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P2964 Underpass Rd
DAVIE 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 Date t Permit Number 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 ❑ 1 r S= Specifications for. System: Auto Dish Washer YES p NO ❑ Auto Wash Machine YES © NO ❑ Type Water Supply _ *This permit Void if sewage system described below is not installed within 36 months from date of issue. Improvements permit by 1 *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 obmpl et ion. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by 1 �; Certificate of Completion -� Date The signing of this certificate shall indicate teat the system described above has been installed in compliance with the standards set forth in the above regulatic but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of ti'i re. i n�i 4 DAVIE COU?TY HEALTH DEPARTIENT ENVI31,10I11,1ENTAL HEALTH SECTION SOIL/SITE EVALUATIOI? ITAI� �� VC- ( ! �G DATE " " ADDREss %Z <<1i A -D Vl'g7`Icz.c 27LOCATIM4 �i�`�F.2 /.4-ff V�v LOT SIZE TOPOGRAPHY: 5 SOIL TE:ITURE: e_G�f..e, s. SOIL STRUCTURE:v�v�_ DEPTH: RESTRICTIVE HORIZONS: PERCOLATION FATE: Presoak n 2. 3. ***CLASSIFICATIOIT: Suitable COIP-:-IEITTS : I•iark & time jg,-t1,g z ; yZ 5i/< Z Provisionally Suitable Pate iiin. Unsuitable SANITARIAIT`�'�� SITE DIAGRAM