159 Valley Oaks Drive Lot 18 DAVIE COUNTY HEALTH DEPARTMENT
-Aw (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 -01e!� Ch• n' + N? 1672
S.R. NO.
SUBDIVISION NAME \IiA11 0-1�5 LOT NO. SECTION OR BLOCK NO.
HOUSE [j' MOBILE HOME Ej BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS 3 NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO 0— Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ,C3", NO [3 Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES l.1 NO ❑ -. � 1 �k � ;�;.,.Y, < d� �• ;c
SITE SUITABLE YES ❑ NO ❑ r --
SIZE OF TANK gal. cs ;tf� •i<<� ;� 1,�.c - rd�' X �" i ta -G
NITRIFICATION FIELD sq. ft. '!:7:y.,
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public Ef—
IMPROVEMENTS PERMIT BY .��� INSTALLED BY
CERTIFICATE OF COMPLETIONBy �.-.,�r,._,l.1 = 1. Date
(8/16/73) *Construction must comply with all—other appflicable State and local regulations
LOT AREA
F'
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