154 Westridge Road Lot 40DAME COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorpption Sewage Disposal' System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR"',1,rt'���,�-�. ;^r �`.�i.�Z/ DATE ;i ' �#-M �;'�PERMIT
LOCATION . ' 1\
990
S.R. NO.
SUBDIVISION NAME t� 1. LOT NO. / SECTION OR BLOCK N0.
HOUSE MOBILE HOME BUSINESS ❑ .
.�.:
House Trailer 800 Gal. 400
Sq. Ft.
NO. BEnRO MS NO..BATHROOKS'
Two Bedroom House' 800 Gala 600
Sq. Ft.
GARBAGE DISPOSAL UNIT -.YES 0 NO ❑
- Three Bedroom,House' 900 Gal. 900
Sq. Ft.
AUTO. DISHWASHER YES. C3 NO Q
Four_Bedroom House 1000 Gal. 1200
Sq. Ft.
AUTO. WASH. MACHINE YES .O NO
SITE SUITABLE YES NO
^ n
ti C, f�%�" Y. f=7 Q e't ? . / r':s l�� i
'4—1
SIZE OF TANK. - gal":.
NITRIFICATION FIELD ,ro, sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY
INSTALLED
Y