140 E Renee Drive Lot 19DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Dispo 1 S stem - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR '�2
DATE i--- -PERMIT
(�7..-
N° 65
L CATIO
S.R. NO.
SUBDIVISION NAME LOT N0. CW SECTION OR BLOCK N0.
�7Yi o nl R . n? VD, S24e
HOUSE �1 MOBILE HOME [I BUSINESS
NO. BE ROOMS _a_ NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑�/ NO C-'
AUTO. DISHWASHER YES Lid' NO [3AUTO. WASH. MACHINE YES COY NO ❑
SITE SUITABLE YES ❑ N ❑
SIZE OF TANK T gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY T ! •' a'= ''t%!='
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. 609—aq. Ft.
Three Bedroom House 9!0: X00 $A. Ft.
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
—INSTALLED BY J'/I #S '51/ f / 4_,
CERTIFICATE OF COMPLETION
(8/16/73) *Construction must co6pio with all other applicable State and local.regulations
LOT AREA
�1
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