183 R Shore Dr -
DAVIE COUNTY HEALTH DEPARTMENT 1g3 7.57ALa!!,2)r.
' (Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR 'Ra:,, Sh ,rte DATE Io-/V-7/o PERMIT
LOCATION �OlN - g►'►�i�(eS L�F� N9 1174
4
S.R. NO.
SUBDIVISION NAME % �J a . LOT NO. SECTION OR BLOCK NO.
HOUSE E2,-- MOBILE HOME Ej BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
N0. BEDROOMS '� NO. BATHROOMS 2 Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑ 049,m/ �Ssrr�d ro-�r_76
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK /000 gal. C, ,,e/Rose.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: 4` ),euGI
WATER SUPPLY: Individual 2 Public ❑
IMPROVEMENTS PERMIT BY c INSTALLED BY ALFerd fn',Iler
CERTIFICATE OF COMPLETION ByM� Date
(8/16/73) *Construction must Lmply with all other applicable State and local regulations
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DAVIE COUNTY HEALTH DEPARTMENT
' (Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C)
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OWNER OR CONTRACTOR KaL-t DATE PERMIT
LOCATION 1r011J il�sIcZ wN + 96bin D4506f aa .e/1j N9 1174
S.R. NO.
SUBDIVISION NAME h,,l &(/pjQQ I;y4A). LOT NO. I SECTION OR BLOCK NO.
HOUSE (R'- MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS 4 NO. BATHROOMS . Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 10�0r0 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑ ca,d?�irz'f ,".�,::tl*t1d {j J.a•+r rf
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal. 64,ei Aarc •44.ii;
NITRIFICATION FIELD 10,i3C, sq. ft.
DEPTH OF STONE IN LINES: py "If vtl �• $
WATER SUPPLY: Individual , Er Public ❑ /�
IMPROVEMENTS PERMIT BY + 9'� nh�t3¢ INSTALLED BY Avon-o—A ct's�1cs-
CERTIFICATE OF COMPLETION By � '
Date
(8/16/73) *Construction must &mply with all other applicable State and local regulations
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STATE OF NORTH CAROLINA—Davie County.
THIS DEED,Made this the3 a_ _-day*f,—-.J9i111RT„► ,1t)_.U_by
_....._ftensh rfto e!id Mike, Mgg)e Shorg
of--D XLA— County,State of North Carolina,pari-'Ilia—of the Ent part,to
.....__ of Dayle _..._County
State of North Carolina,part)!.....-of the second part;Witnesseth Mot the maid part ies of the Ent part in consideration of
(i•-6,500a0L.__) six_Tl1R)i08IISL Fire Hundred ,AAIS1.AQJlS1QIlAr-s w
_-theme paid by the said part.y_.....of the second part,the receipt of which Is busby acknowledged.1111111/have bargained
(` and mold,and by thew presents do._____.bargain,sell and convey unto the said part—X.-of the second part ander 2___.......
heirs a tract or panel of land in the County of Davie and State of North Carolina, to Glarkmd1la
Township,adjoining the lands
and others,sod bounded an follows:
•
BEING LOT NUMBER THREE (3) of the "ROBIN DRVELOPMWu
Subdivision acro to a plat thereof Jesse
laah to Mackie R.S.0 June 1963 duly records in at
Book 3 at page 136, bavie boanty Registry. to which
reference is hereby made for a more particular description.
The abort land was conveyed to grantor by San Book Na nage
•l TO HAVE AND TO HOLD the aforesaid tract or pared of land and all privileges and appurtenances thereunto belonging to the !
said partR.._.of the second part andhie t airs and ssslgns forever.
And the salt partlea_of the first part do...__wvenant that.._Lhas_._---Ware seised of raid premises in fee and �
__hiffi the right to convey the some in fee simple;that the same are free from incumbrances;and thatr_..thqZ_..._ {
will warrent and defend the said tide to the same against the claims of all persons whatsoever.
IN TESTIMONY w1IEREOr the said parties.._...of the Ent part han.Juraunto wi their_hand_.A.._. and sea1_.e........
(Seal) rFrsMAILBlfita. ___� (seal)
(Seal) _ Maggie Shore _ (Snl)
(Seal) (Seal)
(sea) (Seal)
STATE OF NORTH CAROIANA,arra_..r.Da7ia ___ Comfy,
I. niaarts a andereon a Notary Public,of said County,do hereby certify
that French Shore and his wife, Maggie'Shore
grantors,each personally appeared before we this day and acknowledged the orecetion of the foregoing dead of conveyance.
Witness my hand and notarial seal this the n day or. J&yu&rf ,I9-
7A-my commission manual 2--- 1926- .QiiBlltL."nd2reon 4 .)._--__.N. P.
STATE OF NORTH CAROWNA—Dade Comte. N— �•�_4•_y.T ,
The foregoing oertifiesle(sd oL....._D1,anna.S._Ands raoIIf..IIOLBry—AIhlfe
'MM)certified to be correct This instrument was presented for registration this 11 —day ot—t).aAllalS_ arra
19_21,mires-ll M.,M and duly recorded in the once of the Register of Deeds of Davie County,North Carolina in
Book....-......Fla___..,Page.__.3.AL7____._. J.S.SMITH,REGISTER OF DEEDS
This thou-- ]1 -dye of J•—••+-$ ,A.D»1s 22
......... _ By: N _1�etteroM _
DEPUTY REGISTER OF DEEDS.
This instrument prepared by:
I