P4393 Granada DriveDAVIE 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 �;?�4 r�f���� Date,��.
Location%r,
j- Wit. � C % �
SubdivisionfName �/ i%�rl`'��-
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Lot No.
Sec.QqI:
Lot Size�� House
Mobile Home —F�''r
Business —_ Speculation
No. Bedrooms _____�__ No. Baths
%f-
No. in Family Y2 —
Garbage Disposal YES ❑ NO
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Specifications for System: �
Auto Dish Washer YES NO
Auto Wash Machine YES T NO
❑
❑
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V l.� r _ `'t
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Type Water Supply
*This permit Void if sewage system
below--is7 not installed within 36 months from date of issue.
o LJ J�
ED
Improvements permit by
*Contact a representative of the Davie Pouniy 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 co pletion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed
Ir
/
Certificate of Completion Date
*The signing of this certificate shall indicate that the system described above has been installed incompliance 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.