P421 Howardtown Rd DAVIE COUNTY HEALTH DEPARTMENT
-(Septic-Tank) Improvements 'Permit and-Certificate of:Completion
(Ground-Absorption Sewage Disposal System -. G.S. Chapter 130-Article 13C)
OWNE OR CONTRACTOR DATE PERMIT
LOCATION '�, � a.*� e�.�.; ¢„ � o:�, +� '�;> 6R. `r d�+v4r ?o�L: N? 421
"mAa S.R. NO.
SUBDIVISION NAME . : 'LOT NO. SECTION OR -BLOCK NO.
HOUSE ❑ MOBILE HOME ' BUSINESS ❑
House Trailer � 80 " �40 Ft.
N0. BEDROOMS - N0. BATHROOMS Two Bedroom. House . 800 Ga 00 S F
GARBAGE DISPOSAL,UNIT YES '❑ N0 ' ,❑ Three Bedroom House Gal: 900-Sq. Ft.
AUTO. DISHWASHER,-: . . YES ❑ NO Q Four Bedroom House 1000 .Gal. 1200 Sq. Ft.
AUTO._ WASH. MACHINE. YES 0 NQ ❑
SITE SUITABLE YES `❑. ,. NO
SIZE OF' TANK 6a':- gal.
NITRIFICATION FIELDS '. sq. ft. :
DEPTH OF STONE IN LINES: oa!
WATER SUPPLY: Individual. ❑ Public
IMPROVEMENTS PERMIT. BYINSTALLED BY
CERTIFICATE OF COMPLETION
BY Date
(8/16/73) *Construction must mply with all other applicable State and local regulations
LOT AREA
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