119 Drexel Ln (3) 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 i) ', i �' t._' � 1, ad:,�,.' DATE PERMIT
LOCATION ` c',:; " , � 7 N? 961
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME BUSINESS ❑
N0. BE ROOMS N0. BATHROOMS House Trailer 800 Gal. 400 Sq.-Ft
Two Bedroom House 800 Gal_ 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO [[}'' Three Bedroom House9 0 1. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO Q/ Four Bedroom House 1000
Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES NO ❑ - ��
SITE SUITABLE YESNO ❑ r,r ti ,A c . jfi"i ��t !� •� `
SIZE OF TANK 0 Q gab
NITRIFICATION FIELD ,[,! :L11 sq. ft.
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DEPTH OF STONE IN LINES: Ale
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WATER SUPPLY: Individual ��3 . Public �
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IMPROVEMENTS PERMIT BY :, .. ' .'-F-, INSTALLED BY '
CERTIFICATE OF COMPLETION By Date 6 75 Z�
(8/16/73) *Construction must comply -th all other applicable State and local regulations
LOT AREA CR
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