106 Norma Lane Lot 33DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption wage Dis osal Sy tem - G.S. Chapter 130 -Artie 13C)
OWNER OR CONTRACTOR DATE + Z6 r S PERMIT c�
LOCATION e N N? 7 2 0
S.R. NO.
SUBDIVISION NAME � n .��.. LOT NO. SECTION, OR B 0. _
/DIP MI'M A [_/a -M 6
HOUSE M MOBILE HOME ❑ BUSINESS
NO. BEDROOMS NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ "'
AUTO. DISHWASHER YES ❑ NO ❑
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
3 b&'(roo"I
x 3
X
House Trailer
800 Gal.
400
Sq. Ft.
Two Bedroom House
800 Gal.
600
Sq. Ft.
Three Bedroom House
900 Gal.
1.'900
Sq. Ftp
Four Bedroom House
'1000 Gal:
1200
Sq�`�t:i
INSTALLED BY
CERTIFICATE OF COMPLETION
By Date �"26 '76
(8/16/73) *Construction must g4ly with all other applicable State and local regulations
LOT AREA
x 3
X
lett
INSTALLED BY
CERTIFICATE OF COMPLETION
By Date �"26 '76
(8/16/73) *Construction must g4ly with all other applicable State and local regulations
LOT AREA
i