P5334 Feezor Rd DAVIE COUNTY HEALTH DEPARTMENT 06 IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c S ge Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number Name -1 fC , Date !',ell— � NO — 5834 Location �•IP.t"i% d lt" f �` 1d���.,�s9��.�r.���L�rn/':� Zo�iTfr�r� /0)`- .6e Subdivision Name Lot No. Sec. or Block No. Lot Size House �� Mobile Home Business Speculation — No. Baths No. in Family No. Bedrooms � y r Garbage Disposal YES ,1] N � Specifications for System: Auto Dish Washer YES NO ❑ I" Auto Wash Machine YES NO ❑ Type Water Supply r *This permit Void if sewage system described below is ofin ailed within 36 months,from date of issue. r Improvements permit by TC� � *Contact a represehtae of the Davie County Health Department for final inspection of this system between 8:30- 9:30 A.M. or 1:00 P.M. on day of completion. Telephone Number: 704-634-5985. Final"Installation Di ram: System Installed by T C �\ e 1 Certifi to of Completion �• Date � *The signing of is certif' shall indicate t t the system described above has been installed in compliance with the standards set f n the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for iven period of time. ..t. � �.�; vet 1�' r s 't.8,-t'.,..}::+'. t::,8�':a •.>:;n, q.. N y �' b..r:_'t DAVIE COUNTY HEALTH DEPARTMENT 06 'IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issueal Compliance with G.S. of North Carolina Chapter 130 Article 13c Name-'S" age Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number >,' ~ - ' ' G � P n Date l2� N2 '`y':� Location -JP,r'rr' f� �f'l� "' t�7c .� �� rel` t/i;%✓�/�%T�,if�r��'f "� �'�..'r;,r'l � — Subdivision Name Lot No. Sec. or Block No. Lot Size House L'"� Mobile Home Business Speculation No. Bedrooms No. Baths+ ��,� No. in Family Garbage Disposal YES .0 ND 21" Specifications for System: ,Auto Dish Washer YES TNO ❑ Auto Wash Machine YES NO fl �,� ,�/ �� X Type Water Supply A fc` *This permit Void if sewage system described below is of in ailed within 36 months,from date of issue. r�j[ 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-):30 P.M. on day of completion. Telephone Number: 704-634-5985. X' Final Installation Diagram: System Installed by ©' Certifi to of Completion Date _ C� *The signing of is certi ' a e,shall indicate t t the system described above has been installed in compliance with the standards set fo n the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for y even period of time.