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261 Dulin Rdf Permittees �" "� ��E COUNTY HEALTH DEPARTMENTq/"og Name: Hrr-'s �j (1 .�- �, Environmental Health Section PROPERTY INFORMATION � P.O. Box 848 Directions to property: L, be `Ze hd Mocksville, NC 27028 Subdivision Name: ."4 J f!/ �/U 3 0A Phone #: 336-751-8760 /C Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# 2634/ SYSTEM CONSTRUCTION. . 7��G a lt`' P AUTHORIZATION NO: 002847 A �U,1 b x /w` Road Name: J� Zip: ) 710 a o **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ., / ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION - 4 � 6 �G IS VALID FOR A PERIOD OF FIVE YEARS. E VIRONMENTAL HEALTH SPECIALIST DATE ISSUED 4 ft RESIDENTIAL SPECIFICATION: BUILDING TYPE BEDROOMS -3 # BATHS #OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No 4G't"t 5 LOT SIZE /► /� TYPE WATER SUPPLY C O DESIGN WASTEWATER FLOW (GPD) 4O NEW SITE REPAIR SITEt— -- .5 h� J r I f1CJQ 1 SYSTEM SPECIFICATIONS: TANK SIZE I GAL./PUMP TANK GAL. TRENCH WIDTH 3 L ROCK DEPTH �°! LINEAR FT. 36), OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: A JA 30 ` co 4 (i �--.LL 6� 5VA ,, J : ot, 5 S..Sirtyt IMPROVEMENT PERMIT LAYOUT r 0 � 1, t tD+h,:rn 3 j FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT Q SYSTEM INSTALLED BY: S dt ` I`. IA-- 10 O � o n :-4- hAUTHORIZATION NO. I! OPERATION PERMIT BY: CJ **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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. DCHD 07/02 (Revised) �( DAVIE OUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION q1 ► log Name-: t` k�4­5 IL& P.O. Box'848 Directions t r6peirty: lir, r ve"i"C( Mocksville, NC 27028 Subdivision Name: Phone #: 336-751-8760 3 V 1.., 0r t/ 0 Section: Lot: AUTHORIZATION FOR WASTEWATERTax Office PIN:# o )c 3 SYSTEM CONSTRUCTION I AUTHORIZATION NO: 002847 A C2(0 tJ 1 10 Road Name; : Zip: �*DOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (Id compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section. 1900 Sewage Treatment and Disposal Systems` **NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED ff RESIDENTIAL. SPECIFICATION: BUILDING TYPE f '9# BEDROOMS 3 #BATHS -1 # OCCUPANTS a- GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE - # PEOPLE # PEOPLE/SHIFT # SEATS - INDUSTRIAL WASTE: Yes or No COT SIZE F/ /_3 TYPE WATER SUPPLY C DESIGN WASTEWATER FLOW (GPD) 4 y NEW SITE REPAIR SITE L --- _T_ 7ic SYSTEM SPECIFICATIONS: TANK SIZE '�is _�rGAL. PUMP TANK -GAL. TRENCH WIDTH ROCK DEPTH LINEAR Fr. 3oA q5 OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: A3A 3ol' CIUAJ� 'at IMPROVEMENT PE RM IT LAYOUT (A tr ILI X FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: AN D,6 k �cy 4 ILau X l 54) P > 3 C A AUTHORIZATION NO., OPERATION PERMIT BY: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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. DCHD 0= (R.,_itd APPLICANT INFORMATION a�N{ S ' S h -c -c k. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation Water Supply: On -Site Well Community Evaluation By: Auger Boring pit - 3 -9 5_6 it PROPERTY INFORMATION Sgsoy 8 03/-( 33oa- ��y Ing �g Public Cut . FACTORS 1 2 3 4 5 6 7 Landsca e position Slope % HORIZON I DEPTH Texture group G 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 16. SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: EVALUATION B Y: rAbJ10&0" S OTHER(S) PRESENT: 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 Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm 3yt 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 05/05 (Revisedl VIE COU HEALTH DEPARTMENT Enviro ntal Health Section t PO Box 848/210 Hospital Street Mocksville, NC 27028 Phone: (336)751-8760 . _ zzz- A ATER CERTIFICATION FOR DWELLING T ❑ REMODELING ❑ . RECONNECTION ❑ Mailing Address: � 4 C��>_ Z 74122f Detailed Directions To Site: Property Address: 7 7 G� Number: 9S - Z 11 � a (Home) (Work) Please Fill In The Following Information About The Existing Dwelling Name System Installed �G�my Of Dwelling:' Date System,Installed(Month/Day/Yeaz): Win(, K A� > Number Of Bedrooms:�Number Of People: r Is The Dwelling Currently Vacant? Yes ❑ No ❑ If Yes, For How Long? Any Known Problems? Yes ❑ No R If Yes, Explain: ��� % O"Z .2,00C) 'b6oiow Lyqs 4td 0/J l o .j , 6o shote jib --r4 wii-,s 3 %e',--oo n,7 Please Fill In The Following Information About The New Dwelling: Type Of Dwelling: 1-W 4). Wt;- Number Of Bedrooms: -5 Number Of People: -2— Requested — Requested By: For Environmental Health Office Use Only Approved ) Disapproved ❑ Requested: h - /,?