167 Dogwood Lane Lots 147-149j ' b?
Jo d 1A
DAVIE COUNTY HEALTH DEPARTMENT
j (VO 0n e—,
(Septic Tank) Improvements Permit and Certificate of Completion
'�.•r4 (Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article
13C)
OWNER OR CONTRACTORF7 u e, 2 RA Y,\ e--v- DATE
PERMIT
LOCATION j s F " � `0.-�9 ' 3 2� i�,n�.�-, {2+-
1� 9 1417
S.R.
NO.
SUBDIVISION NAME LOT NO. SECTION OR
BLOCK NO.
HOUSE A MOBILE HOME E3 BUSINESS ❑
House Trailer 800
Gal. 400 Sq. Ft.
NO. BEDROOMS — NO. BATHROOMS
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 gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: R
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY
INSTALLED BY G
Aix, 61 i rkle—
CERTIFICATE OF COMPLETION ByDate
5-h 3/7
(8/16/73) *Construction must co ply with all other applicable State and
local regulations
LOT AREA
Do
DAVIE COUNTY HEALTH DEPARTMENT
let (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 1 j �6C _ lliyw ♦� 141'7
S.R. NO.
SUBDIVISION NAME �.LiC1i�.i In..,S� LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME BUSINESS ❑
' House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS ? NO. BATHROOMS 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 gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: �
WATER SUPPLY: Individual ❑ Public �,
IMPROVEMENTS PERMIT BY INSTALLED BY C!r A.0 arta mrt.
CERTIFICATE OF COMPLETION By Date sA3177
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA
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