837 Turkeyfoot Rd (3)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
2c'�a'
Name
Location
Date
`,.� • i,. r ....0
1 - `"! - / I
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home ✓ Business Speculation
No. Bedrooms z No. Baths I t� No. in Family _
Garbage Disposal YES ❑ NO [2- Specifications for System: 'Wc -,�- ��r,_n • :. k
Auto Dish Washer YES ❑ NO fl _Y ` , , c
Auto Wash Machine YES p NO F -1f J \ ' `}- JX t
Type Water Supply 11 , r t `
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
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-�1�+ 4-iIZTw�f+;r✓
t=RcC
Certificate of Completion 7 Date//
` E�
*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 COUNTY HEALTH DEPARTIJENT
EITVIP.OITI• OTAL HEALTH SECTION
SOIL/SITE EVALUATIOIT
IT ,j0� ��.9� (�. DATE /D - 2-
ADDRESS
ADDRESS
lMac VaL. lic- hL Z7dZ,Y LOCATION
LOT SIZE
TOPOGRAPHY: 5
SOIL TE�,ITURE : ? 5
,e ,
SOIL STRUCTURE: F5
DEPTH: 3.L - q -i" S
RESTRICTIVE HORIZONS: _ 5
PERCOLATION RATE:
2.
b
3.
%' **CLASSIFICATIOIT: Suitable
Presoak
Mark & time
Drop
Time
Rate IIin. Inch
3 ~
b V, 2, r
��
Z'
/20
q,i
61( 2;
i
COI MEITTS :
SITE DIAGPAM
isionally--Suitable Unsuitable
r1A
SAFITARIAIT