360 Dalton Rd (2) Sa Rr"^,r y:tyF a w;.,,ri u...W:.i•L. y.�.;t...4,q,,.,.4�i rt .,,r. Sf� �'. .. ,,.i' „y....ti:.,4 � .. r� 3
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n 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
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Name �; /n�� I/ p2 ��� lL� Date L11-A2 NO
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6613
Location i�/�ir`Y,iL� ��Z&�/
Lo--
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms � .No. Baths N oe72 PZ41m�'rily��—
Garbage Disposal YES ❑ NO Specifications for System:
Auto Dish Washer YES ❑ NO
Auto Wash Ma;hive YES ❑ NO
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.
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: �Di2 System Installed by4 Zaz/
ed
lo -e-
p
a �
dJ'
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.
/ AE•+t
-
w�, rM DAVIE COUNTY HEALTH DEPARTMENT
j IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE.'Issued in Compliance With Article If of G.S.Chapter 130a
Sanitary Sewage Systems Permit Number
Date _z�-:�I-2.!7 NO
_
66113
Location
J-'
_Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business _tSpeculation
No. Bedrooms .No. Baths _ No�- �1 roily —
Garbage Disposal YES ❑ NO } Specifications for System:
Auto Dish Washer YES ❑ NO , ,; ��:-X `.
Auto Wash Ma.hine YES ,❑ NO -'�'� X�
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.
r
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: i i,' System Installed by
a
)rjAl
d
. C
Certificate of Completion Date _,h
*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
y
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'MOTE:__Issued in Compliance with G.S. of 'North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
.Nairne Date ir_. ��i�Y�� N° 5733
Location 57;;1
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms No. Baths _ _ No. in Family
l
Garbage Disposal YES ❑ NO Specifications for S ste
Auto Dish Washer YES E3 NO /�
lv
Auto Wash Machine YES C3NO
Type Water Supply ell _
*This permit Void if sewage system described below is not installed within-36-months from date of issue.
!1'
a f„
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
v�
-
r�
o �
U"P
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,