P3389 Sanford Ave DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A
.1934-.1968) Permit Nu
mber
NameNQ.l 1G - b � 23389
Location SAN Foga E �—�'.^r 1 (�vS OnJ
Subdivision Name / Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms ? No. Baths No. in Family Z _
Garbage Disposal YES ❑ NO EZ
Specifications for System: 9:Efq1,2
Auto Dish Washer YES NO ❑
Auto Wash Machine YES T NO ❑ 13ZI X 3 x Y
Type Water Supply 60 u"J -y
*This permit Void if sewage system described below is not installed within 36 months from-date of issue.
Y
permit Improvements it b
P P _
*Contact a re resentative 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 bylILLARZ-)
Certificate of CompletiOR
Date c7 2! — 2r3-
*The signing of this certificate shall indicate that the system descri ed 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 DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968)- Permit Number
Name Date 9 ZG `R3 of j89
Location _ )ANrote-0
f
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home — Business Speculation
No. Bedrooms No. Baths No. in Family Z _
Garbage Disposal YES 0 NO
Specifications for System:
Auto Dish Washer YESNO 0 ,/
Auto Wash Machine YES [� NO ,0 137 X 3 X F 5'7aN L
Type Water Supply ec"/T1
*This permit Void if sewage system described below is not installed within'36 months from date of issue.
Improvements permit by �- �
*Contact a re resentative 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 bILLAR-P t--06-12-
Certificate
-n6l2-
Certificate of Completi / Date c7-2- '- 53
*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.