P141 Daniel Rd44
DAVIE COUNTY HEALTH DEPARTMENT'
y (Septic Tank) Improvements Permit and Certificate ofom letion
(Ground Absorption Sewage Disposal System - G.S. Chapterk,7-Article 13C)
OWNER OR CONTRACTOR L,-,-; - i , 1 C *� �. ;� �.r.. �1 DATE --7 + PERMIT
NO
LOCATIi
141
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SUBDIVISION NAME LOT NO. SECTION OR BLOCK
NO.
HOUSE Q MOBILE HOME BUSINESS
❑
,�
House Trailer
800 Gal.
400 Sq. Ft.
NO. BEDROOMS NO. BATHROOMS
Two Bedroom House,�r
8
600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES El NO ❑"'
Three Bedroom House X900 G rl900
Sq. Ft.
AUTO. DISHWASHER YES ❑ NO Er
Four Bedroom House
1000 Gal.
1200 Sq. Ft.
AUTO. WASH. MACHINE YES ^'" NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK _":> gal.
NITRIFICATION FIELD a `' "' sq. ft.
DEPTH OF STONE IN LINES: .,.
WATER SUPPLY: Individual`'` Public ❑
'y='�=
IMPROVEMENTS PERMIT BY • • 4:- =
INSTALLED BY;.�
CERTIFICATE OF COMPLETION
By � . , . �
Date�.,� • .3d—
(8/16/73) *Construction must oply with
all other applicable State
and local
regulations
LOT AREA