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P923 Midway St
DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) -.� t�' .. #,�'%` - , �,1PERMIT OWNER OR CONTRACTOR ,�b ,`... ", . � �.�,? � r ,! t• � DATE ��- =Z PERMIT t,OCATION _. • .r� '% DLoM% ,.: ,, Pu ; •= ! > Y, : "? 923 L.�nt f4 lei: -T'7i` S. R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE [12— MOBILE HOME ❑ BUSINESS I NO. BEDROOMS NO. BATHROOMS _ GARBAGE DISPOSAL UNIT YES ❑ NO ©^"` AUTO. DISHWASHER YES ❑ NO jO#' AUTO. WASH. MACHINE YES Eo''NO ❑ SITE SUITABLE YES [ "'NO ❑ SIZE OF TANK=)' gal. NITRIFICATION FIELD;...,=,°,.ltfinssq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual Public Q IMPROVEMENTS PERMIT BY House Trailer Two Bedroom House Three Bedroom House Four Bedroom House INSTALLED 800 Gal. 400 Sq. Ft. 800 Gal. 600 Sq. Ft. 900 Gal. 900 Sq. Ft. 1000 Gal. .1200 Sq. Ft. CERTIFICATE OF COMPLETION By 3'.� r / , j ��, . Date (8/16/73) *Construction must comp /with all other applicab 4 State and loca regulatio'ngs LOT AREA Lp �'i,