199 Leanne Ln 40* 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 jNl AI',' ; ,
DATE PERMIT
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LOCATION 7j
803
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE El MOBILE HOME Gr BUSINESS 0
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS — 6Z NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES 0 NO Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES 0 NO Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES NO
SITE SUITABLE YES C NO
SIZE OF TANK C7 p gal.
NITRIFICATION FIELD 3 n n sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual
.Public ❑
IMPROVEMENTS PERMIT BY INSTALLED BY
CERTIFICATE OF COMPLETION y Date 3
(8/16/73) *Construction musith all other applicable State and local regulations
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