Loading...
289 John Crotts Rd (3) DAVIE COUNTY HEALTH DEPARTMENT _ (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption SewageRLSposal System - G.S. Chapter 130-Article 13C) OWNER OR'CONTRACTOR (^ot DATE PERMIT LOCATION .., .' , . 821 1 S.R. NO. SUBDIVISION NAME , �. �'r LOT NO. SECTION OR BLOCK NO. HOUSE MOBILE HOME 0 BUSINESS ❑ 4 ( N0. BED OOMS � House Trailer 800 Gal. -400 Sq. Ft. NO. BEZOOMS <11 NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft. GARBAGE DISPOSAL.UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft. AUTO. DISHWASHERYES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft. AUTO. WASH. MACHINE YES ❑ NO SITE SUITABLE YES ❑ NO ❑ `=� ` 74, SIZE-OF TANK gal. vP� � z�3f ' 1 NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES; WATER SUPPLY: Individual Public ❑ 'r•, IMPROVEMENTS PERMIT BY +, .�' � ' 'rv `'r'y NSTALLED BY CERTIFICATE OF COMPLETION e7^�o_ Ay • 1 BY � Date l (8/16/73) *Construction must c"OmEW with all other applicable State and local regulations 10 LOT AREA X6 /��!/ Sd =.2�f /001 � � �rnr�'I __:,.,,�..�•...�.�- ..^ w ... _ _. ... I= ra� / I /bM ©�cL/!�SNF" S r t a fl f L . tnf% g k I � } 1 ` . 1 i V t f_. DAVIE COUNTY HEALTH DEPARTMENT 4 (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C) OWNER OR CONTRACTOR '041 La, DATE PERMIT LOCATION r' ­S? 8 21 S.R. NO. f{„O� a>4 je,,04 SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. r HOUSE MOBILE HOME 0 BUSINESS ❑ N0. BE OOMS N0. BATHROOMS 'House Trailer Two Bedroom House 80b 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 L7". NO ❑ / SITE SUITABLE YES ❑ NO © ►"-""' �f' Q. 7C ^) SIZE„pF TANK gal. NITRIFICATION FIELD i ;r= ti sq. ft. DEPTH OF STONE IN LINES: 'Y WATER SUPPLY: Individual Public ❑ IMPROVEMENTS PERMIT BY r %, NSTALLED BY CERTIFICATE OF COMPLETION By Date —�' l c (8/16/73) *Construction must com with all other applicable State and local regulations LOT AREA rap a C,,, b M _3