508 Dulin Rd 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 „i- .2 -J.:r PERMIT
LOCATIO ,i:� ; d ) N? 557
S.R. NO.
SUBDIVISION—MM LOT NO. SECTION OR BLOCK NO.
HOUSE 0 MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
N0. BEDROOMS NO. BATHROOMS Two Bedroom House r009
a* � 6 Wit.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House al. 900 Sq. Ft
AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House al. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑ -t
SITE SUITABLE YES ❑ NO ❑ , �� 1
SIZE OF TANK ,0 gal.
NITRIFICATION FIELD sq. ft. { \
r as y a... Y'� r..... ty.. r—
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY'` INSTALLED BY S''T CO-
CERTIFICATE OF COMPLETION By ,(y.\CA—AA Date Y- 11 7`-
(8/16/73) *Construction must comply withallother applicable State and local .regulations
LOT AREA
d�'0 t yr S