1014 Ridge Rd DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absor i n}�ewa te, Dis osal S}'stem G.S. Cha r 130-kricle 13C
OWNER OR CONTRACTOR 1 c'" g9.1 LaQ n 1 c,r',� DATE �'"I.�� " � PERMIT
LOCATION 5� ri ! '� f •!��' I�y alt ► fW,► N9 1122
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSEMOBILE HOME BUSINESS ❑
NO. BEDROOMS NO. BATHROOMS I House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO [!I" Three Bedroom House 900 Sq. Ft.
AUTO. DISHWASHER YES ❑,,,.NO r Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YESIL,T' ,,,ATO ❑
SITE SUITABLEn YES [!T NO ❑ /
SIZE OF TANK `� gal. - '' c' r (' ''�• f +fir �`' AA~
'1 J
NITRIFICATION FIELD �p sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY INSTALLED BY
CERTIFICATE OF COMPLETION y
B - � m �, Date 7` 9—7�.•
(8/16/73) *Construction must co ply with all other applicable State and local regulations
LOT AREA Y <%,y
{ D�01,
_-
aLl
F