P1133 Danner RdAr DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chap er 130 -Article 13C)
OWNER OR CONTRACTOR L- -' e?.f l ' 's".:.-�. DATE -' , PERMIT
No
LOCATION �'' .�: _.1 ��_ J"-" ,'" �`.c-�:-�''' =.�1"� •
1133
S. R. NO. 1 `j
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME^ BUSINESS ❑
NO. BEDROOMS NO. BATHROOMS ,..�,
GARBAGE DISPOSAL UNIAYES El NO B _
AUTO. DISHWASHER " - ? S• �❑
:_yo [
AUTO. WASH. MACHINE `''� .XES Q�,,NO ❑
SI,�E SUITABLE ,.....'k-°'��'�mBS' a N0�❑
SIZE OF TANK VD`¢i' gala
NITRIFICATION FIELD �.jl� %� sq. /ft.
DRPTH OF S TONE IN LINES : / �� 1-/-.
A!
WATER SUPPLY: Individual r� Public❑
IMPROVEMENTS PERMIT BY k
i�-�--oma
House Trailer 800 Gal.
Two Bedroom House 1
Three Bedroom House 900 Gal.
Four Bedroom House 1000 Gal.
,2-- 75'X 3'X /0"
INSTALLED BY
-CERTIFICATE OF COMPLETION t
By
(8/16/73) *Construction must comply Vith all other applic
LOT AREA
4Q0�
'0 Ft
900 Sq. Ft.
1200 Sq. Ft.
>jrbs
Date c:�
le State and local regulations