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983 Turkeyfoot Rd �- .... 1. .,.:a.:..,•.�tw.lc l s: - .. - -.. DAVIE COUNTY HEALTH DEPARTMENT J� ()0 IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION _ *NOTE:Issued in Compliance With Article I I of G.S.Chapter 130a _ Sanitary Sewage Systems Permit Number Name Date N2 Location ( t= y (, �7 Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home Business __ Speculation No. Bedrooms No. Baths No-in Family 5 — Garbage Disposal YES,❑ NO ©% Specifications for System: Auto Dish Washer. YES p, NO F-1p Auto Wash Ma shine YES ,C- NO ❑ v' 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. t 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 r B Old JJ kr � V �in n f U Certificate of Completion �" Date 3 q "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. z INFORMATION FOR SEPTIC SYSTEM.RZPAI'R PERMIT NAME & U �C-UYl e-- PHONE NUMBER ,,-5( 70 ADDRESS " 1p , �D7G �(D ?' SUBDIVISION NAME ' - SUBDIVVIISION LOT # '- DIRECTIONS TO SITE 'e d _A4 lal s �e- z9R� �S7L 6f G�J� SEG - DATE SEPTIC SYSTEM INSTALLED NAME SEPTIC SYSTEM ORIGINALLY INSTALLED UNDER A15 77 e? �- SPECIFY PROBLEMS THAT ARE OCCURRING ulS i1! DATE REQUESTED INFORMATION TAKEN BY