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304 Southwood Drive Lot 9 Section 3DAVIE COUNTY HEALTH DEPARTMENT s IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *Note: Issued 'in Compliance with G.S. of North Carolina Chapter 130—Article 13c. Name Location Cnhriivicinn Alnmo ,Date Permit .Number Lot Size House Mobile Home Business Speculation No. Bedrooms J No. Baths 617 No, in Family Garbage Disposal Auto Dish Washer Auto Wash Machine Type Water Supply YES ❑ NO ❑ YES n NO ❑ YES ❑ NO ❑ Specifications for System: , *This permit Void if sewage system described below is not installed within 36 months from date of issue. Improvements, permit by s _ i *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 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. 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. _ Permit Number Name Ti,ifhj/ , 1 Date Location Lot Size House Mobile Home -- Business Speculation No. Bedrooms 1 No. Baths C2 No. in Family ry Garbage Disposal YES ❑p NO ❑ Specifications for System: Auto Dish Washer YES ❑ NO ❑� y , Auto Wash Machine YES ❑f NO ❑ Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue l -_ 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: 704-634-5965. Final Installation Diagram: System Installed by �1J , 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. 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 ,r-, it Date238 p 2 Location Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home — Business Speculation No. Bedrooms No. Baths o2 No. in Family Garbage Disposal YES [I NO ❑ Auto Dish Washer YES p NO 0 Auto Wash Machine YES b NO ❑ Type Water Supply �Specifications for System: 0-7 *This permit Void if sewage system described below is not installed within 36 months from date of issue. fro X 3 X�� �� /�•�f-���i ��a �=�- ��. Improvements permit by—,5+ 6- " *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: k Y 4; �V System Installed by 1.5� Certificate of Completion i�1n nf� 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-irrW. way be taken as a guarantee that the system will function satisfactorily for any given period of time. " DAV115 C:UUI I:x d1;/WAM LaWAA"r L1r ENVIRONMENTAL HEALTH SECTION 1��f% P.O. BOX 57 1 v MOCKSVILLE, N.C. 27028 (704) 634-5985 (� K6 STATEMENT FOR SEPTIC TANK IMPROVEMENTS PERMITS AND/OR SITE EVALUATIONS EXPLANATION OF CHARGE 6z v AMOUNT DUE . - PLEASE REMIT THE ABOVE AMOUNT OF RECEIPT OF THIS STATEMENT. *NOTICE: Evaluation(s) can not be completed until payment is received. Improvements Permit(s) can not.be issued until payment is received. a DAVIE COUNTY HEALTH'DEPARTMENT ENVIRONMENTAL HEALTH SECTION P. 0. BOX 57 MOCKSVILLE• N.C. 27028 (704) 634-5985' Statement for Septic Tank Improvements Permits and/or Site Evaluations EXPLANATION OF DATE y�S� �0 PEP14IT 140. -23!V 7 A14OU14T DUE SANITARIAN n Z22-� PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT. *NOTICE: Evaluation(s) can not be completed until payment is received. Improvements Permit(s) can not be issued until paymsnt is received.