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949 Williams Rd 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 /t�,r �,' /�/���r%��.� Date —21 —A?'' Location ��/ / i,-`_ Y�:-_� f;;-.. � Z/ / /i' �T :• i_ ;r, it `i F,, Subdivision Name Lot No. Sec. or Block No. Lot Size �*'%? House Mobile Home Business Speculation No. Bedrooms S No. Baths No. in Family Garbage Disposal YES NO Specifications for §yst7: Auto Dish Washer YES NO p Auto Wash Machine YES NO -p _ Type Water Supply *This permit Void if sewage system described below is not installed 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: Final Installation Diagram: System Installed by l 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. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name -c/f?/Z�� Date Address Lot Siz FACTORS AREA 1 AREA 2 AREA 3 AREA 4 1) Topography/Landscape Position S �... S S (PS, PS PS �� U U 2) Soil Texture (12-36 in.) Sandy, SPS S S Loamy, Clayey, (note 2:1 Clay) S PS PS U U 3) Soil Structure (12-36 in.) S S Clayey Soils PS PS U U U U 4) Soil Depth (inches) S S S PS PS PS U 'rtT U U 5) Soil Drainage: Internal S S S S PS PS PS U U External S S PS PS PS PS Q U U 6) Restrictive Horizons 7) Available Space © S S PS PS PS PS U U U U 8) Other (Specify) S S S S PS PS PS PS U U� U U 9) Site Classification !�, A T. U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable Recommendations/Comments: t%r` �. Described by Title Date SITE DIAGRAM DCHD(6-82) APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section R 0. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone 175- 9/ 1. Permit Requested By Business Phone 7L L .27/2. 2. Address 1f61 PeZ,7r ✓ evd VYtn r D{v» aQc-»� )7C 7/0 7 3. Property Owner if Different than Above Address 4. Permit To: a) Installer Alter Repair b) Privy Conventional Other Type Ground Absorption c) Sub-Division Sec. Lot No. 5. System used to serve what type facility: House Mobile Homed Business IndustryOther b) Number of people 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions 14 x 2(, Bed Rooms—Bath Rooms—Den w/Closet b) If Business, Industry or Other, State: Number of persons served What type business, etc. Estimate amount of waste daily (24 hours) 7. Number and type of water-using fixtures: commodes urinals garbage disposal lavatory showers washing machine i dishwasher ! sinks 8. a) Type water supply: Public ✓ Private Community b) Has the water supply system been approved? Yes No 9. a) Property Dimensions -S a«-c b) Land area designated to building site c) Sewage Disposal Contractor /'-Vndz o� 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? What type? This is to certify that the information is correct to the best of my knowledge. Date Owner Signature OWNER IS SOLELY RESPONSIBLE FOR`COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: 64 �0 leo Oftoiaty,& "'lo k/ U_1amZ' . 7 a��� �n�,�, Vruz Ch. 2�C V 664) d 011Q pG`LG2C C(, l DCHD(6-82)