1938 Hwy 158 Permittee' / y, D IE COUNTY HEALTH DEPARTMENT
Name: �l1J( rl .FI1 Qa^ Environmental Health Section PROPERTY INFORMATION 1��0
P.O. Box 848 I��
Directions to property: Mocksville,NC 27028 Subdivision Name: 6
_ k-k eA 5� Phone#:336-751-8760
dL.YE- Section: Lot:
AUTHORIZATION FOR
WASTEWATER TOffice PI :# -
SYSTEM CONSTRUCTION lat4?2 ,,[[ - d
AUTHORIZATION NO: 0 0 2 9 8 4 A Road Name: /��`' O Zip: a ��
**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 bavie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article I 1 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.
ENVIR NMENTAL HEALTH SPECIALIST DATE ISSUED
r:
Pdrmittee' D IE COUNTY HEALTH DEPARTMENT
M `r
.'-1�iame.^ i rJ(:Y / o 1'1 1 G r( Environmental Health Section PROPERTY INFORMATION
-` O P.O.Box 848
Directions fo prq&Fvrt! 0 r Mocksville,NC 27028 Subdivision Name:
h Phone#:336-751-8760
0 Section: Lot:
AUTHORIZATION FOR
1,� 36 WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION 1
AUTHORIZATION NO: 002984 A , Road Name: /-�w��� ff Zip:
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
;i 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 co fiance with Article 11 cif G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
1 / 11 t ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
-0q IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE
—F#BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
XJ-1-to IV 1 LU
LOT SIZE �� TYPE WATER SUPPLY_� DESIGN WASTEWATER FLOW(GPD) a T NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE r K L. PUMP TANK GAL. TRENCH WIDTH ROCK A CLA:kC"rLIhNEFT. `
OTHER /YL
REQU11 -SITgMODIFI TIONS/CONDITION .--- -
IMPROVEMENT PERMIT LA T- ,
rapt t. B-�
1 a I �3 3L
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
VJ SYSTEM INSTALLED BY: 11"` MEC aQ `per
V
AUTHORIZATION NO. OPERATION PERMIT BY: ATE:
**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. /�
DCHn 02/02(Revised) T-- I
Pdrmifiee' _ / D VIE COUNTY HEALTH DEPARTMENT
- Name:= ;i f;/ d11+fT� Environmental Health Section PROPERTY INFORMATION
P.O. Box 848
..� Directions to property: f` -2,' Mocksville,NC 27028 Subdivision Name:
Phone#: 336-751=8760 `' ' • 'i
l
Section: Lot:
�` AUTHORIZATION FOR
✓�' WASTEWATER
M C/ n V Tax Office PIN:# -
SYSTEM CONSTRUCTION -
AUTHORIZATION NO: 002964 A Road Name: Al 6 Zip: �G'20
**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 conlian`e with Article 11 Q f G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
� ``f ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
`"jKr�ll IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIR NMENTAL HEALTH SPECIALIST DATE ISSUED
—RESIDENTIAL SPECIFICATION:BUILDING TYPE_,2�#BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
r
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLEISHIFT #SEATS INDUSTRIAL WASTE:Yes or No
r Uv
LOT SIZE Q• s TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) a yy NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE�IGQL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH a 'LINE R FT. ` '51~ .
OTHER �) r C-)C,fy, r r ✓1 U P"I'l i, eq
REQUII Sc-. MO IFICATIONS ONDIT.IO u-
IMPROVEMENT PERMIT LA UT
1
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 < <(' {ti-C l/-
�h
� o �
* ` 4
v
- �j--a
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
**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 02102(Revised) 0-7070
-.;� r * .,,.on.-.., ... :.•..F�.. �, �., in Ct.�t.�, -Y ,. „a...' e'"1 r��.i 1! �..t. < . ,. ..k:� r 7.,..,., n ,r �;:-,6 -�r-:s.
