301 Joe Rd ' r>� '-' rtvw: -v"1 rt• .rt,..:.,. .. ;...hY,7. y,. .., .. - .. /
i
yr
rmi
t Number
— 6786
-;oi ibJ!3UC,-3,V1!JP VL lCJG 1101 0Z CP'jUi_:L 1:
q -,--ulation
X
-
No. berdrooms � No •
Baths No. in Family _ �•
Garbage Disposal YES ❑ NO d Specifications for System:
Auto Dish Washer YES p NO ❑
Auto Wash Ma,hine _ YES 6-.,,N.0 -
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.
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11
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�., y��`�•,� 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
I'1 S T O
+
i
ueififr'6@t�
of Completion .____- __. ----
is� indi6gt@ tit&t fFtd oytitern d—IntiosorliJt --1,titzvo f1�^ t1e c rr irri; ftdi3i i��-c tari Win _'-nom t�
the a eye fqAtion, but Old In NO way be tali@r�#i�4>#'bf�f�b`r�d��ci� ti �� � Date
tf �' fi(�1 t f3 A;. "' 'r��' st ,rn will f cti'
U AIPRIfly @f thift ortlflcate shall Indicate that the system descr 8T"abov�en instMfo. in compliance with
lh@•§Iand8Fd§011 f0fth In the above regulation, but shall in NO way be taken as a guarantee that the system will function
§@tl§f@@t®FIly fof my given period of time, ^ installed
vii r ��.� �(a
?' DAME=COkH W -HEALTH d�EP1pFiTMEAT
�j IMPROVEMENTS pE1 {VfJF� LETION I 0'.3 ti
rot Vlo
*NOTE:Issued in Compliance With Article II of G.S.Chapter 130a
-Sant ewage-Systems Permit Number
Name J -� '�,,,� �-� ,"�.,, ��7 �I� / Dat�� � r� N� c
O 6786
Location 1 J ��� \)a
Gmsas swz— — -- betu�IJ �inWPetl
owbl!sg% bfyi�n`���sml�°te'2'cpsbfe�.1309
Al Sec. or Block No.
IbUOAL 1111 e112 bEti� ill �Q r.fX °' 4 ,„
DVAIE COfi141A�IEn�IKL6EMY ome —� Business Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES.❑ NO E(
Specifications for System:
Auto Dish Washer YES M NO ❑
Auto Wash Ma shine YES p NO ❑ aDa,�3,�i�2�r �';
Type Water Supply A
'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.
i I
t1 (i
t ff
� 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 N 6 .ate
wti
f�)r�►fiti =titer < ' � _.: , � .i,,, ,
ft ' lion, but sholl in NO w"ry h";ta4C�rtifiC�to'of"Completion L ���; Date
�'iflf�,1 � � i �r`ha,
hg §{gning of this certificate shall indicate that the system described above s been installed in compliance with
r sti3n��rds s4fi§f4Etgrily far any given period of time.
NO In the above regulation., but shall in NO way be taken as a guarantee that the system will function
swsralied