P1619 WoodlandDAVIE COUNTY HEALTH DEPARTMENT
'="(Septic Tank) Improvements Permit and Certificate of Completion
+Round Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR 0'i C rL.+_ n DATE PERMIT
LOCATION r1.. {:3 — i �� ,,;�, �.�, IN 3,-�y �'. Si,• T. �c ,� - Ck_ l�� 1��9
I- 4r I • 1
SUBDIVISION NAME l.Usnj 14,J LOT NO. SECTION OR BLOCK NO.
HOUSE ® MOBILE HOME p BUSINESS U
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 !! r'�.. `f '� •-r
CERTIFICATE OF COMPLETION By
(8/16/73) *Construction must comply with
LOT AREA
House Trailer
800
Gal.
400
Sq.
Ft.
Two Bedroom House
800
Gal.
600
Sq.
Ft.
Three Bedroom House
900
Gal.
900
Sq.
Ft.
Four Bedroom House
1000
Gal.
1200
Sq.
Ft.
INSTALLED BY
Date c a2
Ll other applicable State and local regulations
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