153 Cherokee Trail (2) �l
DAVIE COUNTY HEALTH DEPARTMENT
* IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE; Issued in Compliance with G.S.of North Carolina Chapter 130 Article 13c
Sewage TreaatT and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name —(/�— — Date rdf' 1jr45
Location
l�"3 ero,�ee
Subdivision Name r Lot No. Sec. or Block No.
Lot Size House Mobile Home_ Business Speculation
No. Bedrooms ` No. Baths —No. in Family
Garbage Disposal YES Spe ifications for System•
Auto Dish Washer YES NO ❑
Auto Wash Machine YES NO ❑ G
tType Water Supply
*This permit Void if sewage system described below is not installed w ti hi3R6-months-from date of issue.
1
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t't
)Impr).,eentspermit by.
*Cpnf t a representative of the gavie 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 Te
�0 Certificate of Completion.par
*The signing of this certificate sha Indicate that the system described above has been installed in compliance with
the standards set forth in the abov eegulation,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
..r
*NOTES 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
Name i %;�. ': . � �,' : %' Date ��:� �� rT� L ;. 35:45
Location
Subdivision Name J`j � `" >` 44r Lot No. Sec. or Block No.
Lot Size —' — House Mobile Home _ Business -- Speculation
No. Bedrooms _ No. Baths — No. in Family
Garbage Disposal YES ❑ NO p-'
} Auto Dish Washer YES NO ❑ Specifications for System:
Auto Wash Machine YESj NO ❑ �/ _j ?' ! ' - �,
'.,Type Water Supply
`This permit Void if sewage system described below is not installed`within-36-months-from-date of issue.
1-
� � A
i
/ ImproveLent opermit 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
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cb .
i
Certificate of Com
pletion, bate'
*The
_.
*The signing of this certificate sha I indicate that the system described above has been installed in compliance with
\the standards set forth in the abov epgulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.