1185 Daniel Rd DAVIE COUNTY HEALTH DEPARTMENT.
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
`Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c. G-
_ Permit Number
Name Date '.
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES ❑ NO ❑
Specifications for System:
Auto Dish Washer ;YES ❑ NO ;❑
Auto Wash Machine 91YES ❑ NO ❑
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Type Water Supply
*This permit Void if sewage_.system-described"below is not installed within 36 months from date of issue.
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Improvements permit by
*Contact a representative of the Davie County Health De artment for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of comp leti T phone Number: 704-634-5985.
Final Installation Diagram: System Installed by fF-AN K f AM H/M-'Dq
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Certificate of Completion Date 10
*The signing of this certificate shall indicate that the system describ 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
'Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit, Number
Name Date
ww
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms No. Baths ` �fNo. in Family
Garbage Disposal YES ❑ NO
Specifications for System:
Auto Dish Washer ES ❑ NO ❑ ' !
Auto Wash Machine YES ❑ NO_❑ `
Type Water Supply
"This permit Void if sewage-system described`beiow is not installed within 36 months from date of issue.
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1
i
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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 completio : Te)ephone Number: 704-634-5985.
Final Installation Diagram: System Installed by ���
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Certificate of Completion - /�Z�Gv Date O
'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.
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P. O. BOX 57
�lacksi�ille, �artfi fQtsralintt 27II28
OFFICE OF THE DIRECTOR TELEPHONE
June 21, 1982 704/634.5985
Mr. John Garrison
Rt. # 7
Mocksville, N.C. 27028
Dear Mr. Garrison:
On May 21, 1982 this office did a site evaluation
on a lot adjacent to yours on Daniels Road. At that
time a septic tank .failure was observed on your lot
and sewage was being discharged onto the top of the
ground.
This is a serious health problem and must be
corrected. You have 30 days upon receipt of this letter
to obtain the necessary septic tank repair permit and
have the system repaired. If the problemis not corrected
at the end of this time period, legal action will ensue.
If you have any questions or do not understand this
letter contact this office immediately.
Sincerely,
�
Robert B. Hall, Jr.
Sanitarian
RBH/gh