142 Whitehead Road Lot 8 Section 2F..
-- 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 b pi . ; .$ Y' ( DATE PERMIT
LOCATI N No 1973
_. S.R. NO.
SUBDIVIS1ON NAME AA LOT N0. SECTION OR BLOCK N0.
HOI P E �` MOBILE HOME U BUSINESS ❑
NO BEDROOMS ; NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO
AUTO,.`DISHWASHER YES Q NO ❑
AUTO. WASH. MACHINE YES Ep NO ❑
SITE SUITABLE YES 0 NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Plmffic` IE
IMPROVEMENTS PERMIT BY
CERTIFICATE OF COMPLETION
(8/16/73) *Construction must comply with al
LOT AREA
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.
a �
I'`
INSTALLED BY`d /1
1 other applicable State and 1
i
egul`ations
f
& 11 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 DATE PERMIT
LOCATION /1 A J dO hAn (dfJ I( U lr O
SUBDIVISION NAME `C :r t, tr+:, ; �GPd,% LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME ❑ BUSINESS
NO. BEDROOMS 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 C3 Public
IMPROVEMENTS PERMIT BY Z��
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
1.973
800
Gal.
400
Sq.
Ft.
800
Gal.
600
Sq.
Ft.
900
Gal.
900
Sq.
Ft.
1000
Gal.
1200
Sq.
Ft.
INSTALLED BY
,r
CERTIFICATE OF COMPLETION Byte! —f--l"'\4�.,�.-�k— Date /�/�? ;7171K(8/16/73) *Construction must comply with all oth� applicable State and local regions
LOT AREA
DAVIE COUNTY HEALTH DEPARTMENT
P. 0. BOX 57
HOCKSVILLE, N. C. 27028
(704) 634-5985
Statement for Septic Tank Improvement Permits
and/or Site Evaluations
NAME DATE ISSUED x
ADDRESS �'� %'� C�-%%1�r;�-:_� �' �" /_!,�.-.e_PERMIT NO.
Explanation of charge
AMOUNT DUE--,,--,, " SANITARIAN
PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMiEIT.
PaVie Tauntg Wealth Bepartmertt
nub POme pealth '�genrg
P. O. BOX 665
,cachstlille, �qorth Carolina 27028
OFFICE OF THE DIRECTOR
May 18, 1987
Potts Realty
P. 0. Box 11
Advance, NC 27006
Attn: Diane Potts
Re: Sewage System Check
Lot 8/Greenwood Lakes
Dear Realtor:
The septic tank system that serves the house on lot 8 in
Greenwood Lakes was designed and approved by this office.
The houseis served by county water.
Sincerely,
�ys
Robert B. Hall, Jr., R.S.
Environmental Health
RH/wd
TELEPHONE
17041 634-5985
a
PaVie Tauntg Wealth Bepartmertt
nub POme pealth '�genrg
P. O. BOX 665
,cachstlille, �qorth Carolina 27028
OFFICE OF THE DIRECTOR
May 18, 1987
Potts Realty
P. 0. Box 11
Advance, NC 27006
Attn: Diane Potts
Re: Sewage System Check
Lot 8/Greenwood Lakes
Dear Realtor:
The septic tank system that serves the house on lot 8 in
Greenwood Lakes was designed and approved by this office.
The houseis served by county water.
Sincerely,
�ys
Robert B. Hall, Jr., R.S.
Environmental Health
RH/wd
TELEPHONE
17041 634-5985