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135 Norma Lane Lot 17' DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systems Permit Number Namer7 N� Date Location Subdivision Name Lot No. �-` Sec. or Block No Lot Size No. Bedrooms Garbage Disposal Auto Dish Washer Auto Wash Machine Type Water Supply House Mobile Home No. Baths _ No. in Family YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO ❑ Business _— Speculation Specifications for System: *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. i i r f g' d e 7`��'`1 �\ 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. 11 7-7 - Final Installation Diagram: P I System Installed by X6 Gertificate of Completion Date // ` o— *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 f I ` IMPROVEMENTS PERMIT AND "CERTIFICATE OF COMPLETION A, *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systems Permit Number Name .Lrt3 ,I��n��, r��i `/�� iaa%;�� Date j• N2 pp } . � 4� _ 77, Location '/ <' `;, �) Subdivision Name Lot No. / Sec. or Block No.� Lot Size House Mobile Home _ . Business Speculation No. Bedrooms No. Baths 2 No. in Family-- Garbage amily _Garbage Disposal YES ❑ NO ❑ Specifications for System: Auto Dish Washer YES ❑ NO ❑ Auto Wash Machine YES ❑ NO ❑ ::� , _ Type Water Supply __— *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. Improvements permit by _Tl //2 1 *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: l K System Installed by 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. ® Y DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTI=: Issued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systems Permit Number Name / . ^ , r.,.,, Date <, N2 J t. Location /y Subdivision Name %�:%- r%"�' Lot No. —`� Sec. or Block No. ZZ Lot Size House Mobile Home — Business _— Speculation rt, No. Bedrooms — No. Baths � No. in Family _ Garbage Disposal YES ❑ NO p' Specifications for System: Auto Dish Washer YES NO ❑ Auto Wash Machine YES NO ❑� •��' Type Water Supply__— *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. 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 Certificate of Completion Ila 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. ti>� ►' - DAVIE COUNTY HEALTH DEPARTMENT 1 IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE=: Issued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systems Permit Number �� /%.� >,� </ f r `7 �� Date '� ` 0 Name � r--� �.. �'-- �,� — N. Location Subdivision Name �c/r- '��i _r Lot No. Sec. or Block No. Lot Size House v Mobile Home — Business Speculation No. Bedrooms - — No. Baths --52 No. in Family — Garbage Disposal YES ❑ NO [2-" Specifications for System: Auto Dish Washer YES I NO ❑ Auto Wash Machine YES NO ❑ `�.�;/ `� �� Type Water Supply el"'& __— *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. )A/%l cu ,/ i!,': �`� I�•(P 1// Mit w.�. .1 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 /r iii '6 1 � ' / •' � ' 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. C, . DAVIE COUNTY HEALTH DEPARTMENT `IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION ,,,ed in Compliance with G.S. of North Carolina Chapter 130—Article 13c. ,ne �, l.11%-Lrlal is_ Date Location Permit Number N9 2147 Subdivision Name Lot No, �T_Y Sec. or Block No. 3 Lot Size^ifs j<'!� ,+ House _ Mobile Home ---- Business ._ _ Speculation No. Bedrooms _ No, Baths No, in Family Garbage Disposal YES ❑ NO ❑ X�e/�k'- - Specifications for System: Auto Dish Washer YES [DNO ❑ Auto Wash Machine YES ❑ NO D Type Water Supply —&1� 'This permit Void if sewage system described below is not installed within 36 months from date of issue. /7- 'V-1 -1 r i i y six' -3 y2, 1 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 !,a.)W}!~� 4, �- a _s 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 N9 2147 Name 15 /Zf /iOm Low/ s Date Location ,5'-/.5 •-79 Subdivision NameLV,,d`ee Lot No. 17 Sec. or Block No. -3 Lot Size /i2KLd House '� Mobile Home _ Business Speculation No. Bedrooms 3 No. Baths �2 �y No. in Familv �v as of Garbage Disposal YES ❑ NO ❑ 9-04z"L Specifications for System: Auto Dish Washer YES ❑ NO ❑ Auto Wash Machine YES ❑ NO ❑ Type Water Supply 14/alL __— *This permit Void if sewage system described below is not installed within 36 months from date of issue S17 Improvements permit by I M'jo *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 �°w►- b'� 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 i IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c. Name Location Subdivision Name' - Date Lot No Permit Number Sec. or Block No. - Lot Size House Mobile Home — Business __ Speculation No. Bedrooms No. Baths — _ No. in Family Garbage Disposal YES ❑ NO ❑ Specifications for System: Auto Dish Washer YES ❑ NO ❑ Auto Wash Machine YES ❑ NO ❑ Type Water Supply L -/ *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 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 `IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'Note: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c. Permit Number F 'g Name Location f. Date — Subdivision Name `' `' 1f"�- __ Lot No. Sec. or Block No. K Lot Size X' /' {' House `"" Mobile Home _ Business Speculation No. Bedrooms =z--- No. Baths '` No. in Family Garbage Disposal YES ❑ NO ❑ r,,=<'< Specifications for System: Auto Dish Washer YES ❑ NO ❑ Auto Wash Machine YES ❑ NO ❑ Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue. r Improvements permit by.1. ~- `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 ' 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 (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter`00-Articl. 13C) OWNER OR CONTRACTOR e'1A., c_ DATE • , 1 7 ,j PERMIT LOCATION %/n v I--" /.: tri 0 A,- N? SUBDIVISION NAME I.(/ cra /, r> LOT NO. HOUSE NO. BE BUSINESS NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ 'NO '� AUTO. DISHWASHER YES Ea NO ❑ AUTO. WASH. MACHINE YES NO ❑ SITE SUITABLE YES ['" NO ❑ SIZE OF TANK gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: _30 WATER SUPPLY: Individual Public ❑ , IMPROVEMENTS PERMIT BY 724 S. R. NO. SECTION OR BLOCK NO. 7_ House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House 800 Gal. 600 Sq. Ft. Three Bedroom House900��Gal') 900 Sq. Ft. Four Bedroom House 1000 Ga".� 1200 Sq. Ft. INSTALLED BY CERTIFICATE OF COMPLETION By ZZ Date /D " �' ^77 (8/16/73) *Construction must comply with all oVher applicable State and local regulations LOT AREA �,,� ►+VLL 0 r i X04" ,-ad 1 X04" ,-ad