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140 Mooring Ln DAVIE COUNTY HEALTH DEPARTMENT V IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c. n;/2 /70 Permit Number Name Glonn PL�Ltl fl 11or Date Rc.ri u: J�1Cf;� 21 4 Location Off 155 r.17r?i m it!o C!i?.yr ,tjnyr, I;gfor-o 1.fiLr£^a'l:':tL ) I�iULDfiC7T:1V Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home — Business - Speculation No. Bedrooms No. Baths 2 No. in Family Garbage Disposal YES ❑ NO Q Specifications for System: 90:7 G-D lon Tank Auto Dish Washer YES ❑ NO ❑ I)i�;. f a;;� Thrcn(3) 90 foot lln::o rout Auto Wash Machine YES ❑ NO ❑ 01!"c, E'0;; Total 270x.;;;1 f3" lovr.7. Ecunty Type Water Supply _— *This permit Void if sewage system described below is not installed within 36 months from date of issue. L'uni;zc:: this of-fico bofora jr i�C�CI Q©/?C 7v ]..' (�V f 1 �.n8itillat.inn if �i1C'i� or-o- ony o tor"ny 5/15/79,, as c;nc.s�lon concornin�i pornit. — WV\Ai.-..( ,�. rl C//l r"IX ? y)? l Improvements permit by +v\0' *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 ,0 Certificate of Completion , ��1^� 1 Date *The signing of this certificate shall indicate that the system described above has been installed in compliarfce 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. 1 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION `Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c. Glenn Paul liillc' Cctcbor 263 19"18 Permit Number Name Date i ! Off 150 Approx t v!o dr.;.v..ta,^yc baf oro Int:erstatcJ 1LIto-'10tive Location _ RauU 1. Box 630; Advvnco9 P :: 27006, Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home Business Speculation No. Bedrooms 2 No. Baths 2 No, in Family Garbage Disposal YES ❑ NO t] Specifications for System: Auto Dish Washer YES ❑ NO ❑ Tuo n,%nty foot Auto Wash Machine YES ❑ NO ❑ 000 Gallon Tan! linco out of County 1OO x 3 :: 113 dist, box on ac z- Type Water Supply _ crai;a 0IPb 'This permit Void if sewage system described below is not installed within 36 months from date of issue. 111V:itl7-0-,QV ,19NY OTNER Vf RmTiaN '1S lfN ccEP7W jqL t M, t{oNtE K IS e w � .2 Improvements permit by!DO-It *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. •4 ' �; DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c. G16nn Paul Nillor Octoijor 26, 1970 Permit Number Name — Date0d�. Off 150 Appro>t tuo driveways boforo, Int-orstat c Autonotiva Location _ Rou-tt 19 Dox 630; Advcnce, TIC 27006 Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home —y' Business Speculation No. Bedrooms 2 No. Baths 2 No. in Family Garbage Disposal- ` YES ❑ NO fl Specifications for System: Tuo n4,nty foot Auto Dish Washer YES ❑ NO ❑ 800 Gallon Tanis lingo-out of Auto Wash Machine YES ❑ NO ❑ 1C0' 3' r 101' dist. boat on cc�- CGUnty Type Water Supply __ creta Bleb *This permit Void if sewage system described below is not installed within 36 months from date of issue. .DIS Tk lL u T i vN &nX 111,fryvvvJ 7-o,F V 131Vy OTf ER VARI477/a1V Is I-IN,Icc E P7-,901- C rt. (�oMc r 1291- /77;J/-"- 2 77-//- - L---4L K +S Improvements permit by , �z *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. - r 1 __i �a z^ DAVIE COUNTY HEALTH DEPARTMENT PERCOLATION TEST RESULTS DATE 10/26/78 NA.*E Glenn Paul Miller, Route 11 Box63B, Advance, NC 27006 LOCATIOi1 Off 158 near Interstate Automotive FINDINGS: HOLE NO. COMMENTS 2 acre tract 1 ��c�; /'✓a/L ✓� 2 l0'cZ� i✓�s/� /CZQti!� /LQ� 3 4 � A;v)Dom/ 5 6 Dan Reilly V •• �-eL By: LOT bIAGRAM A. DAVIE COUNTY HEALTH DEPARTMENT P . 0. BOX 57 1 ` HOCKSVILLE, N. C. 27028 (7 04) 634-5985 I Statement for Septic Tank Improvement Permits and/or Site Evaluations NAME �J� ��2l,G� ,�� DATE ISSUED l0 Q& 79 ADDRESS D��t 1p3� PERI�lIT N0. N. c. a700& Explanation of charge �,tZAL4 �v ATIOUNT DUE D, SANITARIAN__ ` PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT. �y ` Pubic (1-lunn#U r rul#4i ryar#mrn# t " nub pjamr �rul#IF A$rnc P.O. BOX 57 raclzsbillr, nrtlr (�ttralintt 27D2R OFFICE'OF THE DIRECTOR TELEPHONE' 704/ 634.6985. October 26, 1978 a, Glenn Paul Hiller r Route' 11, Bax 638 . Advance, NC. 27006 ; Dear Mr, Miller, Enclosed is the statement for the site evaluation and septic tank layout. When youreceivethe layout after payment be sure that the contractor who will install the . system takes into consideration all hardware specified., If. a distribution box is not installed the system will not .be approved .by the Davie County Health Dept. This needs' to be taken into.:consideration by. the contractor in giving an estimate. If,-sue- can be of any further assistance please call us. Sincerely, Dan Reilly, Davie County Health Dept. -