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P4704, P1471, P2883 Greeenwood LakesDAVIiE COIUNTY IiiEALTH IDERARPTIUIENT OC'OMPLETI®PERMI�T RTFIMPR0MENETEP�FICEdN: NOTE: Issued in Comp'Iiance With G.S. of North Carolina, Chapter 130 Article 13c , Sewage Treatment andDisposal Rules (.1,0 NCAC 10A .1934-.19/68) Per�lit��,N� rnb�er Name d' Date/�P"` Location _t��<it7r�lGrtt C� Subdivision Name`".r',� r� r ` � `~_ Lot No. _�/ � Sec. orBloek No .- Lot Size _ House Mobile .Home _ _ Business _ Speculation No. Bedrooms__ No. Baths — _ No. m Fa w m'i ly Garbage Disposal YES M NO ❑ Specifications for System: Auto Dish Washer YES 4 NO Auto Wash' Machine YES- © NO Type , Water Supply *This permit Void if sewage system described below is not installed within 36 months from date,°of, issue': *The signing of this c the standards set fort satisfactorily for any c Certificate:of Completiop;_ ien peri ed of time. v' ';.A `S "ti;^`, is ?i it ,? Date = r3 - ®>` ¢ soos� "t en,��nstalled 7i� compliance :wiith�: z nteetFiat the'sy�stekm4w! functi©n. 4• . % DAVIE COUNTY HEALTH DEPARTMENT P. 0. BOX 57 HOCKSVILLE, N. C. 27028 (7 04) 634-5985 Statement for Septic Tank Improvement Permits and/or Site Evaluations �O,J Z- �01, NAME �ArKS `��. %. DATE ISSUED&-Q7F-j7 ADDRESS 1991 W�S"T' C,�►►�+.►�,rs••su.lit c� PERMIT NO. /5471 Explanation of charge j- 1 r,%,yprtAjx . AMOUNT DUE 16,yt SANITARIAN ' .+ %i\ajt "v""_—_ PLEASE REMIT THE ABOVE AHOUNT ON RECEIPT OF THIS STATEMENT. y 7 Improvements permit by *Contact a representative of the Davie County Health Q60'art ne.nt:' for final inspection of this system between 8:30 .9:30 A.M. or 1:00-1:30 P.M on day of cc' let'ion. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed :b3Aff0� i Certificate JCompletion Date *The signing of, this certificate shall mdicate�that the system descnibe above liastl b'een� insfalled in cornplianc& with- the standards set'forth in the above re'gulatio'n, but:`sh°all m NOkw;ay be taken as a guarant`eye That the'system w,il,l fu�n;ction satisfactorily for any given period of time. !� l ,s / ®A��/AiE C®UNV��1f�HEALiFI 4DEPrAFtilVI4ENT IM'PRO`Adf�EIVIENTRS• -PERNlrITdAND� CER�YIFI`CATEf OAF COMP�LETIO�N}. ' *Note: Issued in Compliance withG:S. of North Carolina Ch'apter•1'3.0—Article 13c. ' P m t�lVu.,�_baer _ Name a}}• — Date s Location . rr Subdivision Name L-ot No ,: Sec or Block No Lot Size -- House _ Mobile Home ---.Business -- Speculation No. Bedrooms -- No. Baths __ — No. in Family Garba • e Disposal YES' s NO g p I Specifications for System: Auto Dish Washer YES ® NO - Auto Wash Machine YES D NO Type Water Supply. '' ---- .- -.a *This permit Void if sewage system described below ,is not. installed within 36 months from date of issue. y 7 Improvements permit by *Contact a representative of the Davie County Health Q60'art ne.nt:' for final inspection of this system between 8:30 .9:30 A.M. or 1:00-1:30 P.M on day of cc' let'ion. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed :b3Aff0� i Certificate JCompletion Date *The signing of, this certificate shall mdicate�that the system descnibe above liastl b'een� insfalled in cornplianc& with- the standards set'forth in the above re'gulatio'n, but:`sh°all m NOkw;ay be taken as a guarant`eye That the'system w,il,l fu�n;ction satisfactorily for any given period of time. K - � , `.� ,- - ..`"Note: Issued in-( X 1 •,r ' . ame.,,_,�, a lr II ,x' i �7�Location.,_I :,', -.,. , _ - . , DAVIE. COUNTY, HEALTH DEPARTMENT. ;. � ,, t ;; IENTS'PERMIT ARID, CERTIFICATE "OF -COMPLETION ,!i 1; ----- . — ubdivasion Name,' }� k t f Y S W- kr.; r -Lot, No: Sec or .Block No. LoteSize H.: r V '* I ; � Ouse -w Mobile Home Business __ Speculation ` " 5 x No� Bedrooms�.k No "Baths __ No: in Family -°'�x "' a — �, Garbage Disposal YES ®- NO ❑ � ,-, ,: , 'l �` pecifications for_ System ` 4 Auto DishrWasher YES N '' S ,� }, M :... .,;Auto Wash Machine' „ YES M.