154 Hobson Drive Lots 25-28 Section 1DAVIE COUNTY HEALTH DEPARTMENT y, 296
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a
Sanitary Sewage Systems / Permit Number
Name ("j /lid!/ �/f7r/Ff rTr�7� ' i'.) -�/i f1 �J / Date -7 s .(%; r 5 f'n 0
�,.
Location f• /./J� /� �lS� (ii/i' •y",f; i �i��. / ✓% i %� r✓i,,�, /y'r'; �l
Subdivision Name Lot No. Sec. or Block No.
Lot Size House fry Mobile Home _ Business _— Speculation
No. Bedrooms Z — No. Baths —,75L No. in Family
Garbage Disposal YES. ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES ❑ NO ❑G��r�'
Type Water Supply
*This permit Void if sewage system described below is not inst lle within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended u e cl1ange.
r lImprovements 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 co one Number: 704-634-5985. L w
i
Final Installation Diagram:L System In talled by 44' "t
fo
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Certificate of Completion Date 7 Aze4l
*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.