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289 Pinebrook Dr . , 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 i..e – -- -- — Date Location Subdivision Name Lot No. Sec. or Block No. Lot Size ` House Mobile Home _ Business Speculation No. Bedrooms f No. Baths No. in Family -� .Garbage Disposal YES ,p NO p Specifications for System: Auto Dish Washer YES p' NO p i'•.';.;1 ._s' Auto Wash Machine YES O NO Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue//. If 1 i 1 ' i -, 1 i f f 1 f { i 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 Of,_ e L r 1 .. -_J c 2- Certificate 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. 1 � � DAVIZ COUP?TY HEALTH DEPART." ENT ENVI'ONIENTAL HEALTH SECTION SOIL/SITE. EVALUATIOIT I?AIS 2 t�to `J C°o- — 6 3 p 7.3 7 DATE ADDRESS .'?O rncC.v, M o c K5 d,I It 12 c- 2,70 2- LOCATIO14 qr rr.t�io•�n►� �8 - "1• ate, r. � •.ve. - l,oT o �e Cry e.K.. LOT SIZE Mt acrtS TOPOGRAPHY: eXcellt„T N SOIL TEA:TURE:-Toast,L b o-12," rc ov.!looms - 3 tAco-1, loaw,.� t}v o if r14, 24 -5� -1"►+�.r.S -'Tb a r,4m T%&S' j Qr m.'i��ure aF 5o i 1 i- t^,+•wc�aloC,� C FA'.�-`�Cor� SOIL STRUCTURE: jopr DEPTH: �oob2 aen Z�e. 1. o p 2te- 18"- S%4*. o.� �`- 3 '-" -UnSuX Oki- 3 �- 3'/si RESTRICTIVE HORIZOVS: st-S%h+ ems,Jt^o-e a; m.400s -,,. 3q-" Savo— racx- L pt edtz PERCOLATION RATE: Presoak Hark & time Drop Time Pate/Ilin. Inch 1. E b�' o:va 3/v•, ,e:.3 2 11141 o� y n 2. k aru� fF �f�: 33 /2d cr .Ad 9s-i+s/�� 3. Ew + :o �44d ***CLAS SIFICATIOPI: Suitable Provisionally Suitable Unsuitable COMIEUTS SAA?ITARIAPT SITE DIAGRAM �,�- 5�D � RO, �l cr t�3 ` I �0 { 3 L 1 I � �