149-151 County Line Rd (2)DAVIE COUNTY HEALTH DEPARTMENT
-° (Septic Tank)- Improvements Permit and Certificate .of. Completion,; ,
(Grouri ', .b'sorpt ori Sewage .Di posal System - G.S. Chapter`'130'=Article`13C)
OWNER OR CONTRACTOR �, t ! ti r.l� Pj. # DATE ��°' PERMIT
,t N° 230
LOCATION S tA #s 7/t, 4A r'. 1 t/ ev — ,/
CERTIFICATE
OF COMPLETION
BY(/j
T
(8/16/73)
S. R. NO.
SUBDIVISION NAME
LOT
NO. SECTION OR BLOCK NO.
N
HOUSE ❑ MOBILE HOME
E3
BUSINESS
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S
House Trailer $�l9•t:G, 400 Ft-�,;
NO. BEDROOMS NO.
BATHROOMS
Two Bedroom House L$OOgMGal�, 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES
❑
NO ❑
Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES
❑
NO ❑
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES
❑
NO ❑j�it�+tacl
SITE SUITABLE YES
❑
NO ❑
["! 17
["
SIZE OF TANK gal.
NITRIFICATION FIELD
sq. ft.
DEPTH OF STONE IN LINES:
Public ❑
WATER SUPPLY: Individual "*21
IMPROVEMENTS PERMIT BY
r l`
w iY
,- 1SL,
INSTALLED BY
CERTIFICATE
OF COMPLETION
BY(/j
T
(8/16/73)
*Construction must cc
LOT AREA
N
Date ' "�
with all other applicable State and local regulatidns
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