P2321 Sheffield RdDAVIE 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
27�
Location
Name f %� li /__.'1, y / Date �'5! -��%
Subdivision Name Lot No. Sec. or Block No.
Lot Size l 4_J�J House /--"'Mobile Home _ Business Speculation
No. Bedrooms '"� No. Baths No. in Family
Garbage Disposal YES p NO p—
Auto Dish Washer YES p NO g ---
Auto Wash Machine YES []--NO p
Type Water Supply
Specifications for. System:
. *This permit Void if sewage system described below is not installed within 36 months from date of issue.
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1
Improvements permit by
*Contact a representative of the DAe County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1,2,0 P.M. on/6ay of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
System Installed by
;Sh Certificate of CompletionDate
*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.
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DAVIE COUNT -Y J HEALTH DEPARTMENT
P: 0. BOX 57
1
MOCKSVILLE N. C. 27028
(704) 634-5985
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