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131 Glenwood Rd Lot 11 i L C Z O Z v WHITE DR PRELIMINARY COPY �Ro G i MEADOWOOD SUBDIVISION PEE-WEE'S WAY PL.BK. 7, PG. 136 AC. TaRA CT 3 z v �...► �� 2�'� O I Nva Dy _ ( W ° I ' un Pp NO SCALE I �, VICINITY MAP LOT 5 LOT 4 j ; LOT 3 i LOT 2 LOT 1 -� I I I I I I S 88'32'44' E + (TIE) 1 64'28 TOTAL= 115.31I • S 88'35'51' E S 88'40'30' E TOTAL= 220.00 1 S 88'32'11' E 350.33 �-- 9012 ru ry S 88.31'30' E S 88'28'17• E 194.81 220. I S 88.17'14' E 01 - 129.49 ' - -- - -' -' - - - - - - - ( 74'j/ ® 70. _ I <TIE) 3 / (. N�N9� f2 /� 12 DI Z& 1 1 1 mss. AREA= 0.9 5 AC. v+o 2 " I �• fti fl co M W � -� T W"ITA' J. � 'r AREA= 0.909 AC. `� N 71°0006 E w" R© � PG 11 N o O 2 E O1 7, D c co ;n Z�".."" .°'+r•�•' �� ' „n'' 4 `. 14 1 0 4, I I 222.1 Orn � ( •30,6, d 3q AREA= 0.892 AC. » 13 - 7 s I S SOU 3 E ARE = 0.956 AC. ��� -- - �'S• EMW--W- - Eg ( BARBARA W. BO WLES 163 91 _ aN , "•3� - K wWA r 3 N 87°32'14' 1- C , � 1 D.B. 179, PG. 65 o r4A S X3.296 �� 667 j , 6xc9 X14, 32 o = ° _ C� 1 ��o Z AREA= 0.809 AC. = I ID.13 , \ I 0 � AREA= 0.667 AC. L I \ 2a I Zap 15 ( �--AREA- 1 .006 AC. S / ,6. 52• ( CD '126605 I I � \ ` '4S 81,16. 1 ' �9 G• ( 3 i I �•,�• I 13rRECT T1 my LRF, fIFY TT AT HI JA-% DRA> fROfl-.4N J DE I�Y TUTT6$,GW � O�N D.B, ll p EAL r I �� G. 653 I CURVE DELTA RADIUS ARC CHORD TANGENT CHORD BRG ` TUTTEROW SURVEYING COMPANY ( C1 102'51'43" 40.00 71.81 62.55 50.16 S 57*03'53" E 107 NORTH SALISBURY ST. C2 4634'03" 30.00 24.38 23.72 12.91 N 48'13'15" E MOCKSVILLE, N.C. 27026 ( C3 50'12'58" 50.00 43.82 42.43 23.43 S 50'02'42" W ( C4 86'21'05" 50.00 75.36 68.42 4691 N 61.40'16" W (336) 751 -5616 C5 96'25'54" 50.00 84.15 74.57 55.95 N 29'43'13" E 1 C6 4908'09" 50.00 35.03 34.31 18.27 S 81'59'46" E I C7 46'34'03" 30.00 24.38 23.72 1291 N 85'12'43" W C8 35'48'30" 30.00 18.75 18.45 9.69 S 5336'01" W PRELIMINARY PLAT OFA ( C9 73'47'46" 51.41 66.21 61.73 38.59 N 72.35'39" E MEADO WOOD SUBDIVISION ( C10 60'08'36" 51.41 53.96 51.52 29.76 S 40'26'09" E SECTION TWO ( REVISIONS SCALEs 1" = 100' APPROVED "I WAVN OVA FAE JONE-MEL 1`��� cc ! C)W'�CRJ: APRIL-23-20G2 G L.TUTTEROW J FP cmm w e. MARWHIT-47 I 100 50 100 200 300 MAR IN L. & DREAMA BARBER BEING 7 LOTS TOTALING 6.1£4 AC. TAKEN FROM CATHY M. MANDAKUNIS NORMAN R. & KIMBERLY SMITH (D.B. 182. PG. 132) LYING IN THE MOCKSVILLE TOWNSHIP MEL B. & DENISE S. JONES DAVIE COUNTY, NORTH CAROLINA SCALE IN FEET »RAVM nua b 32401 -3 i i DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990003489 Tax PIN/EH#: 5726-57-8401.11 FH Billed To: Fleetwood Mobile Homes Subdivision Info: Meadowwood two Lot# 11 Reference Name: Location/Address: Glenwood Road-27028 Proposed Facility Residence Property Size: see map ATC Number: 3989 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s)(in compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATE R CONSTRUCTION IS VALID FOR A PERIOD OF)FIVE ff YEARS. Environmental Health Specialist's Signature: Date: CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit has been installed in compliance ion.1900"Sewage Treatment and Disposal Systems,"but shal in NO WAY be as a guarantee that th system will function satisfactpoly for any given period of time. 1 1 a � � Dido Snl�.� Fs Septic System Installed B : eP Ys Y Environmental Health Specialist's Signature: Date: DCHD 05/99(Revised) 0 S �-Gly DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 2 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990003489 Tax PIN/EH#: 5726-57-8401.11 FH Billed To: Fleetwood Mobile Homes Subdivision Info: Meadowwood two Lot# 11 Reference Name: Location/Address: Glenwood Road-27028 Proposed Facility Residence Property Size: see map ATC Number: 3989 **NOTE**This Improvement/Operation Permit DOES NOT authorize the construction of septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit(in compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type #People #Bedrooms #Baths Dishwasher: Garbage Disposal: ❑ Washing Machine:;2r Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply 1110, Design Wastewater Flow(GPD) Site: New El" Repair❑ System Specifications: Tank Size 1X0 GAL. Pump Tank GAL. Trench WidthRock Depth /2"'Linear Ft.' W Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISER(S)IF 6 "BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m.to 9:30 a.m. or 1:00 p.m.to 1:30 p.m.on the day of installation. Telephone#is(336)751-8760.