P702 Davie Academy Rd DAVIE COUNTYHEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Div osal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR JA lra DATE PERMIT
LOCATION Crtcr Ac . N? 702
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE g_400" MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
N0. BEDROOMS NO. BATHROOMS �, r Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES El NO Lid' Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑}}NO Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES [!a" NO ❑
SITE SUITABLE YES NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD - sq. ft.
DEPTH OF STONE IN LINES: _
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY INSTALLED BY
CERTIFICATE OF COMPLETION By L— Date 7 77
(8/16/73) *Construction must -comply with all of r ap licable State and local regulations
LOT AREA
j
1h 4