707 Country Ln (2)DAVIE COUNTY HEALTH DEPARTMENT Cho
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 .1934-.1968) Permit Number
Name f �,%> /�_. Date " - 3774
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House -Mobile Home Business Speculation
No. Bedrooms No. Bath! No. in Family '�
Baths
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES El NO p
Auto Wash Machine YES ❑ NO ❑
Type Water Supply
r'
*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 �' 1 1 AT- 4- 'Foge-
Certificate of Completion _ Ir A—.A Date X3-1
*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 betaken 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
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name%4
r l.sy- 1 Date;
en
Location _�..
Subdivision Name Lot'No. Sec. or Block No.
Lot Size House "Mobile Home _ Business _— Speculation
No. Bedrooms No. Baths T ! _ No. in Family 7�_
Garbage Disposal YES ❑ NO ❑
Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES E] NO ❑�
Type Water Supply
*This permit Void if sewage system described below, is not instated within 36 months from date_ of issue.
y
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 - c
I Certificate of Completion VIA Date J- g 46,
"The signing of this ertificate shall indicate that the system described above has been installed in compliance with
the standards set for in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any g ven period of time.
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