P163 Cedar Creek RdDAVIE COUNTY-iEATH DEPARTMENT
,, ,(Septic Tank), Improvements Permit and Certificate of Completion
*w0undA-bsorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)�
OWNER OR Z;i DP?TP1syGZOR /,:' 71�c �, iJ.ws"�' DATE -�'," tI PERMIT _
LOCATION
N� 1.63
S.R. NO.
5.
SUBDIVISION NAME` LOT NO. SECTION OR BLOCK NO.
HOUSE
HOME 0 BUSINESS
NO. BEDROOMS NO. BATHROOMS
�f
GARBAGE DISPOSAL UNIT YES ❑ NO G'
9
AUTO. DISHWASHER YES ❑ NO [�r"
AUTO. WASH. MACHINE YES ®'` NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK j�OO gal. Pf-c
NITRIFICATION FIELD 14 0 sq. ft.
DEPTH OF STONE IN LINES: T"
WATER SUPPLY: Individual B Public ❑
IMPROVEMENTS PERMIT BY
CERTIFICATE OF COMPLETION
., BY -
(8/16/73) *Construction must
LOT AREA 3n o �x Ko
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
I
INSTALLED BY 14
800 Gal. 400 Sq. Ft.
8QQ,_60,0 Sq. Ft.
900 Gala 900 Sq• F
1000 1200 Sq. Ft.
Date S- -i .`
with all other applicable State and local regulations