P418 Bermuda Run Lot 7DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNE OR CONTRACTOR Q N cI e r S DATE 10-31--77I- PERMIT
LOCATION %,$ $� w_ lr 9 418
S.R. NO.
SUBDIVISION NAME LOT NO. % SECTION OR BLOCK NO.
HOUSE N MOBILE HOME p BUSINESS
NO. BEDROOMS NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK ffV gal.
NITRIFICATION FIELD 2L 0-0 sq. ft.
DEPTH OF STONE IN LINES: a F -".—r'
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 600 Sq. Ft.
Three Bedroom Hous 900 G 900 Sq. Ft.
Four Bedroom House al. 1200 Sq. Ft.
INSTALLED BY
L- C.o,
CERTIFICATE OF COMPLETION
By 7N�0 1 Date 0
(8/16/73) *Construction must c mply with all other applicable State and local regulations
LOT AREA
DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements. Permitand-Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWOR CONTRACTOR ! r DATE /0 - �/" `/` PERMIT
LOCATION % :� ��� �..w`-� N° 418
S.R. NO.
SUBDIVISION NAME Zetm,Ao- ._ LOT NO. SECTION OR BLOCK NO.
NO. BEDROOMS NO. BATHROOMS
GARBAGE DISPOSAL UNIT
YES ❑
NO
❑
AUTO. DISHWASHER
YES ❑
NO
❑
AUTO. WASH. MACHINE
YES ❑
NO
❑
SITE SUITABLE
YES ❑
NO
❑
SIZE OF TANK G
gal.
NITRIFICATION FIELD
'A
sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual
❑ Public
77
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 600 Sq. Ft.
Three Bedroom Hous/ 4i10,_Ga� 900 Sq. Ft.
Four Bedroom House0"+Gal. 1200 Sq. Ft.
IMPROVEMENTS PERMIT BY Li
ti's' -,4--.,9 INSTALLED BY ��-'"f S�"C C-41
CERTIFICATE OF COMPLETION"
eyy Date / O - 4
(8/16/73) *Construction must c mply with all other applicable State and local regulations
LOT AREA
DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit ,and , Certificate of Completion
" *(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
" OWNE OR CONTRACTOR DATE ! [` r PERMIT
LOCATION N9 418
S.R. NO.
.-a
SUBDIVISION NAME -.. n, :Y t�s� '�,., ,, LOT NO. SECTION OR BLOCK NO.
HOUSE Istel MOBILE HOME ❑ BUSINESS
NO. BEDROOMS NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK ( gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal..,,, 600 Sq. Ft.
Three Bedroom House" 900 Cal-:'` 900 Sq. Ft.
Four Bedroom House-.. 1000 Gal. 1200 Sq. Ft.
INSTALLED BY ^� = �'- 't w �-�•
CERTIFICATE OF COMPLETION By +c," , u., Date
(8/16/73) *Construction must`c mply with all other applicable State and local regulations
LOT AREA
r