249 Lybrook Rd (2) DAVIE COUNT —EALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130-Artic,)e 13C)
. .,. ..•� w ..N �..se� DATE
OWNER OR CONTRACTOR..:. ' .! .`
T _ � PERMIT
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LOCATION 4 56
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S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSEMOBILE HOMEBUSINESS [:1
NO. BEDROOMS NO. BATHROOMS House Trailer $00 Gal I'' S,,,lc . `Ft.
Two Bedroom House 80 alb S . Ft
- _..
GARBAGE DISPOSAL UNIT YES ❑ NO' ; . : Three Bedroom House 900 Gal 900 Sq. Ft.
.rl Four Bedroom House " 1000 Gala 1200 Sq. Ft .
AUTO. .DISHWASHER . YES ❑' NO , ❑ . ,
AUTO. WASH. MACHINE YES NO ❑
SITE SUITABLE YES NO ; ❑
SIZE OF TANK gad
NITRIFICATION FIELD sq. ft..
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS'PERMIT BY fK.-" •rM INSTALLED BY
CERTIFICATE OF COMPLETION By Date
f6/73) *Construction must co ly with all' other applicable State andlocal regulations
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