Loading...
5062 Hwy 601NDAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c. Name Location Subdivision Name Lot Size Ac- House No. Bedrooms No. Baths Garbage Disposal YES ❑ NO F Auto Dish Washer YES ❑ NO 0 Auto Wash Machine YES Q NO C] Type Water Supply Z'�' Date f J Lot No. Permit Number .,96 Sec. or Block No. Mobile Home — G-, Business __ Speculation No. in Family Specifications for System: *This permit Void if sewage system described below is not installed within 36 months from date of issue. S 1�Uv Improvements permit by ✓'/ c'� *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 J-1- AL w`01�5 5 Certificate of Comple *The signing of this certificate shall indicate that the system the standards set forth in the above regulation, but shall in NC satisfactorily for any given period of time. lance with ,ill function cb DAVIE COUNTY HEALTH DEPARTYX14T � r� ENVIRONMENTAL HEALTH SECTION \ P. 0. BOX 57 MOCKSVILLE, N.Ci 27028 (704) 634-5985 Statement for Septic Tank Improvements Permits and/or Site Evaluations lOF NAbIE I i l c�i DATE I IZT .S" 2S9 ADDRESS PERMIT 140. . ,Ph ocrzVic r -E /V C, �1 EXPLANATION OF CHARGE PmwAi- �o A1�IOUN'i' J-1 SAIIITARIA14 ` . PLEASE RFZ1IT THE ABOVE AMOUNT ON RECEIPT OF THIS STATMIENT. *NOTICE: Evaluation(s) can not be completed until payment is received. Improvements Permit(s) can not be issued until payment is received.