997 Howardtown Circle (3) 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 i4E'�r - t1 L11c�t 1+�.�, DATE ;, l/-17 PERMIT
s
LOCATION N9 1415
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS -3 NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO Ef Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO (T Four Bedroom House 1000 Gal. 1200 Sq. Ft. -
AUTO. WASH. MACHINE YESNO ❑
SITE SUITABLE / ` YES ❑ NO ❑ J k• �-� a.Gu. R. (o- `7'7
SIZE OF TANK f gal.
NITRIFICATION FIELD sq. ft. .1CIL
DEPTH OF STONE IN LINES:
WATER SUPPLY Individual , V Public ❑
IMPROVEMENTS PERMIT BY !j<< INSTALLED BY L eo
CERTIFICATE OF COMPLETION By �� Date
(8/16/73) *Construction must coMply with all other applicable State and local regulations
LOT AREA "o"i
6Z7
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 ohe7 r'6Ia 0&— DATE -S-//21'7'7 lr PERMIT
LOCATION - c1W a��r TU v, �� ? 1415
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 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ET Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO M Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES 0' NO ❑
SITE SUITABLE n YES ❑ NO ❑
SIZE OF TANK l Uy gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY INSTALLED BY
CERTIFICATE OF COMPLETION
By Date
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA a crp'X 3
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VVI
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