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764 Will Boone Road Lot 2
DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT. AND! CERTIFICATE 'OF COMPLETION: *Noe: Issued in :Compliance with. G.&. of North Carolina Chapter 130—Article 13c. �I Permit Number Nsme. Date r�, �t ,` ya._785 Location Subdivision Name'��'��'� �i' Lot No. _' ! Sec., or Block No. Lot Size i x' House's'"' Mobile Home _ Business .Speculation �---- �� � No. Bedrooms No. Baths ' �� No. jn Family Garbage Disposal YES �0 N0, 2-- i ii �! Auto Dish Washer YES ®' N0; p . li Specifications for System; `� �r�©• "'je\_� L Auto Wash Machine I YES p` NO.O I'�`�: Type Water Supply ifen.:." I L u "This permit Void if sewage system described below is not installed within 3I6 months from date of issue. , I .. ; (� • _ �. it •• • , r i .. - it Improvements: p rmit by �• -Q . I `Contact'a representative 'of the Davie.County Health Department for final linspection 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. r;II Final Installation Diagram: ? ` �' S stem Installedlb C.IZflTT-S - Y Y It Ti _ C—.�� lt ;I i l it •' ''' ' d� Certificate of Completion 0 • ' FIRM �6 Date l ` 143 ' li p Ii j "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'las a guarantee that the system will function satisfactorily for any given period of; time. d DAVIE COUNTY HEALTH DEPARWENT PERCOLATION TEST RESULTS DATE /o NAME D 8 cs/�G L �d A/ LOCATION &/i // goo)i t 404X FINDINGS: HOLE NO. 3. 4. COMENTS S. 6. By: ,! .- s PL- 111Q hl LOT DIAGRAM bofp i� ,,,,p,, tp 2. 3. 4. COMENTS S. 6. By: ,! .- s PL- 111Q hl LOT DIAGRAM bofp i� ,,,,p,, tp