Goodwill Heights Lot 2-3DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit
and Certificate of Completion
(Ground Absorption Sewage Di�s System .S. Chapter 130 -Article 13C)
josal
OWNER OR CONTRACTOR � ��L� Q JIT"I" � P�
�, DATE
PERMIT
N° '713
LOCATION
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME BUSINESS ❑
NO.. BATHROOMS
House Trailer
800 Gal. 400 Sq. Ft.
NO. BEDROOMS _
Two Bedroom House
800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
Three Bedroom House
'900 Gal.' 900 Sq. Ft.
AUTO. DISHWASHER YES. ❑ NO ❑
Four Bedroom House
1000 Gal. 1200 Sq. Ft:
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES; ❑ NO ❑
SIZE OF TANK o gal.
NITRIFICATION FIELD UC, {' sq. ft.
iJ
Y
DEPTH OF STONE IN LINES:
o D�� X` y7. : ` i 0 ��``i
D a 1r
WATER SUPPLY: Individual , ❑
.= 4
_Public
IMPROVEMENTS PERMIT BY ..
INSTALLED BY
_f Y�1"
CERTIFICATE OF COMPLETION i
B Y f`1.
Date
(8/16/73) *Construction must comp with all
other applicable State
and local regulations
LOT AREA