P2388 Deadmon Rdr
►` 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
Subdivision Name Lot No. Sea '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 .Q -
.Auto Wash Machine YES El NO ❑ -
Type Water Supply
*This°permit Void if sewage system described below is not installed within 36 months from date of issue.
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i
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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::09-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed byS'Z.
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 above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
P. O. BOX 57
��ucl:sbillc, �nrtlj (lSurulittn 2711zK
"'
OFFICE OF THE DIRECTOR May 19, 1980
TELEPHONE
7041 834.5985
Mrs. Marian Phillipi
Rt. 4
1;
Mocksville, N.C. 27028
Dear Mrs. Phillipi:
This letter is to confirm our conversations on May'fi, 1980
and again on May 19, 1980, regarding a malfunctioning septic tank
system servicing a mobile home located on some property you own
off Dedmon Road in Davie County. As discussed on the above
4
mentioned dates, the situation that now exist is in violation of
N.C. State Law and is a health hazard for the entire neighborhood.
t�
On May 6, 1980 the appropriate repair permit.was issued for
the failing system and you were instructed to have said system
repaired within 30 days of that date.
This office appreciates your cooperation regarding this
matter. If you have any questions please feel free to call this
office.
.ri
Sincerely yours,
:49 0 V-V�
Robert B. Hall, Jr. Sanitarian I
Davie County Health Department
RBH/gh
:1
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 "�' �,. �— Date . �.�/ �� � 2 �3 8 8
Location
Subdivision Name Z'Lot No. Sec. or Block No.
Lot Size House -Mobile Home _ Business Speculation
No. Bedrooms No. `Baths" No. 'in Family
Garbage Disposal YES ❑ NO p!
%� Specifications for System:// .--,
Auto Dish Washer YES ❑ NO ,❑
Auto Wash Machine YES P % NO F-1
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
_- Cif /"/,. --•�
l U
�9
Improvements permit by
*Contact a representative of the Davie County H ae Ith `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
"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 above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
Dr -VI COUI*!TY 11S LTF4
•� C0; TLPINT FOP
gate
^ ame of Complainant
Telehhons��
Complaint—=�–
Persons Responsible for Cornlaint
�°c'dress Ile, Telenhone�
Cetai 1 Directions to ComFl ai nt
y./,,"o
Road ''o.
°eferred to Date ��
action*
r-1nai u1sposizi
*Uss Back, If :?ended,
Date
Sinned