, , ,, 1 i; ?�, , 0 i •i�•k'��
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ,. Public ❑
IMPROVEMENTS PERMIT BY ``t ��1h11C) INSTALLED BY
CERTIFICATE OF COMPLETION By Date
(8/16/73) *Construction must comply ith all other applicable State and local regulations
LOT AREA
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DAVIE COUNTY HEALTH DEPARTMENT �0
P. 0. BOX 57
HOCKSVILLE, N. C . 27028
(704) 634-5985
Statement for Septic Tank Improvement Permits
and/or Site Evaluations
NAME F-1 l uy- Swr'Zr DATE ISSUED S -Ao-77
ADDRESS Ra,4L PERMIT NO. � G,
Explanation of charge 1''In%D,ruvmmc,_A-%
AMOUNT DUE#f5'$P SANITARIAN � f)-\ONJ4
PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.