166 Papoose Trail DAVI.E 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 :�� -�.✓ `:'i� /iU Date �i't" �-�aC '' Zc�99
Location-
Subdivision Name Lot No'. Sec. or Block No.
Lot Size ��� ��� House Mobile Home _ Business Speculation
No. Bedrooms _ No. Baths No. in Family S'
Garbage Disposal YES -❑• NO p.-
Specifications for System:
Auto Dish Washer YES ❑ NO ❑ /J!�! •.,: - ,�f ,.�Jr1, /J�►c�!`t�li
Auto Wash Machine YES p NO ❑ � �I1e I3 X/�, Q•f�� -
Type Water Supply
"This permit Void if sewage system described below is not installed within 36 months from dateofissue.
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'A/ 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 6y.--f' �: G �� '►
X.2 1,02
1
3
y
Certificate of Co pletion Date
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'The signing of this certificate shall indicate that th s stem described above has been instal•I'ed 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.
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DAVIE COUP?TY HEALTH DEPARTHE ,
ENVIR0113,11EBTAL HEALTH SECTION
SOIL/SITE EVALUATIOV
DATE
ADDRESS
LOCATIO11/�TJU�(�
LOT SIZE /0 ,61K
TOPOGRAPHY: A 5.
SOIL TENURE: /65;;
� t .
SOIL STRUCTU is
DEPTH: /w,"V
RESTRICTIVE HG�:IZOt?S^ ;� _ /},� l
PERCOLATION PATE: Presoah Hark & time Drop Time Pate/ iin. Inch
2
3.
***CLASSIFICATIOI?:Suitable Provisionally Suitable Unsuitable
COIRIEUTS
SAFITARIAF
SITE DIAGF. M