115 Danner Rd (3) 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 _A I. f--r�=--a--�4 10 /1 DATE .�' �i- s; PERMIT
LOCATION M 963
S.R. NO. /!6e+ ..2_
SUBDIVISION AM LOT NO. SECTION OR BLOCK N0.
HOUSE ❑ MOBILE HOME BUSINESS ❑
17
House`Trailer 800 Gal. 400 S _ Ft.
NO. BEDROOMS N0. ODMS Two Bedroom House _47Ga 600
GARBAGE DISPOSAL UNIT YES ❑ NO Three Bedroom House 00 Gala 00 Sq. Ft
AUTO.` DISHWASHER YES ❑ NO Four Bedroom House 1.000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YESr
NO e
SITE SUITABLE YES NO ❑ L,a '�` ' "r f_ j'
SIZE OF TANK Uv gal. f _ VQ
NITRIFICATION FIELD sq. ft. `
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY ��f4..rr{ �� INSTALLED BY
CERTIFICATE OF COMPLETION By Date
(8/16/73) *Construction must co ly with all other applicable State and local regulations
LOT AREA
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