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147 Rosewood Lane Lots 8-9 P/O 7_ .. _ - Y.Y. .- 1':3...e (.. Y -- a �♦ �-'+i?- '. - �.. l., .S •f5 ..",'..-z"'S ^l,. c.*fe -r .-'R':.: .. - ... ,- - _- DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION "NOTE: Issued in Compliance_With-G.S. of North Carolina Chapter 130 Article 13c Sewage, Treatment and Disposal'ules (10 NCAC 10A .1934-.1968) P@I'h11t N1J117b81' Name -v �i.� �'• Date Location ��`� \ e� ��: A`�- n Com^ a Subdivision NameCa� �,.; SQe S� Lot No. Sec. or Block No. Lot Size 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 Machine YES [ NO ' Type Water. Supply *This permit Void .if sewage system described ,below is not installed within 36 months from date of issue. Improvements permit bg��- \ :: *•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. , E-H— Final Installation Diagitam System Installed by o o'd'e w''� i 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.aboveregulation; but shall in: NO way be taken as.a guarantee :that the:system will''function :. satisfactorily for any given period of time. r. .f :R DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number Name`.`1 �. �� , �, ,,, Date Location Subdivision Name Lot No. Sec. or Block No. t Lot Size , , , ,=— ,f- _ House Mobile Home _ — Business Speculation No. Bedrooms " -- No. Baths ? — No. in Family Garbage Disposal YES [0/ NO 0 Specifications for System: Auto Dish Washer YES ® NO E] Auto Wash Machine YES Ed NO Type Water Supply --- `This permit Void if sewage system described below is not installed within 36 months from date of issue. 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 Es 1 ii ; Al 1 i ' 0 _ 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.