129 Westridge Road Lot 32DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion -
(Ground Absorption Sewage Dis osal ystem - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR C % (r DATE 2 % - r7.6 PERMIT
LOCATION ��./� S Yli•`C '�� P l�-[ VV�T/ IU�LIU.f• NO 93
S.R. NO.
SUBDIVISION NAME LOT NO. , F *Z SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME El BUSINESS ❑
N0. BEDROOMS_ NO. BATHROOMS Z-
GARBAGE DISPOSAL UNIT YES Ind -'NO ❑
AUTO. DISHWASHER YES Q�-' NO ❑
AUTO. WASH. MACHINE YES ❑—/ NO ❑
SITE SUITABLE YES Licl" 0 ❑`
SIZE OF TANK
NITRIFICATION FIELD `.• " :� �.� Sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual , -'Public,
. ❑
IMPROVEMENTS PERMIT BY
CERTIFICATE OF,COMPLETION BY__4
(8/16/73) *Construction must c
LOT AREA
i
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
INSTALLED BY
800
Gal.
400
Sq.
Ft.
800
Gal.
600
Sq.
Ft.
900
Gal.
900
Sq.
Ft.
1000
Gal.
1200
Sq.
Ft.
d� Date 6 r�
with all other applicable State and local regulations
s
c.�
1