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P3504 Bethel Church RdDAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c t Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number Name ��Zf7Ai�'ft �� tv'fizz{. Date 3504 Location 4 srs-r ;7'v ' i�, f7 r << i..- C.1-1 . /? > 7-0;e ,J 1- If ?rz� Subdivision Name Lot No. ' Sec. or Block No. Lot Size House �� Mobile Home Business Speculation. No. Bedrooms -} No. Baths No. in Family Garbage Disposal YES :❑ NO 21, Specifications for System(, %ZcPA rr�-- Auto Dish Washer YES ❑ NO ,EE� ZO,.. : .'7f :tsar i -` (,r.I 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. 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: 704-634-5985. Final Installation Diagram: System Installed by racyx a' 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 =a• � 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' Date - JOI� �. Location 6 zr�5-r -i C� ;7 ' 's -t rig c C F 1 . !Z Subdivision Name Lot No. Sec. or Block No. Lot Size House "'ter Mobile Home _ Business Speculation 3 No. Bedrooms No. Baths No. in Family Garbage Disposal YES ❑ NO p' Specifications for System /Z2 iA Auto Dish Washer YES ❑ NO -r---- __ �:.� 75-C,�,<<uN r�NK Auto Wash Machine YES 2"' NO ❑ Type Water Supply C�?�e�T __ Z)O�X 3�X 18sToNIL x -3, X %$ fl - a„ �. 'This permit Void if sewage system described below is not installed within 36 months from date of issue. � l�� k i'!p ,l(�Ij(�- JANa -i cir F C r Improvements permit by �PgAs '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: !I toa�L © Z System I by _12LL}1tZp, 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.