387 Bingham & Parks Rd .D:++ .f.x"4 i,. b v:5:ti-" ^.3i., 'N D. .!Y D b !> •_ . n..,...4{ ...w r H d'•-.::. ex .. ✓ ^
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DAVIE COUNTY HEALTH DEPARTMENT
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IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION -
*NOTE: Issued in Compliance with G.S. of North Carolina.Chapter 130 Article 13c
ewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name �T �5`•�/ Date !Z ''�� NO
- 578
Location �s� - � � t ,.� � T�• .1�
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home — Business Speculation
No. Bedrooms �� No. Bathsv_. — No. in Family _
Garbage•Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO C]
Auto Wash Machine YES ❑ NO ❑ �
Type Water Supply _—
r' *This permit Void if sewage system described below is not installed,within Wonths from date of issue.
i
Improvements permit by ��'G
*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.
Final Installation Diagram: System Installed byv-
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l= -
Certificate of Completion 2q�a V 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.
`,� � Yy....�...S-;w^.v-. "«,'.a..i,..,�...'.. ...,� _.. , .d ..uaV-'t''k'j1a�i'i y"� -"r. 'ice-✓*d..a•.'` ak- syia x:^r 4{ryF9. .,YxJ1,'.y.aurin thy.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance with G.S. of North Carolina jehapter 130 Article 13c
' J•
,p5, wage Treatment and Disposal Rules (10 NCAC_10A .1934-.1968]., Permit Number
Name 702>�,��1' � �y ' � �I�ci Date �.�% �7 8°Q N2 57004,,
Location' :��/` S�i / �, / -' /,:moi -��Jr ' �'- y
Subdivision Name Lot No. Sec. or Block No.
Lot Size House L/ Mobile Home _ Business Speculation
No.'Bedrooms _ No. Baths _::9 _ No. in Family_ _ h
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES NO
Type Water Supply ---
'r *This permit Void if sewage system described below is not installed within months from date of issue.
i
l
t
�. Improvements permit:by c%Y/al C
*Contact a representative of the Davie County Health Departmen) 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.
Final Installation Diagram: System Installed by Ubw, -
0g o �
_og �
Certificate of CompletionDate
"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 betaken as a guarantee that the system will function
satisfactorily'foravy given period of time.