P3015 Baileys Chapel Rd-DAVIE COU
IMPROVEMENTS PERMI
*Note: Issued ih Compliance with G.S.'of North
Name
Location
rY HEALTH DEPARTMENT r
AND CERTIFICATE OF COMPLETION.
rolina Chapter 130—Article 13c.
Permit Number
Date
g
u`.
Subdivision Name Lot No. Sec. or Block No.
Lot Size i S House a Mobile Home.—, Business Speculation
No. Bedrooms ��_ No. Baths No . in Family ;!
Garbage Disposal YES NO :2-' Specifications for System:
Auto Dish Washer YES NO p
Auto Wash Machin_ e YES NO ❑
Type Water Supply �' �,.�, ew
*This permit Void if sewage system describe below is not installed within 36 months from date of issue.
,ir c
r
Improvements permit by
1
*Contact a representative of the Davie County H
9:30 A.M. or 1:00-1:30 P.M. on day of complE
Final Installation Diagram:
0
.a
filth Department for final inspection of this system between 8:30-
m. Telephone Number: 704-634-5985.
System Installed by WLcL-A R-1>^5
}
t
Certificalte of Completion Date" . r g Z
*The signing of this certificate shall indicate that�the system describ d 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.
a
ti l DAVIE COUP?TY HEALTH DEPARTiIEUT
ENVIROPII•iENTAL HEALTH SECTION
SOIL/SITE. EVALTJATIOY
IIAI4E
ADDS
DATE
LOCATIO'111 (�
LOT SIZE
TOPOGRAPHY .
SOIL MUM:
SOIL STRUCTURE:
DEPTH:
RESTRICTIVE HORIZOUS:
PERCOLATION PATE: Presoak hark & time Drop Time Rate/iii%. Inch
1.
Z.
3.
***CLASSIFICATIOI?:Suitable Provisional) nsuitable