334 Pudding Ridge Rd (2) 3 c1
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 –,-� .? , r a,', Date
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home — Business _— Speculation
No. Bedrooms , 7 No. Baths No. in Family _
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑ , •. ��
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.
r;
---------------
f,
1
'1
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
D �
VA�se
i
. t
I '
i
Certificate of Completion ZLLD, �
"The signing of this certificate shall indicate that the system described above has been installed in
the standards set forth in the above regulation, but shall in NO way
satisfactorily for any given period of time.
{