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171 Woodburn Place Lot 24f f DAVIE COUNTY HEALTH DEPARTMENT .'� IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLE NQ '`."477 `NOTE':" Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c 1` CGt/tJ Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) elr Name DG �i.✓�C G � «e G�:�/ % t . _,,;..,. /"'Date j7Z5�8(0 _ 4444 Location Subdivision Name Lot No. Lot Size House Mobile Home No. Bedrooms No. Baths — 2 No. in Family. Garbage Disposal YES p NO Auto Dish Washer YES fb NO ❑ Auto Wash Machine YES 0 NO ❑ Type Water Supply Sec. or Block No, Business Speculation Specifications for System: *This permit Void if sewage system described below is not installed within 36 months from date of issue. Improvements permit by =✓ r ` / *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 !?'a rat System Installed by "1 Al* YSA11" 47AX Certificate of Completion -__-— Date *The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards setforth 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 GIS. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) PermitNumber Name �6 tAkP-4 Date 5 - 31 —83 i2 3299 Location Name 4/ Lot Size House Mobile Home — Business Speculation No. Bedrooms_ No. Baths Z No. in Family Garbage Disposal YES ❑ NO p Specifications for System: FEPNt(Z, Auto Dish Washer YES ❑ NO fl/ 41/0 Auto Wash Machine YES ❑ NO E] 17L X 3 X Z S ra+JL Type Water Supply _— *This permit Void if sewage system described below is not installed within 36 months from date of issue. CALL HFA L-rfA DEPT. IF ANY PrZafs FrA5 AJ?Ls� ofZ C"A-NGES >\1`c Z `m Sc rAA-c�"F— *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 1 ,9� Certificate of Completion — Date 'The signing of this certificate shall indicate that the system descri ed 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 . ..: -_ 4 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 .193„1968) "Permit- Number Name �f� tANM (z /i` i�?JLLwS Date -:57 3 1? 3299 Location a^ , Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue CA I L IIfAtiN -DZ Pl'. IF ANY I t iiZof3LFM5 c>fzGf IhNGES &,1Ee 7b -M LF AAAti�E- *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:. Lit / System Installed by��� 17£Di�on� T r � 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. Subdivision Name Cl2 lr ` �' Lot No. '2 Tlll Sec. or Block No. Lot Size House - `/ Mobile Home Business Speculation No. Bedrooms No. Baths Z L No. in Family Garbage Disposal YES ❑ NO I ❑'�- for System: )2cNFti� Auto Dish Washer YES NO ❑ gSpecifications '70"x-3 X Z41 MS7aoJt Auto Wash Machine YES 6 NO C] Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue CA I L IIfAtiN -DZ Pl'. IF ANY I t iiZof3LFM5 c>fzGf IhNGES &,1Ee 7b -M LF AAAti�E- *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:. Lit / System Installed by��� 17£Di�on� T r � 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. 16 vcu //rGu000�jua,✓ DAVIE COUNTY HEALTH DEPARTMENT 4j)DPa5 (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absdrption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR l i )n l`nce c s :.�.i .._ Z nt , feDA/TE 17- /:' PERMIT LOCATION Qi? ( t C. r VAS VA,,, • -i n /7/ Klod // bargl pt M 873 C D VA SUBDIVISION NAME Ccrekw., ,A C,,J,4e,- LOT NO. Aa SECTION OR BLOCK NO. NUUJh Lid MUBILN KUNZ U J5USiNhSS N0. BEDROOMS .°} NO. BATHROOMS 1. GARBAGE DISPOSAL UNIT YES Ca NO ❑ AUTO. DISHWASHER YES NO ❑ AUTO. WASH. MACHINE YES ©' NO ❑ SITE SUITABLE Sb YES ( NO ❑ 'SIZE- OF TANK i;(Q-9. gal.' NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: ,:L4" WATER SUPPLY: Individual 2 Public ❑ IMPROVEMENTS PERMIT BY P rnrr,ro House Trailer 800 Gal Two Bedroom House 800 Gal Three Bedroom House 900 Gal Four Bedroom House 1000 Gal INSTALLED BY L.?• rnQnVC.v CERTIFICATE OF COMPLETION By 4� raxL�Az Date (8/16/73) *Construction must omply with all other applicable State and local regulations LOT AREAk '%r.�� Iivc,' 400 Sq. Ft. 600 Sq. Ft. 900 Sq. Ft. 1200 Sq. Ft. ��hl Wit/