146 Westridge Road Lot 393 a LM
-- ;; DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permi(Number
Name ��GL'��. ��.G1l}` Date
LocationU0,
Subdivision
Subdivision Name 4 1, Lot No.. ? � Sec. or Block No.
" a
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 ❑ ��. �r
Auto Wash Machine YES
J ❑ NO ❑
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue. '
Improvements
permit �y f
uuniam a represeniavve or ine uavie County Health uepartment for final inspection of, this system betweeh 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone.Number: 704-634-5985.
Final In'stallation Diagram: System Installed by ���� 4 Q,
. �(r� _
O _
• q01 a,
' l
Certificate of Completion Date. 5 a 31,71
'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
' Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name Date
Location —
Subdivision Name Lot No. Sec. or Block No.
UR 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 ❑
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:
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
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.
Y
r
1
/
SFJ /
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
Septic Tank) Improvements Permit and Certificate of Completion {
(Ground A sorption Sewage :Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR ( ����:,.• ; �� ry. Y'� DATE 9��'4- j(;,= PERMIT
f r. � ,y�
LOCATION"�?,. 1.. �t :� r r. 4r .mc % N9*.988
R
'e 0 S.R. NO.
SUBDIVISION' NAME ,%; �F c :p :cD' LOT NO. SECTION OR BLOCK NO.
HOUSE :. MOBILE HOME BUSINESS ❑
NO. , BE ROOMS NO. BATHROOMS _�_
=.'
House Trailer 800 Gala 400.Sq. Ft.
Two Bedroom House' 800. '
GARBAGE DISPOSAL UNIT -YES l NO ❑•...
„,t�
Three Bedroom House 00 Gal: 90,0 Sq. Ft. -I
,
AUTO. -DISHWASHER.„'.. YES NO [3' ..
Four Bedroom House' _ 100` aa. 1200
AUTO. WASH. MACHINE' YES , NO
SITE SUITABLE YES NO 'E3,
`
-SIZE OF TANK' /' ,• a?s gal
,' ;.
NITRIFICATION.FIELDa sq.' 'f t..i
r e3
DEPTH :OT STONE, IN 1INESs : � - f r .•
WATER SUPPLY: Individual Public
IMPROVEMENTS PERMIT BY 1 ^
'INSTALLED BY