126 Oakdale Circle Lot 5 DAVIE COUNTYHEALTH DEPARTMENT
i2& oakdale-&Iele
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorptip ewage (Dispos ys em "' G.S. Cha er 130-Article 13C)
OWNER OR CONTRACTOR , �a�L}2�� �..-t�1� DATPERMIT
LOCATION 483
S.R. N0.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME BUSINESS f [:11 House Trailer 800 Gal. 400 Sq Ft.
NO. BEDROOMS NO. BATHROOMS f 1-- Two Bedroom House
GARBAGE DISPOSAL UNIT YES [3 NO Er' Three Bedroom House 1�Q S t.
AUTO. DISHWASHER YES C3. NO Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YESNO 13
SITE SUITABLE YES 4 NO ❑ �'�r S l �� ,� -Cort
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft. ~�
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual'apt
P c ❑
IMPROVEMENTS PERMIT BY r[J�'t�t'G'C'c"� INSTALLED BY Cc:"
CERTIFICATE OF COMPLETIONBy Date 4;—
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA
r
------------
t
Q '
„e trig Arc a l"