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210 Westridge Road Lot 461 - •DAVIE -COUNTY HEALTH DEPARTMENT `-. IMPROVEMENTS PERMIT AND . CERTIFICATE OFMP CO LETION *NOTE: Issued in Corripliance'With Article II of G.S. Chapter 130a anitary Sewage Systems.. ' Permit Number Name Date .�,/ ND 6326. Location F, Subdivision Name f�4S /� dwZ- Lot No. Sec or Block No - Lot Size House_ Mobile Home Business Speculation No. Bedrooms No. BathsNo. in Family, Garbage Disposal YES ❑. NO p Specifications for System: Auto Dish Washer YES ❑ NO Auto Wash Ma^hine YES ❑ NO ❑ / Type Water Supply *This permit Void if sewage system described below is not'installed within 5 years from date of issue. This permit is subject to revocation if site plans o� the intended use change. S7 .. .��x�©,r.J �O.Pw �%ter • - ; . ,:;" ':.,: 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:Syste4V6talled by L—"W41 �lx�r�h j-�� . II Certificate of Completion Date , . *The,signing.of this certificate .shall indicate that the system 1. 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.. i41<0 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION i *NOTE:'Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systems Permit Number Name, ; �'� % " Date,f i / r Np Location Subdivision Name 7 ✓--s �%`'� cT �- Lot No. Sec. or Block No. Lot Size House �.1'` 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 Ma shine YES ❑ NO ❑ , i �,��' ' r° 0 rf Type Water Supply __— *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. t 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: ed by Certificate of Completion !` Datei *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 ' (SQis Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System , G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR "1•i `3D r16A,-%-T � �Q• DATE �.:d ' '' PERMIT LOCATION N? 1304 S. R. NO. SUBDIVISION NAME '3'' `:.dR LOT NO. 44 SECTION OR BLOCK NO. 'HOUSE ja MOBILE HQME BUSINESS ❑ House Trailer 800 Gal.. 400 Sq. Ft. NO:. BEDROOMS a NO. BATHROOMS Two Bedroom House. 800 Gal. 600 Sq. Ft. GARBAGE -DISPOSAL -UNIT YES ❑ NO g Three Bedroom House 900 Gal. 900 Sq. Ft. ,AUTO. DISHWASHER YES IM NO '❑ Four Bedroom House_' 1000 Gal. 1200 Sq. Ft. AUTO. WASH. MACHINE YES NO ❑ SITE SUITABLE .-,YES, NO ❑ „ . •' ��''� -�j-7 7,. SIZE OF TANK ga NITRIFICATION FIELD, sq-. 'ft. DEPTH OF STONE IN LINES: r; U WATER SUPPLY:- Individual Public IMPROVEMENTS PERMIT BY Y1 td INSTALLED BY rnue CERTIFICATE OF COMPLETION BY. Date 6 /3- % (8/16/73) *Construction must com ly with all other applicable State and local regulations 'LOT AREA C. So Ire 0. d 11 A► j 00'a • ',L LASTICT,UBING.1 NC. Manufacturers of Corrugated Plastic Drainage Tnbing PHONE AREA CODE 919-525-5121 ROSEBORO, NQRTH CAROLI zN r L %s QUALITY and SERVICE bak