426 Comanche Dr ..- -x.:,.r+*...r.. .-.:y:ly+,.,..F. . 14 a:,...s ^tet,:,.. .*+'-s;:,w'.: a,,,y 1.-i.•a..'w:>::^'y ..rw t.-_. -r ti✓t..-v.-+-w.a.:w_:r<.'kv�..w s'.uw.�7•'4.c:..,...:�.:w-...._r_�.-, ..,- ... -.. ...- �.
f , , DAVIE 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 ,> -�f;�.P� �., .l - rate — � �� % 5133
Location-
Subdivision Name Lot No. V Sec. or Block No.
Lot Size House Mobile Home — Business Speculation
No. Bedrooms No. Baths No. in Family _
Garbage Disposal YES ❑ NO ❑ )('4�j Specifications for System:
Auto Dish Washer YES r-1NOE] i t
Auto Wash Machine YES ❑ NO ❑ i {� ���. V� jJ
Type Water Supply .�
'This permit Void if sewage system described�b�lo%� is not installed within 36 months from date of issue.
;V
+
/ -,/
Improvements permit by ��'�' �f
`Contact a representative of the Davie County Hedlth Department for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of complefion. Telephone Number: 704-634-5985.
Final Installation Diagram: / ZII System Installed b
Q
f=
e
Certificate of Completion � Date
.G
*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.
-"•�:A.--vr:�>s'�-C'.-..t�. +e,.mat,.. a�.�f:)...ar••' rr ',.e.
DAVIE COUNTY HEALTH DEPARTMENT
- a ° IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
"NO-TE: Issued ih Compliance with G.S. of North Carolina Chapter 130-Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.19/68) Permit Number
Name (�ry ,' ,� ,- �'l r? !, ✓ � c S%9�fi' Date
" 133
Location, 1.1 ✓l: .X/:,L/ -
- 7
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business J" Speculation
No. Bedrooms k — No. Baths No. in Family
Garbage Disposal YES ❑ NO ❑ ,,av Specifications for System:
Auto Dish Washer YES E] NO ❑ _
Auto Wash Machine YES ❑ NO -E] } K �G' IJA .5,vo /
Type Water Supply
`This permit Void if sewage system desciri,bed p6IA is not installed within 36 months from date of issue.
/ 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--
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.
DAVIE COUNTY HEALTH DEPARTMENT
,' •. (Septic Tank) Improvements Permit and Certificate of Completion
r (Ground Absorption Sewage Disposal System - G.S. Chapter 130-A t:ir 13.C)
OWNER OR CONTRACTOR i 1 y . x /�r' .�.s ��, ,f% DATE }' r! ji ' PERMIT
LOCATION i�i f�i r'A�'z /(r", .� . " .». / f j N9 1695
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME BUSINESS ❑
NO. BEDROOMS .� NO. BATHROOMS :. . House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO Q ""'" Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES [g---&O ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES 0':)9O ❑ d 7
SITE SUITABLE YES 0'''" NO ❑
SIZEOF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑ d^
INSTALLED BY
IMPROVEMENTS PERMIT BY
r.
CERTIFICATE OF COMPLETION
By Date
(8/16/73) *Construction must comply with all other applicable State and lotal'regulations
LOT AREA �Aov ,, / A
rr
y4v
r
1
y .
DAVIE COUNTY HEALTH DEPARTMENT <
. P . 0. BOX 57 �'7{
MOCKSVILLE, N. C . 27028
(704) 634-5985 ��a
Statement for Septic Tank Improvement Permits "'(02
and/or Site Evaluations
NAME DATE ISSUED
ADDRESS �� P E R M I T NO .
Explanation of charge
1000,
o�
AMOUNT DUELS SANITARIAN
.?
PLEASE REMIT THE ABOVE AMOUNT ON REC,�IPT OF THIS STATEMENT.
4.
- DAVIE COUNTY HEALTH DEPT.
PERK TEST RECORDS
DATE
NAME �P12
LOCATION` �it . i a v. ��, 1Ls
v
COMMENTS
-FINDINGS: HOLE NO.1
HOLE NO.2
HOLE N0. 3 � �r✓
BY
LOT DIAGRAM
Q . n .
Davie County Nealtl De artment
l Aen
and dome .mea f!i y cy
210 HOSPITAL STREET/P.O.BOX 665
MOCKSVILLE,N.C. 27028
PHONE:(704)634.5985
October 25, 1988
Coldwell Bankers
Attn: Gray Johnson
960C S. Main St.
Kernersville, NC 27284
Re: Sewage System Check
Charles Deal
Indian Hills/Lot 8
Dear Realtor:
As per your request, a representative from this office visited the
aforementioned site on October 24, 1988. The purpose of this visit was to
determine the condition of the sewage disposal system. At the time of the
visit, the house was vacant. There was no evidence of any septic tank
problems and everything appeared to be functioning properly.
Please advise should this office. be of further assistance.
Sincerely,
Charles E. Little, R.S.
Environmental Health
CL/wd
Enclosure