837 Turkeyfoot Rd - _., .y+ . u+n.;`.1 a+.. t,,st:•.::J. — sF i-_.. lea;+.d`t.z J. ..::;�:.( _"
DAVIE COU TY HEALTH DEPARTMENT -
75 IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
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*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� -/,-6. lTi�r �, � u, � F Date/ N2 U
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Location _ �1,�- �T�` Sampo Y: �� tet )`" f�:%��7`
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms 3 No. Baths No. in Family
Garbage Disposal YES ] NO a- Specifications for System:
Auto Dish Washer YES FNO )
Auto Wash Machine YES p NO
Type Water Supply
*This permityVoid if sewage system described below is not inst I d ithin 36 months from date of issue.
GJ�
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
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2
Certificate of Completion --� Z — -� 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.
.v,..-a.,'+�4 ":-i4r c-::.;r.:-..."""4"'t.'r '.Y�..a.a..s-La�b_`r.n \_'� jw7 F'i •j'a a¢� .Y ♦ '._`tet ..� Kw c..r.. C—.�. '+ed._ .. .-..ff . ..-_ - - t ' . -
.r DAVIE COUNTY HE
ALTH DEPARTMENT �--
��„- IMPROVEMENTS PERMIT AND' CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance with G.S. of North Carolina Chaar 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968)` Permit Number
Name , �/ �vvl!✓� � /�� ''Date �� � N2V
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size Z House Mobile Home _ Business Speculation
No. Bedrooms No. Baths No. in Family �—
Garbage Disposal YES ;❑ NO ❑- Specifications for System:
Auto Dish Washer YES p' NO ❑ y ,,
Auto Wash Machine YES ❑ NO ❑ Cw�X3/��� - �
Type'Water Supply L✓�/� _ f
*This permit Void if sewage system described below is not Insthe �4ithin 36 months from date of issue.
Vj
r
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 dy/of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
vo G 5
r
Certificate of Completion �6Date
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.