288 Foster Dairy Rd DAVIE COUNTY HEALTH JIEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR .. DATE ,�►, ' "w 7, PERMIT ...
LOCATION JIty �' f ,� lr? 6 01
AI /N ,Lr' a S.R. N0.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME 0 BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
N0. BEDROOMS NO. BATHROOMS House
Two Bedroom House 8',"-Ga
l. t.
GARBAGE -DISPOSAL UNIT YES ❑ NO LET Three Bedroom House 900 Gal. 900 Sq. Ft`
AUTO. DISHWASHER YES ❑ NO Four Bedroom House 1 Ga 1200 Sq. Ft.
AUTO. WASH. MACHINE YES
SITE SUITABLE YES ❑
SIZE OF TANK toeq gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: LVe 2--6'f`
WATER SUPPLY Individual ❑ Public ❑
IMPROVEMENTS PERMIT BY r INSTALLED BY C-��(
11
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CERTIFICATE OF COMPLETION By f Date
(8/16/73) *Construction must ,compl with all other applicable State and local regulations
LOT AREA e (T
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