P827 Woodland• - DAVIE 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 °'Z.; x,.r.,� `;`-' C; •�' a} DATE(a PERMIT
LOCATION J lr 827
S.R. NO.
SUBDIVISION NAME ;#,/ .' Ts: -=% �--r LOT NO. ? SECTION OR BLOCK NO.
—o
HOUSEj$I MOBILE HOME [IBUSINESS [
NO. B ROOMS Z NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO
AUTO. DISHWASHER YES Cg's NO ❑
AUTO. WASH. MACHINE YES [D` NO ❑
SITE SUITABLE YES M --'NO ❑
SIZE OF TANK ` Qe!'? gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual 0 Public
IMPROVEMENTS PERMIT BY k",
CERTIFICATE OF COMPLETION
(8/16/73)
LOT AREA
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. t.
Three Bedroom HouseS . Ft.
Four Bedroom House 10 Ga 1200 Sq. Ft.
INSTALLED BY
By , - r .,.. Date t .
*Construction must Com �y with all other app icable State and 1oca regulations
- b�yy M•YIw.wYn Mp MwMbe'+�hniw.tw M.�lwil.#M
f
A