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P6414 Duke Whitaker Rd
r• ` 't. C Gi `.. . i r " i `ter �y<'<-_,ly . r 1 ..J cL ? -o ,.� ;.. Y DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT-'AND .CERTIFICATE OF COMPLETION ` 1%OTE Jssued in Compliance With Article 11 of G.S.Chapter 130a . t j Sanitary Sewage Systems _ Permit Number �.�cC R Cc�'r N V\�,�2 � Date " 3 I r1 / 0 Name eti�N 6 [i. 14 Location 1�� 5a2m) o c� �, y ,N Q hJ 4 Z,:� (7 b y-H (11 4 W - \ cRc� �J�7c�_�i Q _o�r3�_�� \' St1 1 �. - `}J . n 0 3� �1 j `• Subdivision Name Lot No. Sec. or Block No, Lot Size House Mobile Home _T Business Speculation No. Bedrooms �� s;No: Baths } No. in Family �- y, tir- Garbage Disposal YES sp NO pXS `Specifications forstem: , y Auto Dish Washer YES p NO ©/ Auto Wash Ma:hi e�, YES V,NO Type Water Supply W _ *: ter: *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. 5y� Q' Improvements erm•t-`byzl�,_ *Contact a representative of the Davie County 1 ealth�Department; or 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 N) .L S S � OQN N Certificate of Completion -Date L -2 '9t "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. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION ~- *N9TE2'lssued in Compliance With Article LI of G.S.Chapter 130a 133. Sanitary Sewage Systems _ _ Permit Number Name �1 � tt\'t, N �, �� Date fJ J 1 �1 / tit�l� 6 4 1 Location �� `� a'4 (J �� o ��. V `� C "�!� 4 s!"?a�1-�-�L �7 L{, ��): � 5�_rA �1 "" Sr Subdivision Name Lot No. Sec. or Block No. Lot Size r, House Mobile Home Business Speculation r No. Bedrooms No.'Baths } No. in Family r, Garbage Disposal YES ❑ NO © ou 'Specifications for..System: Auto Dish Washer YES ❑ NO 20e Auto Wash Ma shine' YES p� NO ❑ f 3 ,1 y 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. 3y , Ji g II ��,, r ✓ improvementsgerm *Contact a representative of the Davie County Heath Departmei;&r 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 t Certificate of Completion ` = C Date t^ -21 '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.