255 Veterans Dr 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 PERMIT
LOCATION l�? 1332
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IS.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 Z Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO 9' Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES Q NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES LJ NO ❑
SITE SUITABLE YES ®" NO ❑ �`�l t, lV Y�n+cc z� t'�fi c c
SIZE OF TANK 96,b gal. �,,�.�� ` o0
NITRIFICATION FIELD a7) sq. ft.
DEPTH OF STONE IN LINES: /9-." � 7o 1
WATER SUPPLY: Individual ( Public ❑
IMPROVEMENTS PERMIT BY INSTALLED BY «.
CERTIFICATE OF COMPLETION B mG ��
Y Date G - x-77
(8/16/73) *Construction must compl� with all other applicable State and local regulations
LOT AREA
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