**** ,Se �c S �® je e P Environmental Health 1�Specialist's Signature: Date: 6 S-- DCHD 05/99(Revised) ��. ' O PPLICATION FOR SITE EVALUATION/IAIPROVEhiFM PERMIT&ATC / q '07 Davie County Health Department l Environmental Healdi Section 11 , P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 $ ** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INF ION IS PROOVVIDED. Refer to the INFORMATION BULLETIN for instru,cttions. J1. Name to be Billed ,//�e'�oec / -//7Jbe"ne' LI Contact Person �Of�IJ Q'S r Mailing Address Aue— Rome Phone City/State/ZIP 4WOP .54.4, J6c1/y! IVC— Business Phone L- 2. Name on Permit/ATC it Different than Above �+ey,*-(j GcVtJ 7Ya-e- 6j2e-; 11 j Mailing Address City/State/Zip 3. Application For: ❑ Site Evaluation --fiK�Improvement Permit/ATC ❑ Both 4. System to Service: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other S. Type system requested:tw/conventional ❑ conventional modified ❑ innovative 6. If Residence: it People # Bedrooms _ it Bathrooms �— Dishwasher ❑Garbage Disposal Washing Machino ❑Basement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /Other: verify type # People # Sinks # Commodos # Showers # Urinals # Plater Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 8. Type of water supply: �ounty/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility ails system is intended to serve?❑Yes ❑No Iryes,Ivhat type? T✓o aL� ***IAiPORTANT***CLIENTS AIUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED • - BELO\V. Either a PLAT or SITE PLAN MUST BESUBAIITTED by the client with THIS.APPLICATION. Property Dimensions: `�/T1 x X37 X12 WRITE DIRECTIONS(G-oin Mocksvillc)to PROPERTY: Tax Office PIN: # (� Property Address: Road Name ,G 41 ood 2 City/Zip i s v/ — Ir in a Subdivision provide information,/as follows: Nan c: 6,2 d;1� Section: Block: Lot: 1�_ Date home corners flagged: � — This Is to certify that the information provided is correct to the best of my la:oivledge. I understand that any permits) issued hereafter are subject to suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is falsified or changed. I,also,understand that I au:responsible for all charges hicurred from this application. I,hereby,give consent to the Authorized Representative of the Davic County IIealth Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the site sui ability. DATE a A< 0 SIGNATURE TRIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). / r Site Revisit Charge ,/AZ Datc(s): ,51 Client Notification Date: '/ , nnII HEIS• Sign given Account No. 3 w / Revised DCI1D(05/03 � �� Invoice No. � Zy Site MapSchematic and Options Customer Name Date Property Address Model # Serial Decks (size) Brick Color Location of Home and Setbacks Electrical Panel Well Location Septic Location A/C or Heat Pump Driveway Landscaping 1 4 1 ----------- ------------ �..�- -- f UD YE C-Tiro W LOT Lai' = l.. .. w3 N - _C.!jfi��i� R--`g ` � `` L07 �r'l tom., o ni n• ul J c S 88'32'{4• � c �° ^p J ( - - �.. •-a�. .� � 64.23 ----> z �IdDOx111I1 S 'S' c `-3 ��.�_� °_-*� i2► ya,'— rs 't . > =J�sro �•� P.cfi "' "SYS+ l�t� , s-es�ssrsQ� _ .�r —�� -- R�-20 CF1Dfinder �.' -� -• Com rL01 �IJ _ CAM w �f d Nr n-UX aeri :. wTAKIR , AREA= 0.80-2 ACI 9 nES b' m �L�' y�• `� r� .cam - 65 ET% - - ' =l - •• ,• - .1 •6 611 / -• o z wstr~— 0.10{ AC, AR = 0. 