527 Davie Academy 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 CONTRACTOR 1; j4r t;"'Vh61 DATE /t11.177 PERMIT
LOCATION b %4,C- � •
1324
` S.R. NO. 114-1
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME r. 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 1� Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO L9 Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ,(.1 NO ❑
SITE SUITABLE YES 1u NO ❑ '�;�j n�-See,, — ihC�u<rna�•.}- 1�-�eH{�w
SIZE OF TANK /gal.
NITRIFICATION FIELD 4D',1_ sq. ft. C``�•sl.d� • ./y1Ct..�
DEPTH OF STONE IN LINES:
11�P
WATER SUPPLY: . Individual ❑ Public ❑
IMPROVEMENTS PERMIT BY(-t t, '. INSTALLED BY roc•S}aFF' A
r
CERTIFICATE OF COMPLETION
BY v Date a �
(8/16/73) *Construction must Amply with all other applicable State and local regulations
LOT AREA FF/�
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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 UUaf-te.r AuSJArJ DATE 414/77 77 PERMIT
LOCATION1324
�RviCr_�e_at��_e�_ Kc� Tra, ��r u•. ��� l�e �� �r�cl�eS N�
S.R. NO. 1l%k'7
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
N0. BEDROOMS �_ N0. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO 0 Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO ( 1 Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES 92" NO ❑
SITE SUITABLE YES [' NO [3n
SIZE OF TANK In gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public ❑
IMPROVEMENTS PERMIT BY INSTALLED BY
CERTIFICATE OF COMPLETION
By Date
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA
13�lx 3`X k veL