P1190 Redland Rd DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTORCI P w a.I M(Tktje, r DATE t• 2 2 -�trs PERMIT
^y M1 N� 1190
LOCATION , 3,) z' #. 1�3 r. /�1 -rt c� t k,c c_.._., o W W100 Pj
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE ,, YES ❑ NO ❑ 'T '�'
SIZE OF TANK 4 gal. C6 "it
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: 4
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BYC,Nv�- INSTALLED BY
CERTIFICATE OF COMPLETION By Date
(8/16/73) *Construction must co ly' with all other applicable State and local regulations
LOT AREA