P7213 La Quinta Drive. . +p` WblN�'`>lr'�A)'vJR..Y'`;"Ya.L0.r.v'•.�:vv+d'+"�4. --Rv
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article II of G.S. Chapter 130a
itary a ge systems //�� Permit Number
Name V Ae � � 4L"A&—/'Date N2/Y_ 723
Location G1�/� — �7 �.� FJ'>✓ % J 1 (�'i% il�/f • z/ ki d
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home Business __ Speculation
No. Bedrooms "3 No. Baths �` No. in Family
Garbage Disposal YES ❑ NO d Specifications for System:
Auto Dish Washer YES ❑ NO
Auto Wash Ma :hive YES tj NO ❑
Type Water Supply __—
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
S�o�e
.5'
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 i - 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.
t
k
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 i - 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.
...^-!, ,: , .>!'..1-» M <,�.}h $.•1 '; , ..;,�}. �:4' ., .. t _ "-`'-n"ih+.aha � f o , `, -, .*,. p. By. '."r - -
J ✓i�d
. `; _•;�,. DAVIE COUNTY HEALTH DEPARTMENT
r - IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
"!NOTE; rssued in Compliance With Article 11 of G.S. Chapter 130a
- ,Sanitary e�reg�e SYsfe�,ns ,J� �� �J�✓ C .�� Permit
Number
Name ff Date N� 1 G 1 J
Location
Goy
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 S ste
Auto Dish Washer YES [:I, NO p p 5�
Auto Wash Ma .hive YES NO ❑
Type Water Supply __—
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
t -
G, <10
5'
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
14
Final Installation Diagram:
System Installed by
r S='
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.