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1156 Hwy 64WDAVIE 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 Date z.— 2, -4 N2 3459 Location b�wdarAz—�-n.L #1SZ (h�ll�►� V,�► t�►wu�-w.f ' w Subdivision Name Lot No. - Sec. or Block No. Lot Size - House Mobile Home Business Speculation No. Bedrooms Z No. Baths No. in Family Z ` Garbage Disposal YES p NO ❑Specifications for, System:'�k`�el TAn�G" Auto Dish Washer YES ❑ NO ❑. Rdd� Iun1X3'Xef"11"-14 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. FALL �Z� + z E.a X02 Llt` � r � S�� rh Improvements permit by V *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 - 9 w°`' e 2 22✓�l 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. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NATE: 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 1� Date 7— 2. z- 34519, Location Wkula7'— ,Q�^�,. _—�h:L rn:��u� ��.� - i.,l� { �,�,��U / � 1-" Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home_ Business Speculation No. Bedrooms Z' No. Baths No. in Family 7.- _ Garbage Disposal YES ❑ NO ❑ Specifications for System: -� k i� v. Tf,� Auto Dish Washer YES ❑ NO ❑ Auto Wash Machine YES F] NO -E]Aad Ivn`X3'� Type Water Supply _ "This permit Void if sewage system described below is not installed within 36 months from date of issue. 3 L1�7�1 LS JC - Improvements permit by ► ha c.�,+ *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 S —'l / PA ` lNy IL Certificate of Completion S� Date 2 *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. DAVIE COUNTY HEALTH DEPARTMENT - IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'NATE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c 4 Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number Name 0Z,� ,, J— I— D 7_ z Z— � � 5 a 3.459 Location �t}vr_�T--;T,_TY,;,�Z rn,�►�,► P� �,1,-!, n•.:.�4w f �1� ��L Subdivision Name Lot No. Sec. or Block No. Lot- Size House Mobile Home _ Business Speculation No. Bedrooms Z- No. Baths No. in Family Z _ Garbage Disposal YES ❑ NO ❑ Specifications for System: -r• Auto Dish Washer YES ❑ NO ❑ Auto Wash Machine YES E] NO -E] -���� Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue. �, 1, 13• a 3 r; 4-W Improvements permit by f ►1 a, c, u *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 `' i 112 rptC c _I r aj V, rr r Certificate of Completion.- - } Date 2 _ "The signing of this certificate shall indicate that the system descriJd 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.