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478 Baltimore Rd -f_-•-. . ,. -� � r�_"f y ••-;:.+- :..,;.�- , rt * .A _.,... "iy M �l' 5.r";G'Y i tJt-a �..Y i ` y�.t -a r �T ✓ J rd r- DAVIE COUNTY HEALTH DEPARTMENT ao ; 30 f IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'NOTE:Issued in Compliance With Article II of G.S.Chapter 130a q9q Bal-9 rnbfQ— _Sanitary Sewage Systems ermit Number Name `sic ^1-- Date y 1A T.) NOW 7117 Location L\toc) 1 �) Subdivision Name Lot No. Sec. or Block No. Lot Size �� x �� House Mobile Home -- Business Speculation No. Bedrooms :No. Baths No. in Family 4 _ Er1000(90125 Garbage Disposal YES ES NO ❑ Specifications for _System: Auto Dish Washer YES [� NO E3 / u r,�,,x �:, ,>� � \. ) '— Auto Wash Ma thine YES [✓f NO ❑ Type Water Supply 'This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. 11 _, 1 ' ,` �•,J is Improvements permit b `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. System Installed by Final Installation Diagram: Z tvrtsl - , E11rG�1 lJ71;7- Certificate 1;Certificate of CompletionDate "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. Qavie County, NC Tax Parcel Report Monday, September 26, 2016 (�t381E.LN95 —� - i i61r 125' 424 I J` �^a3_.. 397 448 ................. Ll 478 I i 506 518... .. 519 517 4 SZZ ' WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E700000125 Township: Farmington NCPIN Number: 5861748040 Municipality: Account Number: 26320000 Census Tract: 37059-803 Listed Owner 1: FOSTER FRANK A Voting Precinct: SMITH GROVE Mailing Address 1: 478 BALTIMORE ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag.District: No Legal Description: 20 AC BALTIMORE RD Fire Response District: SMITH GROVE Assessed Acreage: 19.62 Elementary School Zone: SHADY GROVE,PINEBROOK Deed Date: 2/1989 Middle School Zone: NORTH DAVIE,WILLIAM ELLIS Deed Book/Page: 001470200 Soil Types: MrB2,GnB2,GnC2,EnB,MsC Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 313060.00 Outbuilding&Extra 1780.00 Freatures Value: Land Value: 238280.00 Total Market Value: 553120.00 Total Assessed Value: 553120.00 101 ll data Is provided as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to the Davie County, Implied warranties of merchantability or Fitness for a particular use.All users of Davie County's GIS website shall hold harmless the County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. f APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER WIT — Davie _Davie County Health Department Environmental Health Section 1, �t P. O. Box 665 ri HdY Mocksville, NC 27028 A 1. Application/Permit Requested By Mailing Addres 11� -� /�-�/ �-� l d '3 D� L/?) esZp- © / Home Phone O Business Phone '� �— _ 2. Name on Permit if Different than Above —/ 3. Application/Permit for: 0 'General Evaluation OB Septic Tank Installation 4. System to Serve: VHouse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms WWashing Machine No. of Bathrooms 3 Z Dishwasher � I Dwelling Dimensions "e— ZGarbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: ePublic ❑ Private ,/ ❑ Community 8. Property Dimensions /� 4PO� Sewage Disposal Contractor 4-��eoY-A&f-ier- 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes RrNo If yes,what type? "NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: VC, gwy- fes, t AA --�Mau This is to certify that the information provided is correct to the f my knowledge, and erstand I am responsible for all charges incurred fro thi application. DATE SI NATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: �. I OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box#2, the rest of this form MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representa of th Da ' un Heal h D p rtment to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to deter i said site's suit ili f a ground absorption sewage treatment and disp I s stem. q� DATE SIGNATURE DCHD(12-90) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME �r� � o-a DATE EVALUATED ADDRESS S A Q PROPERTY SIZE 4c)() PROPOSED FACIILTY �oy g`� LOCATION OF SITE Water Supply: On-Site Well Community Public Evaluation By:(,�_L-Auger Boring ✓ Pit Cut FACTORS 1 2 3 4 Landscape position <1 S Slope Z e- $ ' a" 4E HORIZON I DEPTH $ S, Texture group C-N.- L Consistence SS V F Structure �. $?_ Mineralogy \'.\ '.1 V.1 :I HORIZON II DEPTH L4 0 Texture group 01- Consistence Consistence v- V P Structure Mineralogy \ A 1 HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS S SS VS RESTRICTIVE HORIZON -- SAPROLITE CLASSIFICATION S V S `U S LONG-TERM ACCEPTANCE RATE 191A 'A SITE CLASSIFICATION: EVALUATED BY: LONG-TERM ACCEPTANCE RATE: 'A OTHER(S) PRESENT: REMARKS: •�• fir- -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(01-901 ■■.■■.■■■■■..■/■■■■■■...■■..■i..■.■.....■■....■.■....■.........tae CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC�eCCCCCC�CCCCCCCC:'CC ■■..■..u..t........■........... ■.....■.. .................. ..■ ■...■■■....■■....■..............■..■......■■.■t...■.■C■■■■....■■ C CCCCCCCCCCCCCCCCCCCC�CCCCCCCCCCCCCCCI CCCCCCCCCCCC:CCCCCCCCC:■■C Ci=CCCCCC.�CiiiiiiC.��iiiiiiC.CjiriiC�■�iiiiCCC=CCCCCCC�C�CCC■�iiiiiiC■C'=i ■.■■.■■..■■.■.■■.■■■..e■.■■.■e..■■■e::===-=a■...■ EC■■.■.■■■..■■e■ .........t.............../...■........CCCCCCC�'CC 0 MENECCM■CCCCC� ■■■■.■■.■■..■.■e...■.■i■..n■.■.e■.�■■.e�i►e ■■C.r� ■ ■■■.■■■m■■■■■■eC■ ■e■■..■■e■..■�1=�.■■■■■■.■e■■■■■■■i�■■■■.■. ■.�■ C. u..■et■MMEMME e■■■■■.■ ■e■.■■■■■■■■■Ya�C1■■■■■■■■.■■.■■■■■fie■■H=■C■i\0 ■C■■■N■t■■■■■■ ■■.....■e■■.■I�rE:\a ■■.tii■.��■■■.■�■\\■.HNONE `/ ■■■ee■■■.■■■■..■■ ■■■teH■■■■■■eke■ iC■CCCCCCCC■iiii�CCCi�CCCCCC� ,CCC■CCCCClC�CCCCC CCCCCCmo ECCCCCCCCCCCCCCCCCCCCCCCci`/i�CCCi�CCC■ MEMMEMEMOMMEMME ..........a��.rr-i..................I..�.i....,CC.. .■.I.e■.■CENO Hee ■...■■.■.■■LTJ\\.■..■.■t.e.■.■.■ 1[t•..■.. \..■C.../..........C:... ■........frim/i6\f•/....■ii:��\.....RIC7.... t,\■e■Nelle.■e■...e....■■ ■■■..■■n■■\�■i►�►\■■.1\■..1e.1\.c�:�i.■.■��.te. eln■eC■t..■■..te..n■.■■ ■.........../.L71c7.■r/t.i��5�►1i/./. /•i/■......Ir.......■.OMEN"..MEMO ■ ■CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC��CCCCCCC%It.C.�CC�iiiiiC�.Cu■CCC rc ..