107 W Robin Drive Lot 1DAVIE CQU.NTY HEALTH DEPARTMENT '
" (Septic Tank) Improvemets,PeranA;Certificate. of ,Completion M
(Grou,orption Sewage Disposal System G.S. Chapter130=Article 13C)
OWNER OR CONTRACTOR -,•... -` �. - DATE PERMIT
LOCATION `� (" :4 �, .":i' <' G .Y % ;. r : N° 442
S.R. NO.
SUBDIVISION NAME, Ltyy,eNc � ►�„: LOT NO. / SECTION OR BLOCK NO. p _
HOUSE MOBILE HOME BUSINESS ❑
N0. BEDROOMS NO. BATHROOMS House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 8QQ—G1•�.. _6 JI-Sq,� t.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House ('900 Gal 9�„� OQ__�Sgq_Ft;h
AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES [3' NO ❑ ( s
SIZE OF TANK � gala
I I
NITRIFICATION FIELD :. �� 'Q sq. ft.
DEPTH OF STONE IN ' LINES s
WATER SUPPLY:- Individual Public ❑
IMPROVEMENTS PERMIT BY `�; �� _ �.r s INSTALLED BY t ' 1A RT: �
CERTIFICATE .OF COMPLETION , By b ► Cu.•r u Date
(8/16/73) *Construction must Amply with all other applicable State and local regulations.
LOT AREA
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