P33 Howardtown Rd DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Dis osa`l System - G.S. Chapter 130-Article 13C) .
OWNER OR CONTRACTOR D P U� D 1;/i t: c� DATE r — /e•` j Ei',PERMIT
LOCATION f1 iJ 1 f �t.cl i'o v r_ u ,a.^. E 7"a ��f I N Of 33
• I
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 al. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House Q41,Gal
AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000.Gal. 1200 Sq, Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑ t;
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD 1} ` sq. ft.
DEPTH OF STONE IN LINES: .
WATER SUPPLY: Individual Pubb c ❑
IMPROVEMENTS PERMIT BY INSTALLED BY .
CERTIFICATE OF COMPLETION By ,s#.. . � t. ^: �t-r.�t Date '°
(8/16/73) *Construction must comp with all other applicable State and local regulations
LOT AREA !/0a
i ,