327 Hall Walker Lne` W
Y
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
,NOTE: Issued in Compliance With Article II of G.S. Chapter 130a
Sanitary Sewage Syst ms
rA a_ �\ �'. .
Name Date
Location 'lb�� �� t� �- iii c:
Permit Number
Subdivision Name
Lot No. Sec. or Block No.
Lot Size 6 � U s_ ' House
Mobile Home Business Speculation
h
No. Bedrooms
No. Baths
No. in Family
Garbage Disposal
Auto Dish Washer
Auto Wash Machine
Type Water Supply.
YES ❑ NO
YES ` ❑ NO
YES NO
❑
❑
❑
Specifications for System:
/ C C, �� �_ - J.- _ - % c' \r
(F-) b Cy�-
*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.
I
Improvements permit by
T�
*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�� • ����
�t
Certificate of Completionole-Z Date -4s 5/
"The signing of this certificate shall indicate that the system descd ed 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.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department:
Environmental Health Section
P. 0. Box 665
Mocksville, NC 27028 R�CiEwD
1. Application/Permit Requested By
Mailing Address't�LLL tel% Dal
Home Phonf/f��✓� !2 l Business Phone
2. Name on Permit if Different than Above
3. Property Owner if Different than Above
4. Application/Permit For: General Evaluation S/Tank Installation
5. System to Serve: [) House Mobile Home 0 Business
0 Industry u Other 0 Unknown
6. If house, mobile home: Subdivision Sec. Lots
No. of People Dwelling Dimensions
No. of Bedrooms Basement/Plumbing
No. of Bathrooms _�_ - Basement/No Plumbing
0 Washing Machine 0 Dishwasher 0 Garbage D:isposai
7. If business, industry, 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
8. Type of water supply: 0 Public' 0 Private 0 Community
9. Property Dimensions FFGE��
10. Sewage Disposal Contractor
11. Do you anticipate additions/expansions of the facility this system is
intended to serve? [] Yes 0 No..
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.
This is to certify that the information provided is correct to the
best of my knowledge, and I understand I am responsible for all
charges incurred from this application.
g� �-
Date Signature
a.
Directions to Property:
I L5�Jd ce Nrcr,
DCHD (10-89)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME V \
ADDRESS
PROPOSED FACIILTY
DATE EVALUATED
PROPERTY SIZER"
LOCATION OF SITE
Water Supply: On -Site Well 'V Community Public
Evaluation By:Auger Boring V Pit Cut
FACTORS
1
Landscape position
S
5 5
—�
Sloe %
HORIZON I DEPTH
6 ''
Texture grou
C ".
Consistence
V
Structure
Mineralogy
HORIZON II DEPTH
LA1Z
7
Texture group
Q
b
Consistence
t-
F
Structure
1,,C3 K
Mineralogy1
t \
1
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
S.
S S
—S
RESTRICTIVE HORIZON
--
-- —
SAPROLITE
—
CLASSIFICATION
S
LONG-TERM ACCEPTANCE RATE
-y
5 -
SITE CLASSIFICATION:y S EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: _.3 _ yu 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
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
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Parcel #: C70000011602
Davie C6unty, NC - Basic Estate Search
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Parcel #: C70000011602 Account #:50992000
Owner Information
uildin :
Tax Codes
BXF•
ILLER MAUDIE CARTER
nd•
ADVLTAX - COUNTY T
Market:
27 HALL WALKER LANE
ssessed:
READVLTAX - FIRE TAX
Deferred
DVANCE NC 27006
PropertV Information
Township
Land (Units/Type): 2.000 AC
FARMINGTON
ddress: 327 HALL WALKER LN
Deed Information
Local Zoning
ate: 02/2004 Book: 00537 Page: 0082
lat Book: Page:
Legal Description
PIN
12.000 AC OFF HWY 801 LIFE ESTATE
5872184740
Property Values
uildin :
BXF•
9,00
nd•
54,32
Market:
63 32
ssessed:
63,32
Deferred
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
L 00131 0016 03 1986 WD Unqualified Vacant 1
>_ 00537 0082 02 2004 WD Unqualified Vacant 0
View Property Record for this Parcel View Map for this Parcel View Tax Bili Information
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Davie 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,
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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=1476620 9/14/2016