P387 Southwood Acres Lot 5 Block 2DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion r, Ilv k1V411
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR%/C � /r y_/ C:.n r �j,' ic• r /DATE �f� /,�—/�tZPERMjI�T'���—.sv
LOCATION i��X�'-�/'IT /��r%o/ir•� Ar//� lZ/rirc�% �•3Ot
3 d/�
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. a!
rrnrren .. - vnnT• c vnvc erre Tvvice t1 - -
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:
,s
WATER SUPPLY: Individual 0 Public
IMPROVEMENTS PERMIT BY^ -
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800.... Gal. 600 Sq. Ft.
Three Bedroom House C,900'G,�r>
,292, S,g--FD)
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
0
BY %'J& 4'
CERTIFICATE OF COMPLETION By� �a--Ae Date
(8/16/73) *Construction must omply with all other applicable State and local regulat5ions
LOT AREA
t