P1131 Southwood Acres Lot 4 Block FDAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Seva Di a I System G.S. Chapy 1Y3101-,Ar�ticle 13C)
_4 OWNER OR CONTRACTOR DATE PERMIT"`'
LOCATION NO 1131
S.R. NO.
SUBDIVISION NAMECS Q t� CA-�' LOT NO. Aj— SECTION OR BLOCK NO. (--
NO. BEDROOMS __Fl= NO. BATHROOMS qA 2.
GARBAGE DISPOSAL UNIT YES 0 NO Er"
AUTO. DISHWASHER YES t'- NO [3
AUTO. WASH. MACHIA YES It' No r-3
SITE SUITABLE. ',. ' YES M NO E3
SIZE OF TANK ' /Z�f= gal. -r
NITRIFICATION FIELD sq. ft.,
:7
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public rl
IMPROVEMENTS PERMIT BY
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. 600 Sq. Ft.
Three Bedroom House —2LL-Gal.. rA=-"-zth
Four Bedroom House 1000 Gal. Ft.
INSTALLED BY
CERTIFICATE OF COMPLETION I .
I By Date
(8/16/73) *Construction must comply with all other applicable State and local':regulations
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DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sews" Dispo s"'�nl!.�,,S��y1stem - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR _�� % a ice+. M k DATE
—i� p -- -- �`-rr, PERMIT.•< q r�
LOCATION"` ���— jr � 11 J 1
S.R. NO.
SUBDIVISION NAME89, ,t<7crnxi Z;Z LOT NO. SECTION OR BLOCK NO.
0111f.1
NO. BEDROOMS NO. BATHROOMS L _
GARBAGE DISPOSAL,.UNIT YES ❑ NO
AUTO. DISHWASHER YES (t' NO ❑
AUTO. WASH. MACHINE YES ffi-' NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK/}Lga�' gal'.' �7"�
NITRIFICATION FIELD sq. ft'. -v
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public ❑
House Trailer
800 Gal.
400 Sq.
Ft.
Two Bedroom House
800 Gal.
600 Sq.
Ft.
Three Bedroom House
90.0 Gal.
Ft.
Four Bedroom House
11609 Gal.
00 S
Ft.
IMPROVEMENTS PERMIT BY I INSTALLED BY
CERTIFICATE OF COMPLETION
By Date
(8/16/73) *Construction -must comply with all other applicable State and local regulations
LOT AREA'/
c ; "Q
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71
Cit'* 6f, Ca 411
01
DAVIE COUNTY HEALTH DEPARTMENT �—
(Septic Tank) Improvements Pennit and Certificate of Completion
(Ground Absorption Sewa a Di sal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR r>� 6 �� DATE PERMIT 1� q
LOCATION O 1 J
S.R. NO.
SUBDIVISION NAMELOT N0. SECTION OR BLOCK N0.
SUBDIVISION NAMEC
NO. BEDROOMS - NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO.
AUTO. DISHWASHER YES ®r NO ❑
AUTO. WASH. MACHINE YES NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK� gal.SXZRLY*C
NITRIFICATION FIELD. sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public ❑
IMPROVEMENTS PERMIT BY
House Trailer
800 Gal'.
400
Sq.
Ft:
Two Bedroom House
800 Gal.
600
Sq.
Ft.
Three Bedroom House.
900 Gal.
900
SLq.
Ft.
Four Bedroom House
1000 Gal.
1200
S ...Ft.
.INSTALLED BY
CERTIFICATE OF COMPLETION ,By Date
'(8/16/73) *Construction must comply with all other applicable State and local regulations J
LOT AREA �, a % a D C elNq k ed - EHdKp� OD4
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