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332 Parker Rd ... i' -i."".my v•'..}"`.'r' "ntvr "'�'t...rir !`dY.`f"Y .rKt,^.�.....; +4_;P `t t .t�;py t ..;i+. i DAVIE COUNTY HEALTH DEPARTMENT Q IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE:Issued in Compliance With Article 11 of G.S.Chapter-13oa S. °/S-�an�ita-�ry_S(e_wage Systems Permit Number Name ,t� l&�lLrbit AY! II,'Ile- Date ��`a '�y N° 7441 4 Location ��- ter !✓. . " �/llc�.rF� Dom - �� Subdivision Name Lot No. Sec. or Block No. Lot Size�� House '" 'Mobile Home —T Business __ :industry. No. Bedrooms No. Baths — — No. in Family —� — Public Assembly Other Garbage Disposal YES p NO ©'' Specifications for System: Auto Dish Washer YES NO El Auto Wash Ma shine.,^ " YES°LJ NO ❑ Type Water Supply *This permit Void if sewage system described below is not installed within q years from date of issue. This permit is subject to revocation if site plans or the intended use ch 'ng { o . J Improvements permit by A411—— *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Number:704-634-59 35. Final Installation Diagram: System Installed by Y 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 guarantee1hat the system will function satisfactorily for any given period.of time. VIE COUNTY HEALTH DEPARTMENT h 1MPROVEMENTS'PERMIT AND CERTIFICATE OF COMPLETION * Sanitary Sewage Systems p 30a NOTE:Issued in Compliance With Article II of G.S.Cha ter 1 . ry g y Permif Number A&16iL-aw i�7'rs'/F� s .> 111,LZ% bate M a `1 '' � N2 7441 Name -- Location Subdivision Name Lot No. Sec. or Block No. >'.! c Lot Size�_ House �`�`Mpbile Home,— Business _— `Nlndustry�-N— No. Bedrooms— o2 .No. Baths — — No. in Family -S' — Public Assembly —Other Garbage Disposal YES ❑ NO [' Specifications for System: Auto Dish Washer YES NO ❑ " /� Auto Wash Nla hinb,�z 4ES,^ NOS per " Type Water Supply — --- *This permit Void if sewage system described below is not installed within years from date of issue. This permit is subject to revocation if site plans or the intended use ch �g . '' � �i�o��c f✓C f� Lk f� '��a •� ',ti,1, , ��,. `��-"' LJF � Improvements permit by -�f *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Number:704-634-5 85. Final Installation Diagram: System Installed by — ��N � p J, i 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.