324 Vogler Rd DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. ChaptFr 130-Article 13C)
OWNER OR CONTRACTOR J ' � V DATE �PERMIT
LOCATION -�� �1 ° 1<: f�t-y �'. rl f N? 496
` S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOMEBUSINESS ❑
NO. BEDROOMS NO. BATHROOMS House Trailer8IIII G. a„ I�,tQq,, .
Two Bedroom House F800 ab110- q-_E �
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 r� YES ,,0 _.NO [3 _ �l ' �'� �"s� �' I -y lY ! 2-,
SIZE OF TANK / /C gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: 51
WATER SUPPLY: Individual Public ❑ /C / _
`
IMPROVEMENTS PERMIT BY , = r�%. r��' "= INSTALLED BY <-'! ('
CERTIFICATE OF COMPLETION By 1 < j,'. L� Date
(8/16/73) _*,Construction must comply with all other applicable State and local regulations
LOT AREA
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