2385 Davie Academy Rd A,
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article II of G.S.Chapter 130a
nitary Sewage Systems // -- - Permit Number
Name ���1�,r��C'/ at o2/�,l�9� No 5846
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size __ House Mobile Home _ Business __ Speculation-
No. Bedrooms --55� _ No. Baths c2 No. in Family G� _
Garbage Disposal YES ❑ NO f� Specifications f r System:
Auto Dish Washer YES NO ❑ -16
Auto Wash Machine 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.
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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 completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed byAL �L+ S �M-�-
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Certificate of CompletionDate
e,signing of this certificate shall indicate that the system described above has been installed in compliance with .
1tandards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
actorily for any given period of time.
DAVIE COUNTY HEALTH DEPARTMENT
.ter . . ":...
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article I I of G:S.Chapter 130a
_ nitary Sewage Systems ` /
Permit Number
Name 1( air// �'lerr s `.Date o17�Z/2, N2 5
• Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home Business Speculation,
No. Bedrooms No. Baths No. in Family�_ d
Garbage Disposal YES ❑ NO Specifications fr System:
Auto Dish Washer YES NO ❑ /� ��Y _
Auto Wash Machine YES �j NO ❑ �4 %C
Type Water Supply --- `= /1 S//c;7�Z`k2 a
*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. "t
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Improvements permit by —
*Contact a representative of the Davie County Health Department for final inspection`ofthis system between 8:30-
9:30 A.M. or 1 ,00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985. r
Final Installation Diagram M System Installed by V S �-
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-
7
1 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 betaken asa' guarantee that the system will function
-` satisfactorily for any given period of time.
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