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131 Farmstead Ln L f:•.p,.tL�' '� •., - _ - .1. , .`:�•` _ Y ' DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION *NOTE:Issued in Compliance With Article II of G.S.Chapter 130a Sanitary Sewage Systems Permit Number Names?/ ' ' def Date N° F 3 80 CJ Locati ,T,�i:»sir-T"=©1�— � —oma✓ - � i�� .�� ' v Subdivision Name Lot No. Sec. or Block No. Lot Size /Kn House Mobile Home Business Speculation f No. Bedrooms �� No. Baths in in Family_ Garbage Disposal YES ❑ NO e— Specifications for System: a., Auto Dish Washer. YES NO ❑ , Auto Wash Ma thine YES NO ❑ �$��eY3X�� 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. �iti Improvements permit b A *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 i 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. y ; . y -r..-...an'__ F' I-vt ..N„af t i. ! .t- -Y'a `:f'.a' •. .. 41 x DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION *NOTE::'Issued in Compliance With Article II of G.S.Chapter 130a Sanitary Sewage Systems " Permit Number Name /'r �J/ ' �/% , Date _S'"'/-l9/ N-0 6 3 8 n Locatidn f Subdivision Name Lot No. Sec. or Block No. Lot Size / t House �/� Mobile Home Business Speculation No. Bedrooms No. Baths - %__No. in Family Garbage Disposal YES ❑. NO p-- Specifications for System: Auto Dish Washer. YES NO ❑ Auto Wash Ma thine YES j NO ❑ S-�a� 3 �'/j Type Water Supply `This,permit Void if sewage system described below is not installed within 5 years from date of issue. Thispermit is subject to revocation if site plans or the intended use change. t r r,. J • b Improvements permit y — _ E 'Contact a representative of the Davie County Health Department for Jinal, inspection of this system between 8:30- 9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-63475985. x Final Installation Diagram: System Installed by //> �+r. . 7 1 Certificate of Completionzrle�' Gt 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: