156 S Angell Rd DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Dispos System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR
DATE :7/"-/77 PERMIT
LOCATION t r !S 4i r.t; ;l`.. N? 1396
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME E3 BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS wy 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 ❑
SIZE OF TANK qtn gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public ❑ 1
IMPROVEMENTS PERMIT BYINSTALLED BY li(/.i �'�` / p�-G�.�
CERTIFICATE OF COMPLETION By �� Date
(8/16/73) *Construction must comply with all er applicable State and local regulations
LOT AREA
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