466 Angell Rd (2)- DAVIE COUNTY HEAWPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption,Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR _ )l, h,&- DATE, Z-. /- {i - PERMIT
LOCATION TZrc� F�/d a i ,j� 1 j1 % . 'c . ) NO
SUBDIVISION NAME
S.R. NO.
LOT NO. SECTION'OR BLOCK NO.
HOUSE] �MOBILE HOME L] BUSINESS [INO. B�/DRO\nMS /y. NO. BATHROOMS _
GARBAGE DISPOSAL UNIT YES ❑ 0 �
AUTO. DISHWASHER YES ff NO ❑
AUTO. WASH. MACHINE YES Zi. NO ❑
SITE SUITABLE YES tO NO [I
SIZE OF TANK J6 d a gal.
oe
NITRIFICATION FIELD /,a8 p " seq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY
CERTIFICATE OF COMPLETION
By
(8/16/73) *Construction must comp]
LOT AREA 1
\¢ k
House,Trailer.
800 Gal.
400 Sq.
Ft.
Two Bedroom House
800 Gala
600 Sq.
Ft.
Three Bedroom HouseGal,
Sq.
Ft,
Four Bedroom House
1000 al.
' 1200lSq.
Ft.
� s _
INSTALLED BY
AD
Date�i� /
with all other:_applicable State and local egulations
fi
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