118 W Robin Drive Lot 5DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR. !%:.: DATE rt': i' PERMIT
LOCATION :.; �A.� v I b i'1/ ` /lU�l�% ��. N9 530
- -� S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK N0. -;2-
HOUSE
HOUSE 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.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual 0 Public
IMPROVEMENTS PERMIT BY
CERTIFICATE OF
(8/16/73)
LOT AREA
By -i
*Construction must comp
ft.
10
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. 60Q-S.q_.._.Ft.
Three Bedroom House ,x`900 Gal. 900 Sq.. Ft.--�.,
Four Bedroom House 1"i000 Gal. ``1200 Sq. Ft.
INSTALLED
Date _ea" ?- 2 &
icable State and local regulations
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