P675 Davie GardensDAVIE COUNTY HEALTH -DEPARTMENT V�2
(Septic Tank) Improvements Permit and Certificate of Completion �e5
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR_ N DATE S- i l- ) L` PERMIT
LOCATION S'�l =�.. :..- i; 1 n <- Y�, r.n a. Q 675
14,.E erre r rn.: R. q1,T S.R. NO.
SUBDIVISION NAME ;,v;C_ C n ,�pniS 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
gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual , Public ❑
IMPROVEMENTS PERMIT BY '�>«-t11
House Trailer
800 Gal.
400 Sq. Ft.
Two Bedroom House
800__Ga_l.
600$-q, Ft.
Three Bedroom House
--160 Gad.
00 Sq. Ft.
Four Bedroom House
1000 Gal.
1200Sq Ft.
Cr
T�mt,4
+jt��-••c s. _
c{A.."t •a F s7 a'; C.
of..
INSTALLED BY i-. + A -Y.-Pr'.,
CERTIFICATE OF COMPLETION BvL1 y� rh �i0 Date g �'ti--7
(8/16/73) *Construction must comply with all other applicable State and local. regulations
LOT AREA
D. n1"s,c rt
Jo:';iuv�p!elt. Co UE_ X44
'n1.