171 Valley Oaks Drive Lot 16DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorp ion Sewa a Disposal System - G.S. Chapter 130 -,Article 13C)
OWNER OR CONTRACTOR DATE Z15 17r PERMIT
LOCATION a / 7 / Yo 111 p N° 1970
S.R. NO.
SUBDIVISION NAME C����l, da.KS LOT NO. b SECTION OR BLOCK NO.
It
HOUSE ❑ MOBILE HOME U BUSINESS ❑
NO. BEDROOMS �j NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.'
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. 600 Sq. Ft.
Three Bedroom House 900 Gal. 900 Sq. Ft.
Four Bedroom House 1000 -Gal. 1200 Sq.'Ft.
_74 /V
INSTALLED BY
CERTIFICATE OF COMPLETION gy / _ - lr� Date 5
(8/16/73) *Construction must comply with ad1 other applicable State and local regulations
LOT AREA
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ra V-44
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u_
UY
NAME
LOCATION
DAT: v
, -& 1 ._ C OI1i,'E PITS
HOLE_ NO.
FINDINGS: - 1
3 1.16
4
5
6
1. of Dj agram
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