49 AC. J. dNod ��� ,IJP � Z 1-' kb ��i '_ ,- '• �• /// ii ( _ s � • AREA-- l AC. . .007 .14 7fl rte' �S 516-� __ /'�• - - •_- - � r. ` .• �� � O ON FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC �p / Davie County Health Department Environmenia/Health Section ,��-� P. All P.O. Box 848/210 Hospital Street N` Mocksville, NC 27028 (336)751-8760 E ***IMP ** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED V-TION IS PROVIDED.. rRefer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed • r�C' jQ�� /L� Contact Person / /. L./�6 0.lIC- Mailing Address 36 0 //G I C 52gi, / _ Home Phone J 3(O City/State/ZIP v r6 BBusiness Phone 336 ' 7S� 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: R-1ite Evaluation ❑ Improvement Permit/ATC ❑ Both 4. System to Service: ❑ House obile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms 13 # Bathrooms W-6ishwasher ❑ Garbage Disposal C shing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. I£ Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: L�County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes C]-P?t6 If yes,what type? ***IMPORTANT***CLIENTS MUSTCOMPLETE THE REQUIRED PROPERiFY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBM17 TED by the client with THIS APPLICATION. 1 / Property Dimensions: (n��� ,Q_C�C,�� WRITE DIRECTIONS(from Mocksville)to PROPERTY: Tax Rice PIN: 7 #yob Property Address: Road Name City/Zip b - Lt6c ! -A0 zZo zy / �, If in a Subdivision provide information,as follows: ti? e Ll-� "41CA/.L A Name: ? Y ,4.d Ow o —rte -�►ac 6 _L /� /6 �OG,1c1 C ' �J 4�/�'�`- d Section: 1, Block: Lot: _ _ _ Date Property Flagged: This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is falsified or changed. I,also,understand that I am responsible for all charges incurred from this application. I,hereby,give consent to the Authorized Representative of the Davie County-Health Department to enter upon above described property located in Davie County and owned by to conduct all/.testi, g proce ures as necessary to determine the site suitabili DATE 3 y� SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Date(s): Client Notification Date: EHS: Account No./ 7yO Revised DCHD(07/99) Invoice No. b i S ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990001004 Tax PIN/EH#: 5726-57-8401.11 Billed To: Martin Lee Barber Subdivision Info: Meadowwood Two Lot# 11 Reference Name: Location/Address: Junction Road-27028 1 Proposed Facility: Residence Property Size: see map Date Evaluated: Water Supply: On-Site Well Community / Public Evaluation By: Auger Boring i Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope% HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence / Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATION BY: !� LONG-TERM ACCEPTANCE RATE: TTHER(S)PRESENT: REMARKS: Ire° f�,�_ l C� LEGEND Landscape Position R-Ridge S-Shoulder L-Linear slope FS-Foot slope N-Nose slope CC-Concave slope CV-Convex slope T-Terrace FP-Flood plain H-Head slope Texture S-Sand LS-Loamy sand SL-Sandy loam L-Loam SI-Silt SICL-Silty clay loam SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm Wet NS-Non sticky SS-Slightly sticky S-Sticky VS-Very Sticky NP-Non plastic SP-Slightly plastic P-Plastic VP-Very plastic Structure SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK Subangular blocky PL-Platy PR-Prismatic Mineralogy 1:1,2:1,Mixed Notes Horizon depth-In inches Depth of fill-In inches Restrictive horizon-Thickness and inches from land surface Saprolite-S(suitable),U(unsuitable) Soil wetness-Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification-S(suitable),PS(provisionally suitable),U(unsuitable) LTAR-Long-term acceptance rate-gal/day/ft2 DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SoiVSite Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990003489 Tax PIN/EH#: 5726-57-8401.11 FH Billed To: Fleetwood Mobile Homes Subdivision Info: Meadowwood