190 Essic Rd (2) • i�, DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 130.
�J Permit Number
Name ,f tk Date '' 1
2035
Location R/ 3 v;'-j /_. O'xt,2 —4,71,4 (f-Ceal�__
�Ss�'CIC.,iiCG1�
Subdivision Name Lot No. Sec. or Block No.
Lot Size f''+ +' House Mobile Home _ Business Speculation
No. Bedrooms _ No. Baths No. in Family
Garbage Disposal YES ❑ NO 0' Specifications for System:
Auto Dish Washer YES ❑ NO 0-*' —7—kvQ 800 .E"
Auto Wash Machine YES p NO ❑ PoaC� �� ,+,d
Type Water Supply —1 f--� C_
X3 '`�C1 r.
*This permit Void if sewage system described below is not installed within 3 months from ate of issue.
v-
SIAA
'
n� Sr�PR/C,lf T D.ST S o X C^-)
O.tN"
i
a i✓I E I
Improvements permit by %G-21
"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_�2
f
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
Name - Date / 20 ,
`
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
it
No. Bedrooms , No. Baths No. in Family
Garbage Disposal YES ❑ NO -p` Specifications for System:
Auto Dish Washer YES ❑ NO El'
f
Auto Wash Machine YES Q' NO p'
Type Water Supply
*This permit Void if sewage system described below is not installed within 36.,m6nths from date of issue.
/ ' Y
pp 1 ?
1 • / tY
t ;'?
1
j�
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.
iZ
Final Installation Diagram: System Installed by
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.
r�
. ......................
J)
Sl�o c,v r 8rX
w f .
� M
DAVIE COUNTY. HEALTH DEPARTMENT
P. O. -'BOX 57
HOCKSVILLE, N. C. 27028
(704) 634-5985
Statement for Septic Tank Improvement Permits
and/or Site Evaluations
NAME
DATE ISSUED ) DIS 17,?
ADDRESS tj PERMIT NO.
Explanation of charge
'✓�"444'v-'
AMOUNT DUE � I SANITARIAN
y, �
PLEASE REMIT THE ABOVE AN 1. (?N RECEIPT OF THI'S sT TET.
K
�. •�Ct ��' ;� � xr.<{ `�.�'s�►a.G �;�;,x���a„✓�� ',*..�,�4.� �.�.}ate
P. O. BOX 57
lorhs aille, Wart4 Taralirtu 27028
OFFICE OF THE DIRECTOR TELEPHONE
704/ 634-5985
S.R. 1423 Ref Septic Tank Layout/ Smith or Mcfregor
S A site evaluation performed after two days of generous
rainfall left the area fairly wet. There is a very unique shallow
soil situation aggravated by, its being :a collection area for
surface water. The proposed area is at the bottom area. of a bowl
like topography.
Of fundamental importance is-construction of two diversion
ditches around the nitrification field area. If the nitrification
field area has any chance at all, this must be accompllished 'first.
The digging of the tank hole itself is also a consideration.
The best probable solution to this situation is the use of two
800 gallon tank tops in series to reduce the depth of the tank
hole by half. This necessitates the pouring of concrete bottoms on
the site for the two tank tops.