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Cooleemee - Louella Howard
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 Name Lume-Ba- Ajx,AR.D FRP ,,Ar-�S nig 3007- .Date `- Location 'n1 U'Ak (%'AP'rK-A� - 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,0 NO�,f„f=" /� f Specifications for System: ?,oro Auto Dish Washer. YES ❑ NO I cra1 X 3' X 'L*'' (2.Ie.J c Auto Wash Machine YES E] NO � , Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue. oR�.. Pea n;.+�' t']S7 3f ►�) �� 4 otQ 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 "T"5r A� A 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 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 �P Namet 4l= t l...,;, , C t .r r i Date Location ;,l ,-=\-, i ^'t . 1, .t . <,_ «. (,' ..t ,. t C- 1 7 Subdivision Name Lot No Sec. or Block No. Lot Size A House Mobile Home _ Business _ Speculation No. Bedrooms No. Baths No. in Family Garbage Disposal g p YES NO � 0 . ' �,` "I i% 1i''" � �' r Specifications for System: Auto Dish Washer.,;.- YES ❑ NO p ,L>\% YES NO -''"i� — - I .^ i` r -� r. ! c.I L uto Wash Machme ❑ 1-1i Type Water Supply__— *This permit Void if sewage system described below is not installed within 36 months from date of issue. (1 �� l V'�\i • � • �M) ,t•0r�� ,�. ��-.`tet-.. _ Improvements permit by '\`� �'` ` `- S-' *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: T -- System Installed by Certificate of Completion �� t,�- "-� 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 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 r' L Name �_. n�� I \�: 1-�. , ��.� L t r �,:.tt Date `•�l s! Location N _ U.- 9 ��.T Subdivision Name Lot No. Sec. or Block No. Lot Size No. Bedrooms Garbage Disposal Auto Dish Washer.%.. Auto Wash Machine Type Water Supply _ House Mobile Home — Business Speculation _ No. Baths YES ❑ NO q YES ❑ NO ❑ YES ❑ NO -i (fir, 5.1, — No. in Family Specifications for System: P Y 2tTo �a1. -T�t• t�- ;� IILD' X3 X 2 4 1 *This permit Void if sewage system described below is not installed within 36 months from date of issue. Improvements permit by ��` tU~0 - il *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: .�t �rYta�L System Installed by -ZZ'',e;", c� r -- Certificate of Completion �4*- 01n-�' Date _ V *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 DEPARTMENT (Septic Tank) Improvements Permit and C rtific Vef Co pletion (Gound Absorption Sewage Disposal System - Cer 130-Article_13C) - OWNER OR CONTRACTOR d-�✓��As 1T�-��.�'C Imo/ DATE (o PERMIT LOCATION ��rn� �_-�a . �11.�!' (�G�� 1757 5 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE [Er MOBILE HOME 0 BUSINESS NO. BEDROOMS NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ NO �I AUTO. DISHWASHER YES ❑ NO []t AUTO. WASH. MACHINE YES ❑ NO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE,IN LINES: V4 M, I .1 WATER SUPPLY Individual ❑ Publi 13IMPROVEMENTS/PERMIT BY 04 House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House 800 Gal. 600 Sq. Ft. Three Bedroom House 900 Gal. 900 Sq. Ft. Four Bedroom House 1000 Gal. 1200 Sq. Ft. INSTALLED BY I CERTIFICATE; OF COMPLETION By Date (8/16/73) �I *Construction must comply with all other applicable State and local regulations t LOT AREA 7 Y a 41 DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion .(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)" OWNER " OR CONTRACTORr".� i i:'Jt ;., ; ,' :�, .,.- .•t DATE PERMIT * s LOCATION `'',,_<f ..y. .. c. ..:• f . fi, (.�..r ;'y�,r. ' 4 .11ro 1757 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE [J` MOBILE HOME BUSINESS ❑ House Trailer 800 Gal. 400 Sq. Ft. NO. BEDROOMS NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft. GARBAGE DISPOSAL UNIT YES ❑ NO © Three Bedroom House 900 Gal. 900 Sq. Ft. AUTO. DISHWASHER YES ❑ NO Q Four Bedroom House 1000 Gal. 1200.Sq. Ft. AUTO. WASH. MACHINE YES ❑ SITE SUITABLE YES[3NO NO ❑ [3 �. SIZE OF TANK gal. el NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual ❑ Public ❑ IMPROVEMENTS PERMIT BY INSTALLED BY CERTIFICATE OF COMPLETION By Date (8/16/73) *Construction must comply with all other applicable State and local regulations LOT AREA Ile -----r DAVIE COUNTY HEALTH DEPARTMENT P. 0. BOX 57 MOCKSVILLE, N. C. 27028 (7 04) 634-5985 Statement for Septic Tank Improvement Permits and/or Site Evaluations f NAVE DATE ISSUED ADDRESS tt. —� `PERMIT NO.. ±� r.11 i Explanation of charge AMOUNT D'?J SANITARIAN PLEASE REMI.T;. THE ABOVE AMOUNT ON. RECEIPT OF THIS STATEr.4E .