147 W Renee Drive Lot 12AVDAVIE COUNTY HEALTH DEPARTMENT' " , �%
(Septic Tank) Improvements Permit and Certificate of Completion
.(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTORt9 „/ ELS ! DATE PERMIT C
LOCATION PP'f n64, V01 A be,. 4 / Mrs . � . is � � " 4fl N? 6 0 9
S.R. NO.
SUBDIVISION NAMEpe:,c3 A LOT NO. 2 SECTION OR BLOCK NO.
HOUSE gr- MOBILE HOME ❑ BUSINESS C
NO. BEDROOMS .3 NO. BATHROOMS '--
GARBAGE DISPOSAL UNIT YES ❑ NO 09"''
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ,L�,�^.NO ❑
SITE SUITABLE YES LTJ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD 4.- C> sq. ft.
DEPTH OF STONE IN LINES: A4- "I"t
WATER SUPPLY: Individual 00" Public ❑
IMPROVEMENTS PERMIT BY C.., 11.rR,+lAA.a . Y1.
CERTIFICATE OF COMPLETION By
(8/16/73) *Construction must
LOT AREA
House Trailer
800
Gal.
400
Sq.
Ft.
Two Bedroom House
800
Gal.
600
Sq.
Ft.
Three Bedroom House
900
Gal.
900
Sq.
Ft.
Four Bedroom House
1000
Gal.
1200
Sq.
Ft.
oe
9PO SO. �# . cQu; utx le#V9
INSTALLED BY L .?
filGlmw&- Date /4-/-2-/ '76
ly with all other applicable State and local regulations