The URL can be used to link to this page

1565 Underpass Road Lot 8DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter30-Article 13C) OWNER OR CONTRACTOR Cj1li,,4)• DATE 3 ;70/74F PERMIT LOCATION 115 N? 1688 S.R. NO. SUBDIVISION NAME UJ14t-4e, LOT NO. 6 SECTION OR BLOCK NO. HOUSE (Er MOBILE HOME ❑ BUSINESS ❑ NO. BEDROOMS -3 NO. BATHROOMS �2- GARBAGE DISPOSAL UNIT YES ❑ NO Er' AUTO. DISHWASHER YES 0-- NO ❑ AUTO. WASH. MACHINE YES C!'' NO El SITE SUITABLE YES C� NO ❑ SIZE OF TANK gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual ❑ Public ED` IMPROVEMENTS PERMIT BY House Trailer 800 Gal. Two Bedroom House 800 Gal. Three Bedroom House 900 Gal. Four Bedroom House 1000 Gal. INSTALLED BY 400 Sq. Ft. 600 Sq. Ft. 900 Sq. Ft. 1200 Sq. Ft. CERTIFICATE OF COMPLETION By Date (8/16/73) *Construction must comply with all other applicable State and local regulations LOT AREA U 0 W SA --- r � _ DAVIE COUNTY HEALTH DEPARTMENT ' (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR ,_a'::r.,,,t.� C�- <;r.i). DATE PERMIT LOCATION 0' i t },r�±c v[r,a..� �'J-CI• lr SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE [}— MOBILE HOME ❑ BUSINESS NO. BEDROOMS NO. BATHROOMS '�- GARBAGE DISPOSAL UNIT YES ❑ NO ©,..y - AUTO. DISHWASHER YES Q NO ❑ AUTO. WASH. MACHINE YES ET- NO ❑ SITE SUITABLE YES [' NO ❑ SIZE OF TANK gal. Sq. Ft. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual ❑ Public IMPROVEMENTS PERMIT BY House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House 800 Gal. 600 Sq. Ft. Three Bedroom House 900 Gal. 900 Sq. Ft. Four Bedroom House 1000 Gal. 1200 Sq. Ft. INSTALLED BY CERTIFICATE OF COMPLETION By Date (8/16/73) *Construction must comply with all other applicable State and local regulations LOT AREA DAVIE COUNTY HEALTH DEPARTMENT P. 0. BOX 57 140CKSVILLE, N. C. 27028 (704) 634-5985 Statement for Septic Tank Improvement Permits and/or Site Evaluations NAME DATE ISSUED ,,.3 u ADDRESS) '�'/ PERMIT NO. 16 Explanation of charge AMOUNT DUE �,5. rib SANITARIAN 9. PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT. DAVIE COUNTY HEALTH DEPARTMENT IrIVIPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c. Permit Number Name - -`'' ' - Date r T � � � 1 r r Location s Subdivision Name Lot No. c" Sec. or Block No. Lot Size House �Mobile Home _ Business _— Speculation -- No. Bedrooms No. Baths No. in Family Garbage Disposal YES ❑ NO 0 . Specifications for System: ` i -, " {` Auto Dish Washer YES ❑- NO ❑ _ Auto Wash Machine YES p NO ❑ Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue. 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 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by Certificate of Completion(` Date 1. 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 as a guarantee that the system will function satisfactorily for any given period of time.