- - e",Y Environmental Health *1be signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a guazantee(extended or limited) that the on-site wastewater system will function properly for any given period of time. Payment: Cash ❑ Check 0 Money Order ❑ # Amount. $ Date: Paid By: Received By: Account #:-56q3 Invoice #: '+.;r.M r;K , �'��7%�.7 AJ 'c-�'iy�'•Jy� +. dj{/"`vrYr�.ir4"9v:yt.,,�t.'ayyrJ�+t...�:�Vc �.�w.,:`v .,�i. ai ^i»::::n,ivr R;t,.:..�.-... .r, i_•'.r DA VIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS .PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systgms-� Pem�itp Number Name r' l Date _! "'�/- 9 Y N�-lea ( 1 4 1 Locati diol f Subdivision'Name Lot No. Sec. or Block No. Lot Size House Mobile Home Business -- Industry No. Bedrooms — —. No. Baths 'No. in Family — Public Assembly Other Garbage Disposal YES ❑ NO Specifications for System: Auto Dish Washer YES NO ❑ Auto Wash Ma :hive YES NO ❑ �– ��3,Y� 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. �Improvements permit by --- f . *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985. 1 Final Installation Diagram: 3L ICU r� System Installed by r fil U ----� 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✓ rG •�: �' f Nd9 E: Issued in Compliance With Article II of G.S. Chapter 13a VV Sanitary Sewage Systems t�rmlt -Number � 5.�,r-moi-v N° 7747 Name - Date 1� Location Subdivision Name Lot No. Sec. or Block No Lot Size House Mobile Home l.- Business _— Industry No. Bedrooms No. Baths No. in Family — --Public Assembly___Other Garbage Disposal YES ❑ NO [�J' Specifications for System: Auto Dish Washer YES NO ❑ Auto Wash Ma^hine YES NO ❑ Type Water Supply ---- *This permit Void if sewage system described below isnot installed within,5 years from date of issue_.,,, This permit is subject to revocation if site plans or the intended use change. - F Improvements permit by *Contact a representative of the Davie County+tealth Departmertlfor final inspection of this system between 8:30-9:30 A.M., ' 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985. Final Installation Dia ram: u EN System Installed byr .. ` w� ' �� ..a � t ...«.. w .n.+•Me..w.... .rw.r..,....w i � �,.. r ; h Certificate of Completion. - Date I '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 satisfa6torilY for Y given period of time. -` an DAVIE COUNTY HEALTH DEPARTMENT T 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 ` -n�� Date ✓f. i "� .� l b ^ J Location Subdivision Name Lot No. Sec. or Block No. Lot Size ,/1 House Mobile Home �r� ' Business Speculation No. Bedrooms No. Baths No. in Family Garbage Disposal YES ❑ NO p Specifications for. System;,- Auto Dish Washer YES © NO ❑ Auto Wash Machine YES p NO ❑ , r 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 ,'—\ 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. Parcel #: F600000071 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bill Search Sales Search View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information Parcel #:F600000071 Account #:64764000 Owner Information Tax Codes REEK JAMES LARRY ADVLTAX - COUNTY T 61 DULIN ROAD READVLTAX - FIRE TAX MOCKSVILLE NC 27028 Property Information Township Land (Units/Type): 0.950 AC FARMINGTON ddress: Land: Deed Information Local Zoning Date: 01/1900 Book: Page: ssessed: Plat Book: Page: Deferred: Le al Description PIN 1.13 AC HWY 158 5850482034 Property Values . Building: 48,37 BXF• Land: 20,95 Market: 69 32 ssessed: 69,32 Deferred: Sales Information No Sales Data found. View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search Page 1 of 1 oPVr� Wrj*1-S County Web Site All information on this site is prepared for the inventory of real property found within Davie County. All data Is compiled from recorded deeds, plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County, its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or Implied, in fact or in law, including without limitation the implied warranties of merchantability and fitness for a particular use. If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120. 1.5.9 http://maps.daviecountync.gov/itsnet/View.aspx?prid=1464968 6/8/2016