799 Cherry Hill Rd (3) DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS 'PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: -Issued in Compliance with G.S.of North Carolina Chapter 130 Article 13c
Sew ge Tre tment and Disposal Rules (10 NCAC 10A .1934-. 968) Permit Number
Name iv ✓�ti Date N6 3786
Location,� 11/�'���" / .�� ✓ /
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 S s m:
Auto Dish Washer YES NO
Auto Wash Machine YES,.W NO •p -
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue. ,
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
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
`NOTE:-issued in Compliancewith G.S. of North Carolina Chapter 130 Article 13c
Sew ge Tre tment and Disposal Rules (10 NCAC 10A .193�4-./1968) Permit Number
Name Date �I � �`_- e %8 r
Location !:
Subdivision Name Lot No. Sec. or Block No.
Lot Size ,., House Mobile Home Business Speculation
No. Bedrooms — No. Baths _yL—_ No. in Family _
Garbage Disposal YES O NO 12''
AF] Specifications for System:
Auto Dish Washer YES NO
Auto Wash Machine YES NO fl
Type Water Supply __—
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
f �
� (rf
i
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
+ IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:�ssued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1/968) Permit Number
Name �riiU�%i /��i/ Date
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home � Business Speculation
No. Bedrooms -- No. Baths �L� No. in Family _
Garbage Disposal YES ❑ NO Specifications for System:
Auto Dish Washer YES p NO ❑
Auto Wash Machine YES [ NO ❑
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
i
Improvements permit by — �
-r
*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.