183 Baileys Chapel Rd"T
DAVIE .COUNTY HEALTH DEPARTMENT III
IMPROVEMENTS. PERMI RTIFICATE 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-.196% Permit Number
Name ^ U sa R ii Date _a� 1 ;` cl�� V , ® 5061
Location ) c, `� , ?5 III �,j v,.
ar . cs \<:. 1�_III z��� rv6,
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Subdivision Name' Lot No. Sec. or Block No.
ii
Lot Size - ) r•. House Mobile Home _ Business _ Speculation
No. Bedrooms- No. Baths No. in Family
Garbage Disposal YES' ❑ ' NO ❑• y Specifications for System:
Auto Dish Washer"
YES Q NO' p i� / p�, p
Auto Wash Machine YES ❑ NO ❑
1A
Type Water Supply
`This permit Void if sewage* system described below is not installed within 36 months from. date of issue.
�! Improvements permit by`- `4`� �•
'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.
Diagram: Final. Installation t b System Installed by
1 0 �s
�o
Certificate of Completion Date
'The signing of this certificate shall indicate thatthe 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.