P505 No Creek RdDAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal -System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR Rn 4: ; C. ), r2,,,. `t, ,• r,.w DATE - 7.!5- PERMIT
LOCATION ci: i3. (c� k r' "r�1•—� L�;� N° 505
- _ �\rpt; ea—
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE
NO. BEDROOMS
LE
GARBAGE DISPOSAL UNIT
AUTO. DISHWASHER
AUTO. WASH. MACHINE
SITE SUITABLE R
SIZE OF TANK q trD
BUSINESS ❑
NO. BATHROOMS
YES ❑
YES ❑
YES ❑
YES ❑.
_ gal.
NO ❑
NO ❑
NO ❑
NO ❑
NITRIFICATION FIELD _ :?An sq. ft.
DEPTH OF STONE IN LINES: -2
WATER SUPPLY: Individual Public El
IMPROVEMENTS PERMIT BY
House Trailer 800 Gal. 400—S .._ Ft.
Two Bedroom House x$00 Gal.,) 600 SgFt_ a
Three Bedroom House 900 Gal. 900 Sq. Ft.
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
INSTALLED BY 0111
CERTIFICATE OF COMPLETION �..^^
gYZ` ' ,.. � ..r�� Date 2;-, of - -7 �—
(8/16/73) *Construction mustgcomply with all other applicable State and local regulations
LOT AREA
0"r
Tv