575 Howardtown Rd (3) Y.' r DAVIE COUNTY HEALTH DEPARTMENT -
r` � t IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION d
' NOTE,. Issued In Compliance with G.S.of North Carolina Cha ter 130 Article 13c '
A P
Se a e Treatment and Disposal Rules (10 NCAC 10A.1934,11968) Permit Number
Name-.�'� /-v'i 2I� Date 4297 /� y
Location =E v (i
Subdivision Name Lot No. Sec.or Block No.
Lot Size House Lr Mobile Home Business Speculation 2
No.Bedrooms ._No.Baths .No.in Famlly
Garbage Disposal YES ❑ NO C],--
Specifications for System:
Auto Dish Washer YES
Auto Wash Machine NO ❑
Type Water Su
. i
'This per Vold If sewage system described below Is not installed within 3 months from date of Issue. i
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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. or 1:00-1:30 P.M. on day of completion. Telephone Number:704-634-5985. :r
Final Installation Diagram: System Installed b
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Certificate
grit°
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.
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' Davie,North Carolina,its agents,consultants,contractors or employees from any and all claims or causes of action due to or arising out pri nted:At'1r 29 2014
of the use or inability to use the GIS data provided by this website. P +