2064 Davie Academy Rd . i 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 i 1048
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME E3 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 jG.L gal.
NITRIFICATION FIELD sq. ft. 7
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual 0e, Public ❑
IMPROVEMENTS PERMIT BY '- INSTALLED BY t Rte, `; C15
CERTIFICATE OF COMPLETION + ~ r
By .J *{ 1`r ^� '� Date L t: •"1 •�
(8/16/73) *Construction must com y with all other applicable State and localregulations
LOT AREA
Yom,,.. . �.._v._...... _--.
. f
r ; i
r
-----------
IN-
DAVIE BOUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR — Rd key-'`' Wal ver DATE L,-I- ylo PERMIT
LOCATION AV:� (� �ac��.� �i aS .s--to 3v,% e_ a,- M 1048
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE Q' MOBILE HOME Ej BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
N0. BEDROOMS 3 N0. 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 DOD gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: a��' Ieuej
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY INSTALLED BYQQ:�,
CERTIFICATE OF COMPLETION By Date to - �' '-
(8/16/73) *Construction must com y with all other applicable State and local regulations
LOT AREA
3
xX, ,ra�r, D R ;v