2372 Milling Rd (2) DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NATE: 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 11147, `iDate f? ;
lC -
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size ° (7 House Mobile Home _ Business Speculation
No. Bedrooms �j/ No. Baths No. in Family -2 _
Garbage Disposal YES ❑ NO Ef Specifications for System:
Auto Dish Washer YES NO ❑ -
Auto Wash Machine YES [ t NO ❑ �' �:\�' -
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
41
7,
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
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(� bd
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
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION I
*NZ)TE:-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 :"2 i _ �/. n, < , ', -� Date
Location % I�/i .r!•v,/�( / /� / 4 / _ //i -// i
Subdivision Name Lot No. Sec. or Block Na
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms E`�— 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.
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
0
O
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
the
for any given period of time.
t �tti�ie (1�oun#� �ettl#� �epttr#tnen#
ttnb PumE Pettl#h �genrg
P. O. BOX 665
fflorhoville, North Carolina 27028
OFFICE OF THE DIRECTOR TELEPHONE
17041 634-5985
May 5, 1987
Ann Fain
Merrill Lynch Realty
3447 Robinhood Rd.
Winston-Salem, NC 27106
Ms. Fain:
On March 3, 1987, this office visited the John Middleton residence
on Milling Rd. at Mrs. Middleton's request.
At that time a permit was issued to add 200 additional feet to the
existing septic tank lines. On that date no sewage was surfacing.
On April 9, 1987, the additional 200 feet were installed and
approved by this office. There was no sewage surfacing on said date.
Sincerely,
Robert B. Hall, Jr. , R.S.
Environmental Health
RH/wd