2010 Hwy 64E (2) �-' _ _'-' .- '"fi! £ "t'Ja.. b�"Vi"P' 'r,Jv yuw•: WkT?°{.?' +. u--• - r - I
' DAVIE COUNTY HEALTH DEPARTMENT . ; /
IMPROVEMENTS .PERMIT AND CERTIFICATE OF.COMPLETION .
*NOTE: Issued in'Compliance'with.G.S. of North. Carolina,Chapter 130 Article 13c
`sSewage Treatment and*Disposal Rules (10 NCAC-1OA :1934-.1968) Permit Number°i
G NameDate ���..��,��; 493
Location ..��/—ice�44fie '9:Td- ! 42'>.
Subdivision Name" Lof'No` 'Sec. or Block No:'
Lot .Size House ' Mobile Home mss/ Business __ „Speculation
No. Bedrooms No. Baths _ No. in Family _
Garbage Disposal YES '❑„ NO'
Specifications for System:
'Abto-Dish Washer YES ❑ NO,
Auto Wash Machine YES ,0. y? �f' ti.• y
...
•� Type Water Supply
t 'This permit Void if sewage system described below is'nofinstalled within 36 months from date of issue.
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. '
tFinal Installation Diagram' "System Installed;by '
la .. . • 1i ' - il. -`-py , - {{
61 kg
C rtificate of Completion Date
'The'signing of this certificate shall in hat the system described above has been installed in corholiarice with'*k
the standards set forth in the above`regulat n, but shall in NO way be taken-as a guarantee that-the system will function
satisfactorily for any given period of•time u