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P2849 Hwy 601S
c. DAVIE COUNTY HEALTH DEPARTMENT 1IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION Ja ""Note Is d ' C I' f 1 G S f N rth C 1' Ch t 130is —A t' 1 13 sue m omp lance wi o o aro ma ap er r a c. Permit Number Name `` ` Date Location. Subdivision Name Lot No. Sec. or Block No. Lot Size House 1'` Mobile Home _ Business Speculation No. Bedrooms No. Baths No. in Family Garbage Disposal YES ❑ NO OSpecifications for System: Auto Dish Washer YES ❑ NO (D - Auto Auto Wash Machine YES ❑ NO g -- Type Water Supply `This permit Void if sewage system described below is not installed within 36 months from date of issue. �F 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 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 COUPTY HEALTH DEPARTiIENT EPIVIROITI•ENTAL HEALTH SECTION SOIL/SITE EVALUATIOIT . ADDRESS LOT SIZE TOPOGRAPHY: SOIL TEI,TURE : SOIL STRUCTURE: P DEPTH: RESTRICTIVE HORIZONS: /L©« -c PERCOLATION RATE: 2. 3. ':**r.T.AcZRTFTr.ATT0TTa DATE LOCATIOi4 �s Presoak Mark & time Drop Time Pate iiin. Inch •,vP / ' ` CONMEITTS: SITE DIAGFAYI SAFITARIAFT