318 Point Rd ID
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a
Sanitary-Sew ge Syste Permit Number
Name C� y� S ,�j�,°�- y ,fete �!�o�% � NO
Location7--
Subdivision Name - — Lot No. Sec. or Block No.
Lot SizeCW'1-11C House Mobile HomeL- Business —_ Speculation
No. Bedrooms No. Baths _ No. in Family
Garbage Disposal YES ❑ NO ❑ Specifications for System:_
Auto Dish Washer. YES. ❑ NO ❑
Auto Wash Ma.hine 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.
od o
l�1
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 �cLGl 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.
ld� '" DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS. PERMIT AND.,CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a
Sanitary Sewage Systems Permit Number
Name
bate _JLC% � N2 6722
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size n`�' %�.jl House Mobile Home Business Speculation
No. Bedrooms No. Baths No. in Family —
Garbage Disposal YES. ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Ma.hine 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.
n permit b — /
Improvements pe y
*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 AA A ����° -
J
_ C ,
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.