� NO 03-3/� Y� ,� Type..Water Supply, � : --- ""' ; ! F , - ; This permit void if. sewage system descnbed°belo,w is not" installed 44hin° 36 moriths from date: of issue,. s rt, yi•�f'� ✓ ? f ,A� ;a d Air 9 (fi -� id --v S�}n,`Y .3e'"�a4^ h. y �.d��f,y�" I i^ Y 61' `Yt�fi`C d "Pt �' h ; ,pll ,�' R b W�' -'I ,? (� Y I .`fir a ._ J J6 atC I' �` t- ' n 4..'' .'S :a" �' - it �q ar'fa . o, I o. 1lii ' S'S b `�5S "" "'i( t 4 h" l'a . - y k- c' M1 ! ]'.rI' Jam' f�f 1;, A •� .: aAa'�,�:,. ,r `'• �%� .t eh�'.ar...v>n-..,w.,a.{�"+�.. w `. y' '�;11 ° aa. � 11t S 11 �€ �; -+ - !I -.), - - - - �, 11, , ,� " , -, � -- I I , J; . �1 `" t - sS4 P, } 1 `` b yh aj w9. , �. I'� e {I Y .. 7. .n> > f v .sem i �'^s, �- ` ," ' t x ?, p ° r r'ko , ,11 d�"-'� X. s ` r"' ,dr: - y. 6,'. .. LL _ II - y r P `� "h"' 1 .l, t f � ' �' 1:3 19, `} r , t' do il _ i. _ - Ai`. } +'` r - ` ' , t x E j "' e �e k v r ^ n r' , . 'h�,l -A t �tiY , tS�. •d' ,#; �- q r i' - , , . ` s Z n ^,2'�. a i a ,i'6, '�'S - t Eg �' r _ €'` , `At�ma". "`^� `.. V �` -,, � ..I. pax u c i' � - 1t 1' i I' _ 1 1 3 it "'N 3 t P i t d 3 �ta S I �- 11 7 £• sup x a w^ i 1 � 4� s�"- - s A 1 ? ) . -nom `'g ar % S • ,C bra .: 3'��3 '� a n I f,y>sn;: s k a ` - .N ', l `i' - a s a 1 r a , , ,. aafi; �- 4,- ;'ImprovementSLpermit by -r '--�r� �rf�a ! ES, 9 —, . e 'rr . `sr.;L., .-9...Y ,44. ,. _ .. _ y - '•r „p r.. — .:--- p y P *Gontact-a,re rese'ntativea of the.°'Davie.;C.ount • Health -De artment for."'final inspection aof:this system'".between-,8 30r`v - 9 30 A M. or 1 00-1 30 P M on day of completion. Telephone Number. 704-634-5985 ,, ,= '� .ice -~ ' !t & _ '1 w. _ t, P` 1 is .Y" ", R 3 - 9 'L' .�`'?'*�'-' JA¢ - , Final;Instalfation,Diagram:r. .System'Installed by _ a�{ � s T- d p .9 v K� ° { S �c �.0 b 1 $ V r .y y . a r , . * a{ ''g ' � /// r i v '++o rC k a u' d�' t 'y A,• M' t bFwe+ '� �.,; 5 .' t "5.,. �„ r rv•wy' R„' y. ;`� off �f`A a t tg`�,,,.- � .rA^°,rc, _ R. '"moi ja l,"�y,' # �� H,,,, _ _ - ' " �� .. a I i 3 3' �a9 <' '� e�i"a �'` �t s� r •o+• -tia' s. -r Fs` � -°,, y, y �-. '.� 3 a ; , - a �r i Yb d ?.:. M1 Via. S r -� d Big .;`�„Ed s J"j" m . Z� - a:ka. a - i.... . .a : �� _ - a' rt ' N. m '� i di .tti S� „q - ,F k� , z { �° iii s .,. y - - 'd' ,.�., ,,' % y ^i t ,i"+,.''(, 'i # q :.;��d e,} :.' '`^ '.,o * If z �•-,'� - ..'n`-•. �� f a ,, �j a .. 'ti. , r.., ".. 1 rt r - +/� (f �,r11 E/ I" y Certificate _Aof Completion:5� Date'.,: n,,1"The signing of this certificate shall m'dicate,that the system described. above .has,'been° installed - in compliance', .with X,4 ' � th•e;standards set #orth yin the above regulation but shall in NO way be taken as a guarantee that the system will function satisfactoMy foraany given period ofEtime ,. r ,; . s r k , >; . y'y Y "t _ a =n A - t _.._ d _. '� 1 .. , — . .. - .. ._. _. .-. .-. ¢ ..-. _x _.v... .rta .. 4, �-j 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 1:004-:30 P.M.. on dayof completion-. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by Fh rj&"tA'"0 &M— Certificate of Completion Date *The signing of this certi cate 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. DAVIE COUNTY HEALTH DEPARTMENT /0' PERMIT AND CERTIFICATE OF COMPLETION 'IMPROVEMENTS Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13C. Permit Number _Name_ Date L O'cation Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home Business Speculation No. Bedrooms No. Baths No. in Family Garbage Disposal YES ':M NO 'F] Specifications for System: Auto Dish Washer. YESINO zr Auto Wash Machine YES ENO -❑ ] Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue..-,. lei 4, �-j 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 1:004-:30 P.M.. on dayof completion-. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by Fh rj&"tA'"0 &M— Certificate of Completion Date *The signing of this certi cate 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.