P6338 Cherry Hill Rd . ,:-t.y,§-,;Yw. v.it'.r..;�4- „mac;jt � `.,., - iM1 yt-...,,v ✓:.'.�i! t.:si•e c ,t_.. `..t - e l'y.�.. -;4
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DAVIE COUNTY HEALTH. DEPARTMENT
4 IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:'Issued in Compliance With Article II of G.S.Chapter 130a
Sanitary Sewage Systems,,�%,/,e 'r. ;-4"/At Permit Number
Name vegPl-vro sdl,, �P�y� v,",2 ��. /- %��-�'� No 6338.
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms No. Baths _2-- No. in Family _
Garbage Disposal YES ❑ NO p' Specifications for System:
Auto Dish Washer YESNO _
Auto Wash Ma^hine YES Q C]NO ❑ �wX3Xl�
Type Water Supply
*This permit Void if sewage system described below is not installed within 5 yE ars fr m c ate of issue.
This permit is subject to revocation if site plans or the intended use change.
Zoe 110e
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 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985.
Final Installation Diagram: System Installed by
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.
DAVIE COUNTY HEALTH DEPARTMENT
r r IMPROVEMENTS PERMIT AND-CERTIFICATE OF COMPLETION
NOTE:'Issued in Compliance With Article II of G.S.Chapter 130a
r - Sanitary Sewage Systems; Permit Number
Nameyo",I) rc' i..� �. r;.,,p f,.,/� _Date_.�` N2 6338,
Location
Subdivision Name Lot No. Sec. or Block No.
Lot SizeHouse k-"" Mobile Home _T Business Speculation
No. Bedrooms No. Baths - No. in Family--
Garbage
amily _Garbage Disposal YES ❑ NO p' Specifications for System:
Auto Dish Washer YES NO ❑ v
Auto Wash Ma:hive YES NO ❑ ���`''"5�� -�
,.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.
I
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r
1'
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 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985.
Final Installation Diagram: System Installed by dr
�v
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.