P2877 CarowoodsDAVIE COUNTY HEALTH DEPARTMENT
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IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
`Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
l Permit Number
Name / �' .�— Date ! N 9 2877
Location
Subdivision Name Lot No 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 ❑ _ �/j�
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.
45
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
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P .
Certificate of Completion Date All
"The signi g 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.
t
VIE COUNTY HEALTH DEPARTMENT
(Septic a ) Improvements Permit and Certificate of Completion
' ,(Ground Absorptio Sewage Disposal System - G.S. Chapter 130 -Article
13C)
OWNER OR CONTRACTOR • ..�:., ,,--, . , DATE _. .,, %/„
PERMIT
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NO.
SUBDIVISION NAME ` LOT NO SECTION OR
.
BLOCK NO.
HOUSE ED— MOBILE HOME BUSINESS ❑
NO. BEDROOMS N0. BATHROOMS
House Trailer 800
Gal. 400
Sq. Ft.
Two Bedroom House 800
Gal. 600
Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
Three Bedroom House 900
Gal. 900
Sq. Ft.
AUTO. DISHWASHER YES ❑ NO ❑
Four Bedroom House 1000
Gal. 1200
Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK 0 gal.
NITRIFICATION FIELD 62Ae'3 sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY IZZ1,1.4 ' 1NNi!; ;•..,,c.'.' :
INSTALLED BY
CERTIFICATE OF COMPLETION C. f";,
By -• , ti r-NN't. Date `71`
(8/16/73) *Construction must comply with all other applicable State and local regulations
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