191 Timber Ln Lot 1 DAVIE COUNTY HEALTH DEPARTMENT
--(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Seww# e•,Disposal System - G.S. Chapter�130 Article 13C)
OWNER OR CONTRACTOR �i�,C v. r r,b«. 7�s iw, DATE "'.- w PERMIT
e. • �-. . Y.�.:.�.:. .<..�.�,�;.� �. ��- .. .�. 1139
LOCATION Oc : �; N?
S.R. NO.
SUBDIVISION NAME �r� LOT NO. SECTION OR BLOCK NO.
P
HOUSE El MOBILE HOME BUSINESS ❑
FY House Trailer 800 Gal. 400 Sq. Ft.
N0. BAR6OMS �, NO. BATHROOMS - Two Bedroom House t.
Three Bedroom House 0 al Ft
GARBAGE DISPOSAL UNIT YES NO ❑ -
AUTO. DISHWASHER YES ]i NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES NO ❑ t
SITE SUITABLE YES ❑ NO ey � 'CA
SIZE OF TANK gal.
�� rz
NITRIFICATION FIELD sq. ft. ,
1 �, �.�r V'4 i+ ��..A. f• ,r:.`.-r ,�p �a l`� i/ :�
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual .❑ Public ❑ /�
.IMPROVEMENTS PERMIT BY t V: / f,�:�'"y1•Rtr� INSTALLED BY ZZ,
CERTIFICATE OF COMPLETION
By Date
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA
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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 CONTRACTOR .-.3-w��}. DATE -� r PERMIT
LOCATION F` . ' . -rr^-� *T9 113 9
x.- 0' S.R. N0.1\
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSEftX MOBILE HOME BUSINESS ❑
NO. BE4RR' OMSHouse Trailer 800 Gal. 400 Sq. Ft.
N0. BE _ N0. BATHROOMS _ Two Bedroom House 800 Gal. &0 Ft.
GARBAGE DISPOSAL UNIT YES NO ❑ Three Bedroom House S Ft
AUTO. DISHWASHER YES NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES NO ❑
SITE SUITABLE YES ❑ NO ❑ - p
SIZE OF TANK gal. f
NITRIFICATION. FIELD , .sq. ft. (
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑ f +�
IMPROVEMENTS PERMIT BY f .t3'M.t INSTALLED BY
r
CERTIFICATE OF COMPLETION By Date
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA ��
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