P348 Beauchamp Rd• 'j '
_ - DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal. System_- G. S. Chapter 130-Articxe 13C)
OWNER. OR CONTRACTOR �t �' S 4 ;:S /t ty'an �. ,;DATE ;:'- •' J} '�` PERMIT
LOCATION
348
R' .�I /�a �: r- .."f f ,. r•� , ^.l;e.��r N�
E.,C { zr. , +' T- >, ... :"'*." a r1 r S.R. NO.
SUBDIVISION NAMELOT NO. SECTION OR BLOCK NO.
HOUSE JZ MOBILE HOME ❑ BUSINESS ❑ I
NO. BEDROOMS NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO Q
AUTO. DISHWASHER YES Q ;.,.=NO ❑
AUTO. WASH. MACHINE YES M ,NO ❑
SITE SUITABLE YES En—' NO ❑
SIZE OF TANK /41TID gal.
NITRIFICATION FIELD (2 sq ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual . Public ❑
IMPROVEMENTS PERMIT BY f�; . ',V. _
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 806.'Gal. 600 Sq. Ft.
Three Bedroom House 900'Gal. 900 Sq. Ft.
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
b QJ 441
t s`
INSTALLED BY��,_. „,
CERTIFICATE OF COMPLETION
By Date"„�-��
(8/16/73) *Construction must comp ith al of qi applicable State and local A J. ions
LOT AREA .�,S'O �y `
r
I g�o7R"�
i
t.
nv o
Z7ec.o%a/ MoT f
dle
y
Ssb� f
l of sG _ a heel, 66".s
2 S/aue.d 3 - /'7406
� S/oe.+•rAs , %��+, ? evl�1��R
o.✓