415 McAllister Rd 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 Date 14
Location
Subdivision Na�ne Lot No. Sec. or Block No.
Lot Size — House Mobile Home Business — Speculation
No. Bedrooms No. Baths No. in Family
Garbage Dispoal YES :E] NO Specifications for System: 1606'
Auto Dish Washer
'
Auto Wash Machine
Type Water Supply
*This permit Vc id if sewage system described below is not installed within 36 months from date of issue.
'
Improvements permit by .,
*Contact a repr3sentative of the Davie County Health Dep�rtment-for,�inal inspection of this system between 8:30
9:30 A.M. or 1:00-1:30 P.M. on day of completionTelephone-_��mber- 704-634-5985.
Final v/uuu/uu/ -
Certificate of -_.leti
Date
'The indicate that the described above has been installed in compliance with
dhe - -ndards t forth in the above vagu|ekion, but aho]| in NOway betaken aoaguarantee that the system will function
satisfactorily fo�anygiven period ofUme.
DAVIT COUI?TY P.EALTH DEPAP.TIEITT
pP 1 ENVIR0111,04TAL HEALTH SECTION
SOIL/SITE EVALUATIO11
IIAIT, l c i ayv. /�IJ p4,R�cn DATE
ADD RE S Al 1AX
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+� LOT SIZE
TOPOGPHY:
SOIL E ZTURE:
SOIL ITRUCTUR1,;:
DEPTH:
RESTRI TIVL HORIZOPS: �
�6j a.
PERCOLATION FATE: Presoak Bark & tine Drop Time Pate/iii%. Inch
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3.
*J.-.*CLA SIFICATIOII:
SuitableProvisionally Suitable Unsuitable
COTZSlEIT S: iSnNU How,
3
SANITARIAIJ
SITE D AGF"l
D
2
0
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