970 Riverbend Drive Lot 82DAVIE 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 :�a 5 -.hr N9 214 v 1
Location
Subdivision Name ^ Rw- Lot No. a Sec. or Block No.
Lot Size
No. Bedrooms
Garbage Disposal
Auto Dish Washer
Auto Wash Machine
Type Water Supply
House
No. Baths
YES ❑ NO ❑
YES ❑ NO ❑
YES ❑ NO -❑
Mobile Home _ Business
No. in Family
Specifications for System:
Speculation
"This permit Void if sewage system described below is not installed within 36 months from date of issue.
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Improvements permit by m"
"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 CompletionL--Date r % f
"The signing of this certificate shall indicate that the system desceedabove 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.
l�
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
°Nu8y: |uuuod in Compliance with G.S. of North Carolina Chapter 130—Article 13o.
-
Permit Number
Name OaUa
-
Location
SubdivisionName ^''' ^�`' ' ' '``' Lot No. ''` Sec. or Block No.
Lot Size House -_-___-_ Mobile Home _-__-_-_Business --- Speculation No. Bedrooms -_-__----'No. Baths — No. in Family
-_-_-__-
Garbage Disposal YEGEj NO [] Specifications for System:
Auto Dish Washer YES [] NO []
Auto Wash Machine YES D NO -F]
Type Water Supply
*This permit Void if sewage system described bo|nvv is not inn1o||nd within 36 months from date of issue.
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Improvements permit bv
*Contact a ' representative of the Davie County Health Department for final inspection of this oyub*m between 8:30-
9:30 A.M.
:3O'Q:80&M. or 1:00'1:30 P.M. on day of completion. Telephone Number: TO4'G34'5885.
Final Installation Diagram:
System Installed by
,` '�
CerbfuabaofComp|adon ' Date -
'The signing of this madifioa&* uhGU indicate that the system described ubove has been installed in compliance with
the standards set forth in the above vegu|o\ion, but shall in NO way be taken as o 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.
Name;.
Location
Subdivision NameJI
Permit Number
Date
Ir,
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.
T -1 -
Improvements
_
i r
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:
System Installed by
I �J
CJ -
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.