two Lot# 11 Reference Name: Location/Address: Glenwood Road-27028 Proposed Facility: Residence Property Size: see map Date Evaluated: Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe% HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: REMARKS: LEGEND Landscape Position R-Ridge S-Shoulder L-Linear slope FS-Foot slope N-Nose slope CC-Concave slope CV-Convex slope T-Terrace FP-Flood plain H-Head slope Texture S-Sand LS-Loamy sand SL-Sandy loam L-Loam SI-Silt SICL-Silty clay loam SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm Wet NS-Non sticky SS-Slightly sticky S-Sticky VS-Very Sticky NP Non plastic SP-Slightly plastic . P-Plastic VP-Very plastic Structure SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralogy 1:1,2:1,Mixed Notes Horizon depth-In inches Depth of fill-In inches Restrictive horizon-Thickness and inches from land surface Saprolite-S(suitable),U(unsuitable) Soil wetness-Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification-S(suitable),PS(provisionally suitable),U(unsuitable) LTAR-Long-term acceptance rate-gal/day/ft2 DCHD 05/99(Revised) 1160'-0" 1354' 3 290' _ � Z 290' 270' 270' T 5 • M w f • J r — 270' - 270' 270' 241' 256' --------- _ ------ ------ --- — ---- --- 364" 100' o DIA o 237' ---v------=-- — 248' loo 00 rh T q �> N ` CT T T 290' 290' 40 290' 290' 290' 1461' LA V Ir, l..V UPI 1 Y tMAL I n 11rJrAt(1 AMIN 1 Environmental Health Section n P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990003489 Tax PIN/EH#: 5726-57-8401.11 FH Billed To: Fleetwood Mobile Homes Subdivision Info: Meadowwood two Lot#11 Reference Name: Location/Address: Glenwood Road-27028 Proposed Facility Residence Property Size: see map ATC Number: 3989 **NOTE**This Improvement/Operation Permit DOES NOT authorize the construction of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit(in compliance with Article 11 of G.S. Chapter 130A,Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type // #People #Bedrooms_ #Baths Dishwasher: Garbage Disposal: ❑ Washing Machine:.12r Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type El #People/Shift #Seats Industrial Waste: Lot Size Type Water Supply 1111), Design Wastewater Flow(GPD) $e� Site: New e Repair❑ System Specifications: Tank Size ICOO GAL. Pump Tank GAL. Trepch Width 6 Rock Depth Linear Ft.'10() Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER. RISERS) IF 6"BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m.to 9:30 a.m.or 1:00 p.m.to 1:30 p.m. on the day of installation. Telephone#is(336)751-8760.**** Environmental Health Specialists Signature: / Date: �/� DCHD 05/99(Revised) r r DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990003489 Tax PIN/EH#: 5726-57-8401.11 FH Billed To: Fleetwood Mobile Homes Subdivision Info: Meadowwood two Lot# 11 Reference Name: Location/Address: Glenwood Road-27028 Proposed Facility Residence Property Size: see map ATC Number: 3989 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s)(in compliance with Article I 1 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: �'�/ Date: 1�jf la� CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the'system described on Improvement/Operation Permit has been installed in compliance with Article 11 of G.S.Chapter 130A,Section.1900"Sewage Treatment and Disposal Systems,"but shall in NO WAY be taken as a guarantee that the system will function satisfactorily for any given period of time. Septic System Installed By: Environmental Health Specialist's Signature: Date: DCHD 05/99(Revised) To: F & S construction Co. March 21, 2005 Wilksboro, N.C. Att: Scottie Foster From: Fleetwood Home Center 4075 Patterson Ave. Winston Salem N.C. (336)-767-3900 To whom it may cowe (Fleetwood Homes of Winston Salem) would like to have a;ps-lystem in stalled instead of gravel at the Speight home 131 Glenwood Rd. Mocksville N.C. 27028. Thank You J.R. Buchanan