344 Pleasant Acre Dr (2) DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C)
QI EF 4R CONTRACTOR i.. • ' TA L'4 r DATE %" ,kl- ",Y- PERMIT
N? 142
LOCATION `
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME C3 BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
N0. BEDROOMS NO. BATHROOMS ' Two Bedroom House 800 Gal. 60.Q.Sq__Xt.
t- Three Bedroom House %900 900 S .
GARBAGE DISPOSAL UNIT YES ❑ NO ❑+ ,__..__..,Sash
AUTO. DISHWASHER YES ❑ NO (� Four Bedroom House 1000 Gal. 1 OO Sq. Ft.
AUTO. WASH. MACHINE YES CY NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK lo'd gal.
NITRIFICATION FIELD "`i` c -� sq. ft.
DEPTH OF STONE IN LINES ;
WATER SUPPLYi Individual Public ❑
IMPROVEMENTS PERMIT BY f,, tyr'+Gh3h a INSTALLED BY �„�j,e, S:1'. C8•
CERTIFICATE OF COMPLETION • By 127 r Date-g-go-.14
(8/16/73) *Construction must omply with all other applicable State and local regulations
LOT AREA
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