1033 Howell Rd ��a••w+r;iTr"�hM�w,"'`�'f�Yi'4�.4�iiF" €a��•�'i ri',jYwiy°,ary++�:'Y�•t•vy .,, 1 y� . . ,.r,a ,�_: .. ,. .. -',. ,
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DAVIE COUNTY HEALTH DEPARTMENT
_ IMPROVEMENTS PERMIT.AND' CERTIFICATE OF COMPLETION
•NOTE:Issued in Compliance With Article I I of G.S.Chapter 130a
Sanitary Sewage Systems �� / Permit Number
Name P v//� Date .L/'��'�23 N27387
� / � -
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House 4e_'� Mobile Home __ Business -- Industry
No. Bedrooms CK —.No. Baths -/ No. in Family Public Assembly Other
Garbage Disposal YES ❑ NO ❑ Specifications for Syste
Auto Dish Washer YES ❑ NO ❑
Auto Wash Ma^.hine YES ❑ NO ❑
Type Water Supply — ----
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
F
Improvements permit bY
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Number:704-634-5985.
Final Installation Diagram: System Installed by —_SLy
dw
r "
Certificate of Completion L'_� Date �o�! �'LIT.
. The signing of this certificate shall indicate that the system-described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of:time. .::
-r-
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*t'OTE:Issued in Compliance With Article II of G.S.Chapter 130a
Sanitary Sewage Systems Permit Number
`
Name _ /� P 1v,//Date .
/3` i— No 7367
� �1 .�7
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size / House Mobile Home Business -- Industry
No. Bedrooms No. Baths / No.;in Family _ Public Assembly Other
Garbage Disposal YES p NO ❑' Specifications for System
Auto Dish Washer YES ❑ NO p ��
Auto Wash Ma thine YES ❑ NO ❑ �j� �,�p2 '
Type Water Supply — ----
o
'This permit Void if sewage system described bel¢w islnot installed within 5 years from date of issue.
This permit is subject to revocation if site plans�br the intended use change.
1 � .
Improvements permit bY
*Contact a representative of the Davie-County Health Department for final inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Number:704-634-5985.
i
Final Installation Diagram: System Installed by —
.1
1
J '
(pd•�.35X.�h//
Certificate of Completion Date
The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.