232 Oakdale Circle Lots 1-3 DAVIE COUNTY HEALTH IIEPARTMENT 4?3Z male
(Septic Tank) Improvements Permit and Certificate. of Completion
"(Ground Absorption Sewage Disposal' System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR , DATE 9.. ,` PERMIT
LOCATION r,j e t a Y '1.: ,.). 1 = I,�. r .l , N? 670
S.R. NO.
SUBDIVISION NAME d`1 o 1� j,e LOT NO. SECTION OR BLOCK NO.
HOUSE ,�( MOBILE HOME BUSINESS ❑
NO. BEDROOMS .� q.House Trailer 800 Gal. 400 S Ft.
N0. BATHROOMS Two Bedroom House 800
{gal, 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Sq. Ft.
AUTO. DISHWASHER- YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO, WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES [3 NO [3o �, `��` "' ' j
SIZE OF TANKal. �Q 4iL S:t 4a
g A0ty�
NITRIFICATION FIELD 9 a sq. ft.
DEPTH OF STONE IN LINES: /
WATER SUPPLY: Individually 0 Public ❑
IMPROVEMENTS PERMIT BY `1,�(� J'j c .,.; INSTALLED BY ��;�@, S C•, �°nvti,'►1i•,,
CERTIFICATE OF COMPLETION ,.,
BYDate
(8/16/73) *Construction must omply with all other applicable State and local regulations
LOT AREA
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