147 Bentwood Drive Lot 22' ^ ` DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System -7 G. S., Chapter 130 -Article 13C) -.-..
OWNER OR CONTRACTOR , J" ! Y ...ti `r DATE 7 ' 7- 76 PERMIT
LOCATION f �'- 't rl :. N�. 1069
SUBDIVISION NAME Crcrr...<,<.A 2. LOT NO. � 22 SECTION OR BLOCK NO.
NO. BEDROOMS NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO -G?w
AUTO. DISHWASHER YES.®,, NO ❑
AUTO. WASH. MACHINE YES .lam NO ❑
SITE SUITABLE YES• 2� NO ❑
SIZE OF TANK /000 gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: ,/
WATER SUPPLY: Individual 17 Public ❑
IMPROVEMENTS PERMIT BY;•
7
House Trailer 800 Gal
Two Bedroom House 800 Gal
Three Bedroom House 900 Gal
Four Bedroom House 1000 Gal
INSTALLED BY
400 Sq. Ft.
600 Sq. Ft.
900 Sq. Ft.
1200 Sq. Ft.
r
CERTIFICATE OF COMPLETION By �� .M 14 Date{g.0 A !74_
(8/16/73) *Construction mustc8mply wit all other applicable State and local regulations
LOT AREA 'C ,
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