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234 Westridge Road Lot 49DAVIE, 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. NameC_HAJ L-eS. • 2AN�l Date J- S` � M® 3277 Location Subdivision Name W`cS1; ft -r C6!V_ Lot No. q Sec. or Block No. Lot Size House "� Mobile Home _ Business Speculation No. Bedrooms 3 No'. - Baths No: in. Family y Garbage Disposal YES' 0- NO 0' Specifications for System: /ZE?/1 /Z_.. Auto Dish Washer YES NOr f Auto Wash Machine YES LJ NO C], Z"S X x8 .Type Water Supply LL111 *This permit Void if sewage'system described below is not installed within. onths from date of issue. Impro4eme is per it 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: 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` , i'{ Date _1 Location Subdivision Name ''�'� = { c:: Lot No. `� Sec. or Block No. Lot Size House Mobile Home _ Business __ Speculation No. Bedrooms -- No. Baths _ - — No. in Family Garbage Disposal YES E] NO Specifications for System: : 'f' – Auto Dish Washer YES NO 0 Auto Wash Machine YES NO .Q Type Water Supply .,.r *This permit Void if sewage system described -below is not installed within 36 -months from date of issue. 7 - -- i ___..-�- _. I Improveme is per it 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. d 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 a .. . Subdivision Name Lot No. ' Sec. or Block No. Lot Size r" ^ �� House Mobile Home _ Business Speculation No. Bedrooms No. Baths 1 No. in Family 7 Garbage Disposal YES 0 NO p Specifications for System: Auto Dish Washer YES,,E] NO fl Auto Wash Machine YES.,p NO. fl - Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue. � 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 04-634-5985. Final Installation Diagram: System Installed by h w Certificate of Completion Date b *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. 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 ❑ 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. F l i r 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 J' JJ.. Certificate of Completion t'` '' 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. • DAVI& COUNTY HEALTH DEPARTMENT ` (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorpt Sewa e:D sposal System - G.S.-Chapter 1 O -Article 13C) OWNER OR CONTRACTOR ` v+� P DATE. T. 7 PERMIT LOCATION u 4r'+oa i 1\ ° 1339, S.R. NO. SUBDIVISION NAME LOT NO. 14A SECTION OR BLOCK NO. HOUSE MOBILE HOME E3 BUSINESS, ❑ . House Trailer 800 Gal. 400 Sq. Ft. N0. BEDROOMS NO. .BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft. GARBAGE DISPOSAL UNIT YES NO [i Three Bedroom House 900 Gal. 900 Sq. Ft. AUTO.DISHWASHER YES NO ❑ Four Bedroom House 1000 Gal.1200 t AUTO. WASH: MACHINE YES NOrc� SITE SUITABLE YES NO ❑ u+rl . Lt r etas int 1� Col., 4A,,K• SIZE, OF TANK I,�2vD gal. . ' 3 ►'& 11a' -MC AS °� d. S+i� lDpn q�� °, •11�f6�-. _ NITRIFICATION FIELD sq.;ft. (`, q,A -DEPTH OF STONE IN LINES: WATER SUPPLY: Individual Public ❑ IMPROVEMENTS PERMIT BY .iy\44 • INSTALLED BY DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion ,+ (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) `OWNER OR CONTRACTOR _CBR `R,;AerS DATE 3%SL,/77 PERMIT LOCATION UnclErpr�gs 1�(oacQ. N? 1339 S.R. NO. SUBDIVISION NAME(,Dr, ti�� , LOT NO. SECTION OR BLOCK NO. HOUSE (m MOBILE HOME ❑ BUSINESS NO. BEDROOMS 3 NO. BATHROOMS GARBAGE DISPOSAL UNIT YES C' NO ❑ AUTO. DISHWASHER YES C2� NO ❑ AUTO. WASH. MACHINE YES ED NO ❑ SITE SUITABLE YES Ef NO ❑ SIZE OF TANK gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual P Public ❑ IMPROVEMENTS PERMIT BY House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House 800 Gal. 600 Sq. Ft. Three Bedroom House 900 Gal. 900 Sq. Ft. Four Bedroom House 1000 Gal. 1200 Sq. Ft. �C,.04.rn �0 `p,, I `p yvm s o- &s?cS-1 w.i I be. USJ 46%4 togal• 4,4/►K.- i F -�;�s , s nn -� e C�" °10 �,�1D0000- NthX, INSTALLED BY CERTIFICATE OF COMPLETION By Date (8/16/73) *Construction must comply with all other applicable State and local regulations LOT AREA