137 Redwood Dr Lot 3, 2BAIF' DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMB S PERMIT AND CERTIFICATE OF COMPLETION
'NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage
T . reatme t and Disp sal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name y��/(�/ — Date
Location
r- �Cl�GlidDn' ID��I'�/
Subdivision Name ", l Lot No. Sec. or Block No.
Lot Size ! House - Mobile Home _ Business Speculation
No. Bedrooms_ No. Baths — No. in Family
Garbage Disposal YES ❑ NO Cdr . Specifications for ,System:
Auto Dish Washer YES NO ❑
Auto Wash Machine YES NO ❑ {"
Type Water Supply
`This permit Void it _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 �UCLI
10
Certificate of Completion \�~��� "� Date
"The signing of this certificate shall indicate that the system described Bove 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.
DAVIECOUNTY HEALTH DEPARTMENT
IMPROVEMENTS A -WIT AND CERTIFICATE OF COMPLETION
'NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatme t and Disp sal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name 17"eADate
Al/ ! ' '.� i
Location 4�. _
iKCI�GUOfJV
Subdivision Name — 'nt'71 Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business _ Speculation
No. Bedrooms_ No. Baths -- No. in Family
Garbage Disposal YES ❑ NO Sp cificatifor to
9
Auto Dish Washer YES NO ❑
Auto Wash Machine YES NO ❑ ,{ }/ j�
Type Water Supply _—w �^ "'1,y
`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 (L'- , S A c.
Certificate of Completion \'^' t i '� `` `> Date
"The signing of this certificate shall indicate that the system described �bove 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.