166 Valley Oaks Drive Lot 8 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 Gi � `f Jr^1/� ✓ Date r i� �' r' �°. 6
'Location
t
- Subdivision"Name Lot No. Sec. or Block No.
i
Lot Size ��� House ,Mobile Home _ Business Speculation 41,
o _=� z /� i
No. Bedroomsy No. Baths No. in Family
Garbage Disposal YES .0 NO Specifications forte�t m: ?
Auto Dish Washer YES NO,-F�.
Auto Wash Machine YES NO' I:
Type Water Supply . --
*This permit Void if sewage system described below is not installed within 36"months from date;of issue.
I; 1,
if
s
Improvements permit b
f
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P y
*.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': Syst tsn ailed by
- r �
Certificate of Completion u Date
*The signing of this 'certificate shall,indicate that the system described above ha' 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 lime.
DAVIE COUIM HEALTH DEPARMMUT
PERCOLATION TEST RESULTS
TATE �� l
NMIX
LOCATIM, /
1101,
FINDINGS: (TOLE NO. �� CO IMITS
VY x
5
By:_ .7
LOT DIAGAPIU! 62
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