P3032 Turrentine Church Rd DAVIE COUNTY HEALTH DEPARTMENT
.>. IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name `-1f%ir? iDate �` �
tj�
Location /�,� �,. ; V"'
Subdivision Name Lot No. Sec. or Block No.
Lot Size ' '� J'�� f House Mobile Home _ Business Speculation
No. Bedrooms , No. Baths No. in Family
Garbage Disposal. YES p NO p� {}
S,pecificatio,s,FfoVSy er�i: /Cz/
Auto Dish Washer YES [}' NO
1
Auto Wash Machine YES NO
✓ .4
Type Water Supply _
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
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Improvements permit I 11411
*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.
i
Final Installation Diagram: System Installed by
1 34 X 3'X f
Fr\.�•.4� S�FF �..�xis '��.
C ►�can1d��e.. a� v.�av
Certificate of Completion Date '- 2. r-9,
*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.
L
DAVIE COUFTY HEALTH DEPARU ENT
t' ENVIRONI4ENTAL HEALTH SECTION
SOIL/SITE EVALUATIOU
VAME ZTAmes Me,-A, DATE s `"
ADDRESS{ �. �c�( q 2-
LOCATIO14
LOT SIZE
TOPOGRAPHY:
SOIL TERTURE: 11 4. P-:,?
P�
SOIL STRUCTURE: A/ AJ 142--3
DEPTH:(41 L
RESTRICTIVE HORIZOUS:
PERCOLATION RATE: Presoak Mark & time Drop Time Pate Iain. Inch
: bP,41 2. i2v
X"'02'. 3.
***CLASSIFICATIOPI:Suitable rovisionally Suitable::::::bsuitable
COMMITS:
C,t/;/� iSJ�✓G G,C,rs.�' fes` �$-fav//�./s�o'�-— w ��- Qiccs. tea,,, l�e.c.,�D
SANITARIAN -� 4J, AO l3t�Xsr�r"
SITE DIAGRAM
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