P903 Howardtown Circle. DAVIE COUNTY HEALTH DEPARTMENT
. (Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absor tion Sewage Dis osal System - G.S. Chapter 130 -Article 13C)
DATE •r► -7/
OWNER OR CONTRACTOR E
(�PERMIT
LOCATION6,41."j, r ; m a,1 r, c t '- - •
,y,
IM,<.4 S.R. NO.
•
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME @,f BUSINESS ❑
NO. BEDROOMS ! NO. BATHROOMS _
GARBAGE DISPOSAL UNIT YES ❑ NO D-0*
AUTO. DISHWASHER YES ❑ NO mow'"
AUTO. WASH. MACHINE YES (ANO ❑
SITE SUITABLE YES M4--1qO ❑
SIZE ,, OF TANKgal.
NITRIFICATION FIELD S� sq. ft.
DEPTH OF STONE IN LINES: leuel 4#V -1j
WATER SUPPLY: Individual Q•-ublic ❑
IMPROVEMENTS PERMIT BY
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
I
TIP
INSTALLED BY
903
800
Gal.
400
Sq.
Ft.
800
Gal.
600
Sq.
Ft.
900
Gal.
900
Sq.
Ft.
1000
Gal.
1200
Sq.
Ft.
.
CERTIFICATE OF COMPLETION By r qt Date —4-04
(8/16/73): *Construction must com with all other applicable State and local regulations
LOT AREA f ,
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