P250 Brier Creek Farm Lot 120F(IS'e
DAVIE COUNTY HEZ-W- A' RTMENTptic. Tank) -Improvements . Permit and Certificate of Completi
Absorptionewage DispQsa., System, G.5. Chapter;' 130-A
OWNER OR CONTRACTOR,
ry LOCATION ;Q'a i;`"'
SUBDIV�SIOI�j NAME
HOUSE �'MS MOBILE HOW, BUSINESS
NO. BEDO140. BATHROOMS
GARBAGE.DISPOSAL UNIT YES ❑ NO .
AUTO. DISHWASHER ° YES [30' --NO ❑
AUTO. WASH. MACHINE YESNO ❑
SITE SUITABLE YES [NO ❑, '
SIZE OF, TANK gal.
NITRIFICATION FIELD I1 4.&C, sq. ft.'
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual . Public: ❑
IMPROVEMENTS' PERMIT BY j•-#�.�jre.p.�,;,
i
NO. i� SECT
n
ticle 13C)
ERM -T -- :Z
250
_ V...l.. 1\V.
ON OR BLOCK NO.
House Trailer800 Gal. 400!Sq. Ft.
Two Bedroom House JDQ,4C ;],: 600; Sq,:,,, EtE %
Three Bedroom House��.,.�t
Four Bedroom House�1000 Gal. 12W Sq. Ft.
01 4 6fr �
443
INSTALLED BY„�..,��{
CERTIFICATE
OF COMPLETION.gY
�" W
(8/16/73)
.*Construction must
ply with all other
applicable.State and
Date
local regulations
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