P1402 Davie Academy Rdx
• DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption fSewa e Disposal System- G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTORS jq� :r;t r�J: • '`` `' DATE ^�� �;�- PERMIT
LOCATION '..!• t. . �Yr�,: ,.,,.r f ' ^ cl. �J,; + c� . , �, 1\ �. 1402
` C ,, ,. �• 'r S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME ❑ BUSINESS ElNO. B ROOMS �,'r NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO B'
AUTO. DISHWASHER YES ❑ NO Q -----"
AUTO. WASH. MACHINE YES �NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK 4%j gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:t?'�
WATER SUPPLY: Individualf]0 1-y-ublic
IMPROVEMENTS PERMIT BY �n1✓'r3`-/
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House Q0„calr OO S,g^—Ft.
Three Bedroom House Gal. 900 Sq
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
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TALLED BY
CERTIFICATE OF COMPLETION By Date
(8/16/73) *Construction must c mply with all other applicable State and local regu al tions
LOT AREA J:'�YY ��0 �:r - f A d „