319 Granada Drive Lots 96-98 (2)DAVIE COUNTY HEALTH DEPARTMENT
14R' OVEMENTS 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) Perm
it Num
bYe�r
Name R� S . `X Date�2:-vl�� N2 638A,
.
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Location . l� . '> 10 �- b \i
"`- °--Y'-a.
Subdivision Name
Lot No.
Lot Size House - Mobile Home
U
Sec. or Block No.
Business Speculation 1fZ,
No. Bedrooms No,. Baths` No. in Family
Garbage Disposal YES ❑ NO El�, Specifications for System:
Auto Dish Washer YES ❑ NO 0
Auto Wash Machine YES" NO ❑
Type Water Supply _—
'This permit Void if sewage system described below isnot installed within.36 months from date of issue.
r.
Improvements permit bye--^-
'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 T cN•� l "'
!A
Certificate of Completion \ Date ]a-
"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
�k
IM ROVEMENTS. PEQNIIT;' AND CERTIFICATE OF COMPLETION
_Issued in Compliance with G.S: of-146rtli Carolina Chapter 130 Article 13c
'' Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
�` Y �—
Name Date N21y �.
Location
Subdivision Name ' Lot No. ` Sec. or Block No. f 'i
Lot Size House Mobile Home _}✓ Business Speculation��
No. Bedrooms �No. Baths' �^ No. in Family
Garbage Disposal . YES p NO CDS
Specifications for System:
Auto Dish Washer YES p NO 01/
Auto Wash Machine YES pf NO p C�i -y
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
f
f y
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
) b T csr,
Certificate of Completion S -- 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
`P
satisfactorily,,, for any given period of time.