121 Westridge Road Lot 33DAVIE COUNTY -HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disosal.Systeh G. S..Chapter ..130 -Article 13C)
OWNER OR. CONTRACTOR lcf-4.HSIIA l-tmM► tot DATE I s 77' 'PERMIT-
LOCATION
'PERMIT"LOCATION
13"54
S. R.
NO.
'. SUBDIVISION. NAME Wwi v-: ht LOT
NO'. 3 SECTION OR
BLOCK NO.
HOUSE :: MOBILE HMIE E3 . ' BUSINESS ❑
House'Trailer
800
Gal.
400.Sq. Ft.
NO. BEDROOMS "NO. BATHROOMS_.
Two Bedroom House
800
Gal.
600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO [
;Three Bedroom House
900.
Gal.
900.Sq. Ft.
AUTO. DISHWASHER YESNO,. ❑
Four Bedroom House
1000
Gal.
1200 Sq. Ft'.
AUTO. , WASH. MACHINE YES NO ❑
c „,1 ic�+si~. pct
,
SITE SUITABLE YES' . NO . ❑
SIZE' -,OF: -TANK •TANK �11d gal.-
�— . "
"�+ .16 90�
NITRIFICATION FIELD, `sq. -Its'
� )� � a+^�►"� A c.
-DEPTH OF.. STONE IN .LINESs
,WATER' SUPPLY: Individual Public ❑-`
�..
"IMPROVEMENTS,PERMIT BY
INSTALLED BY
'