215 Ginny Lane Lot 10DAVIE 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
Sec. or Block No.
Lot Size -_�f/� House Mobile Home _ Business Speculation
No. Bedrooms ? No. Baths No. in Family zl-- j
Garbage Disposal YES ❑ NO p• Specifications for System: `
Auto Dish Washer YES NO ❑
Auto Wash Machine YES NO ❑ yv
Type Water Supply
v
'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
SST -/ ood B
Certificate of Completion
`The signing of this certificate shall indicate that the system described above has been installed in compliance m with,
the standards set forth in the above regulation, but shall in NO way be taken as a'guarantee that the systewill function
satisfactorily for any given period of time.