329 Hilton RdGO—
CERTIFICATE OF COMPLETION
By.
(8/16/73) *Construction mus
LOT AREA ' '
►— .%a! w';r-, 4.�..e, t Date b .. � --
ly with all other applicable State and local regulations
DAVIE COUNTY' HEALTH,1fEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage.Disposal System - G.S. Chap er 130 -Article 13C)
OWNER OR CONTRACTOR _°„ r %._ �DATE
PERMIT
—
j
l�
LOCATION i> � ': } t +# t tee' . .
.229
S.R. NO.
SUBDIVISION NAME Lot NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME BUSINESS ❑
House Trailer
800 Gal. 400
Sq. Ft.
NO. BEDROOMS NO. BATHROOMS
Two Bedroom House
800 a,600
S t.
GARBAGE DISPOSAL UNIT YES ❑ . NO ❑
Three Bedroom House
900Gal. 900 Sq. ;FFt.
AUTO. DISHWASHER YES ':❑ -•NO ❑
Four Bedroom House
1000 Ga 1
q.
AUTO. WASH. MACHINE YE5 ❑ . NO ❑ "
SITE SUITABLE �} YES ❑ NO ❑
SIZE OF TANK / gal.
;NITRIFICATION FIELD 4D sq. ft.
DEPTH OF STONE IN LINES:; r
WATER SUPPLY: Individual Public ❑ ' '
tt
IMPROVEMENTS PERMIT BY �;'ri�il'v,1� Ly�G
INSTALLED BY
,+�
GO—
CERTIFICATE OF COMPLETION
By.
(8/16/73) *Construction mus
LOT AREA ' '
►— .%a! w';r-, 4.�..e, t Date b .. � --
ly with all other applicable State and local regulations