1226 Howardtown Circle (2)DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
Ground Absorption Sewage,Rispos9l System - G.S. Chapter 130 -Arty
le 13C)
OWNER OR CONTRACTOR,%..' :s/ t: ,f "' �. ,7:'�lt DATE.--^ �.%`Y-- %r PERMIT
LOCATION � c.t /�,:g - f �,� u�u r cu �•�xsJ rs r.. <? or
S. R. NO.
SUBDIVISION NAME
LOT NO. SECTION OR BLOCK NO.
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 yr,rp gal.
NITRIFICATION FIELD AC_y- 9 '++'► sq. ft.
'Fyr
DEPTH OF STONE IN LINES: -/�--- r
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY i
CERTIFICATE
(8/16/73)
LOT AREA
House Trailer 8M.- Ga 400
Two Bedroom House 80L�],d 600
Three Bedroom House 900 Gal. 900
Four Bedroom House 1000 Gal. 1200
,perk A Vic.
INSTALLED BY
,ill, 6/0
Sq. Ft.
Sq. Ft:.._...
Sq. Ft.
Sq. Ft.
OF COMPLETION
By Date
*Construction must mply with a 1 other applicable'State and loca regulations
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