1817 Farmington Rd (2) Sv y.-. r -. . _ .... .y-, L ,yy„op l.1.6,'M ...,�s"^eT, ,,j q;.;r' ,,^i'v.;_i y t r -•,
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DAVIECOUNTY HEALTH DEPARTMENT °J'�`
IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION S S•o} o 0
*NOTE:Issed in Compliance With Article II of G.S.Chapter 130a r
Sanitary Sewage
Systems , / q Permit Number
Name ��� ��� 9 05 Date C' - 1 NO_
Location 6801
Subdivision Name Lot No. Sec. or Block No.
Lot Size L House, Mobile Home Business Speculation
No. Bedrooms No. Baths No. in Family r^ r
Garbage Disposal1 YES.❑ NO � +`- �.
, Specifications for System:
Auto Dish Washer `AYES-yPe f.,NO ❑ ID E r
Auto Wash Ma,hine YES CCS NO E]
.: Type Water Supply
*This permit Void if sewage system described�belbw is not installed within 5 years from date of issue.
This,'permit is subject to revocation if site plans or=the intended useachange.
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Improvements permit byN,,;�,, �• t
*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 by —
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• / //oar/
Certificate of Completion Date
'The signing of this certificate shall indicate that,the system described khove 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 COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT 'AND .CERTIFICATE OF COMPLETION
- NOTE Issued in Compliance With Article 11 of G.S.Chapter 130a ,
Sanitary Sewage Systems _ Permit Number
Name» Date 7? N2
s � Q 6801
Location � � V
Subdivision Name Lot No. Sec: or Block No °
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms 3 ��No:Baths � + � No. in Family _ %•
Garbage Disposal YES ❑ NO p/ �" ` `'- `'�
Specifications for System: ,_
i' Auto Dish Washer. YES pl- NO ❑
Auto Wash Ma shine YES [BI" NO ❑
Type Water Supply �1y -� 4� _
*This permit Void if sewage system describedbelowis not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or.the intended use-,change.
a .
i
Improvements permit by � S .`� `• "'�
*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.
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Final Installation Diagram: System Installed by cZZa4^ 4T
f
S
i
y
Certificate of Completion Date
,The signing of this certificate shall indicate that the system described above,,has been installed incompliance with.
the standards set forth in the above regulation, but shall in NO way be taken.,as a guarantee that the system will function ;t
satisfactorily for any given period of•time