P3453 Hwy 601SDAVIE COUNTY HEALTH DEPARTMENT
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 l i4 Grr v3� Date � ' 3453
Location 6r -)l fS r„�4 ('irsfc�r iviFr��a�„s,�
Subdivision Name Lot No. Seca or Block No.
Lot Size. House Mobile Home _ Business Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES ❑ NO ❑ Specifications for System: A&I/LL
Auto Dish Washer YES ❑ NO ❑ i ,,
Auto Wash Machine YES ❑ NO -❑ BUD x3 X
Type Water Supply. l'•* __
*This permit Void if sewage sys em described below is not installed within 36 months from date of issue.
r
r Ji—, N
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�C ! GhAZ.7) f��R
Certificate of Completion ''Ma^"� 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.
k
DAVIE COUNTY HEALTH DEPARTMENT
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 41y Date
Location
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 ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑ . , ,
Auto Wash Machine YES ❑ NO ❑ wa h.3
Type Water Supply
"This permit Void if sewage sys em described below is not installed within 36 months from date of issue.
F- £ d 'N '&. -,
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 /Iqstalled by
FA
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.