P1438 Fox MeadowsDAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR K"i DATE PERMIT
LOCATION tiy:;. �rt . t:; 1 ` ° il.; ,. �. _r- i.:..' •� _ ; t �', �, . _�>,.,� lr 1438
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
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 _(I% 5 gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public ❑
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. 600 Sq. Ft.
Three Bedroom House 900 Gal. 900 Sq. Ft.
Four Bedroom House 1000 Gal, 1200 Sq. Ft.
1 , i
IMPROVEMENTS PERMIT BYINSTALLED BY C.,fj
CERTIFICATE OF COMPLETION `
By kv5 Date
(8/16/73) *Construction must 4omply with all other applicable State and local tegulations
LOT AREA , I I L , jC; V"/?V4
DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR 64,,,-} I� (..aDATE PERMIT
LOCATION,Ir�_ A R -- _ — 1�—�hcr� �,,- LeF� :_ �A�I►t.� 1438
S.R. N0. O
SUBDIVISION NAME VVJ a LOT NO. SECTION OR BLOCK NO.
HOUSE P 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 gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public ❑
IMPROVEMENTS PERMIT BY
CERTIFICA
(8/16/73)
LOT AREA
House Trailer
800
Gal.
400
Sq.
Ft.
Two Bedroom House
800
Gal.
600
Sq.
Ft.
Three Bedroom House
900
Gal.
900
Sq.
Ft.
Four Bedroom House
1000
Gal.
1200
Sq.
Ft.
INSTALLED BY r& S, —7 4-
TE OF COMPLETION
ByNP Pf Date 5
*Construction must 4omply with all other applicable State and local egulations