194 Plowman Ln (2) DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorpt on Sewage Disposal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR s''1 DATE PERMIT
LOCATION _ ' '�,y cAu) Z� m N? 1412
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
N0. B ROOMS N0. BATHROOMS i Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. 900 S . Ft.
AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft
AUTO. WASH. MACHINE YES ❑ NO ❑ ;� /
SITE SUITABLE YES ❑ NO ❑ �'�-'I`"�Y�C �Y J1�c<
SIZE OF TANK / tic gal.
lj :,5�
NITRIFICATION FIELD sq. ft. ;��
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY STALLED BY 1 i A
CERTIFICATE OF COMPLETION m �a Date
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA
-•- .�.,.........� _.......M...............,.,,,,d,
12-
1