P4798 Marchmont Plantation I
W j��AVIE COUNTY HEALTH DEPARTMENT
i
�PO IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'NOTE: 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 a 2..�9 — `�\ �� s Date - - fl7 I cME:' 4 7/ 98
Location s J
� \ T�,�,�r._��.•���_ ���.T
Subdivision Name Lot No. Sec. or Block No.
Lot Size Howse,,- Mobile Home _ — Business —_ Speculation
No. Bedrooms _r No. Baths _ ' � — No. in Family
Garbage Di posal YES NON,[]
Specifications for System:
Auto Dish Washer YDS NO ❑ / O ,a
Auto Wash Machine YES NO,,C]
Type Water Supply --- � (aU \ X
*This permit Void if sewage 7system 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 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: n System Installed by
PIT i+�
00
ao 0
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.