110 Westridge Road Lot 35DAVIE 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 DATE ems, PERMIT
LOCATION r{ F^ c- 04 6 N9 1337
S.R. NO.
SUBDIVISION NAME �.� ;-r�� C LOT NO. ,fir SECTION OR BLOCK NO.
HOUSE ;q MOBILE HOME ❑ BUSINESS ❑
NO. BEDROOMS .3 NO. BATHROOMS 2
GARBAGE DISPOSAL UNIT YES ❑ NO SEI
AUTO. DISHWASHER YES [- NO ❑
AUTO. WASH. MACHINE YES 0- NO ❑
SITE SUITABLE YES 2r NO ❑
SIZE OF TANK '5600 960 gal.
NITRIFICATION FIELD j.5U sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY Qlcw Y1r'l" INSTALLED 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.
a,-
CERTIFICATE OF COMPLETION By MCiao!U Date
(8/16/73) *Construction must comply with all other applicable State and local gu ations
LOT AREA /o7p��/lob
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