781 Markland Rd DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disosa1 System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR L $ a�}c5,t► '_-�� +� ? DATE " !" r1 Wit'{ PERMIT
fi N? 469
LOCATION
S.R. NO.
SUBDIVISION NAME . LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME E3 BUSINESS ❑
^r House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS NO. BATHROOMS Two Bedroom House Q„Gaq, J�4 ,Set�
GARBAGE DISPOSAL UNIT YES ❑ NO 0" Three Bedroom House C900,;.Ga1-.) 00 Sq Ft..,;)
AUTO. DISHWASHER YES ❑ NO CT Four Bedroom House 1000 Gala 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑". NO ❑ e .119. tit �, r
SITE SUITABLE YES > �''" NO ❑ ^ ,+$` + �y � 4 l
SIZE OF TANK 0 gal.
NITRIFICATION .FIELDsq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ,� Public ❑ .
IMPROVEMENTS PERMIT BYtE`�, x-, '.."y'r�`+ - C... INSTALLED B' /_
CERTIFICATE OF. COMPLETION
BY' c ( Date
(8/16/73) *Construction must com ith all other applicable State and localregulations
LOT AREA
y