P5338 Granada DriveDAVIE COUNTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance with G.S arolina Chapter.130 Article 13c
'Sewage Treatment and Dis osal Rules (10 C 1OA .1934-.1968) Permit Number
Name N2 5338
Location ��
Subdivision NameLot No. Sec. or Block No.
Lot Size House Mobile Home Business Speculation
No. Bedrooms No. Baths _ _ No. in Family Z
Garbage Disposal YES ❑ NO Q— Specifications for System:
Auto Dish Washer YES 4 NO i]
Auto Wash Machine YES [1j NO
Type Water Supply
*This permit Void if sewage system described below is not in al ithin13 months from date of issue.
C_
F
t
Im rovemens perm.71it r-_.. P P t by
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
A. M.
: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.
I B=SS'
DAVIE COUN.rv/ ATH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE'Issued in Compliance with G S.o"Dxth Carolina Chapter 130 Article,-13c
_ Sewage Treatment and Disposal Rules (10 1 -CAC.1 A .1934-.1968) Permit Number
Name Nit-I%/ A i�/ka a_�. to
Location
;Ze2
V +� `✓ 1156 ZZ /t /�
Subdivision Name Dyti'O�%fie U z Lot No. Sec. or Block No.
Lot Size House Mobile Home !/ Business "Speculation
No. Bedrooms No. Baths No. in Family �2 —
Garbage Disposal YES [] NO "
Specifications for System:
Auto Dish Washer YES NO ❑
r/
Auto Wash Machine YES NO ❑�ava/�����
Type Water Supply C4,
'This permit Void if sewage system described below is not in fal ed ithin�3 months from date of issue.
m r v G CY
I p o ements 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.
INFORMATION OR SEPTIC SYSTEM REPAIR PERMIT
N t PHONE NUMBER 99ov-0?3�.Z
ADDRESS o�� J /9f� SUBDIVISION NAME
SUBDIVISION LOT #
DIRECTIONS TO SITE %Yl/��,/ / f ,
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(SD QUAD Ui1�/ S �t/Z S as
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DATE SEPTIC SYSTEM INSTALLED 1:5
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NAME SEPTIC SYSTEM ORIGINALLY INSTALLED UNDER
—
SPECIFY PROBLEMS THAT ARE OCCURRING
DATE REQUESTED
INFORMATION TAKEN BY