Pennittee's�'` DAVIE COUNTY HEALTH DEPARTMENT
Name: 7 't•= 1 r!f LK ; `fr t r ?T Environmental Health Section PROPERTY INFORMATION
�- P.O. Box 848 s'
Directions to'property: �! r- s-.. ' `.y i Mocksville,NC 27028 Subdivision Name:
`' .• -` Phone#:336-751-8760
- Section: Lot:
7 AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION t ,
AUTHORIZATION NO: 002984 A Road Name: f Zi
**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
�--i; t. ✓ � / :' C; IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIR NMENTAL HEALTH SPECIALIST DATE ISSUED
-RESIDENTIAL SPECIFICATION:BUILDING TYPE f�#BEDROOMS e) #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
-� ov
LOT SIZE G• s TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) y NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE�hGA. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH ex
t LINEAR FT. 5 i~
OTHER �M�(, l c �. r,� r r- r r7 U C, 1 �,r r
REQUIRED SITE MODIFICATIONS/CONDITIONS1
{ -
IMPROVEMENT PERMIT LAY UT {
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)75I-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: A
d
AUTHORIZATION NO. L� OPERATION PERMIT BY: � /4 DATE:
**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 02102(Revised)
P`rriiitt- w' DAVIE COUNTY HEALTH DEPARTMENT Ad,
Name: Gl'+, G 0,� t )ctv- 14 c. Environmental Health Section PROPERTY INFORMATION 07
P.O. Box 848
Directio to property: ! i .r3 c"� Mocksville,NC 27028 Subdivision Name:
Phone#:336-751-8760
6t4�e,,—
Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# - -
�} SYSTEM CONSTRUCTION I G/3� t15
/5_91
AUTHORIZATION NO: 002782 A Road Name: Zip: 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 1 l 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
RESIDENTIAL SPECIFICATION:BUILDING TYPE H #BEDROOMS #BATHS�_#OCCUPANTS�—GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE f k UAL. UMP TANK AAGAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. �I✓Q t
OTHER ACC - - P3--A
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT n "�'`� n
. tc) r'G A h .P C� V4"j� ^5
I 5G . e t
L
ca a9! gGIC �c.) r 11
[a)
AA -5 T-
�as� tuPti'f
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 W•
SYSTEM INSTALLED BY: A 6 J
i
Je
AUTHORIZATION NO& OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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.
DCIoO2M2(Revisad) �� ��� ,'� �"nice0z3
ay.�;.,c:,,- .�:-.:.._...1 .:�.. __ =�.y:�.4s-,�.a...>..,,,,.aq-.,.,..e...�-..�...t.-.� v� ,r"i••► -.r'e',"rF. ^ - .°J t , '�•.i� * -
DAVIE COUNTY HEALTH DEPARTMENT
Name:' r �L ?�� + f.: t' Environmental Health Section PROPERTY tINFORMATION
P.O..Box 848 l
Directions to property: 3 - ;%' '^ Mocksvile,NC 27028 Subdivision Name:
Phone#: 336-751-8760
Section: Lot:
' r AUTHORIZATION FOR
WASTEWATER, Tax Office PIN:#
SYSTEM CONSTRUCTION "
l �r� L1 � .
AUTHORIZATION NO: 002782 A 'el Road Name: Zip: 1 76
t **NOTE**This Authorization for Wastewater System Construction MUST BE ISSU�D 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 1 I of G.S.Chapter 130A,Wastewater Systems,Section.]900 Sewage Treatment,and Disposal Systems)
*,NOTICE***THIS AUTHORI7_ATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE_--kms #BEDROOMS 1_#BATHS—I _#OCCUPANTS _GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE 0' TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE -f `SAL. PUMP TANK� GAL. TRENCH WIDTH� ROCK DEPTH LINEAR FT. a00
OTHER e c n� *'f t '-i �` !d ... ct`�_ c3 t�1 c.., S rt �F tM
REQUIRED SITE MODIFICATIONS/CONDITIONS: e
IMPROVEMENT PERMIT LAYOUT
rGnn
Vtl
. �•, s•�.cv'1. c -10 ti a�
0 Io
• � � Fl�t',.r • ,
f1
_ `Fce`ltrt
e cL-% is 1!h
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
i
SYS
j TEMINSTALLED BY: U✓
(44
i
AUTHORIZATION NO. OPERATION PERMIT BY: 4 DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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 02102(Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
i
P.O. Box 848/210 Hospital Street
Courier 40940-06
Mocksville,NC 27028
Phone#: (336) 751-8760
Fax#: (336)751-8786
April 20, 2007
Edward Barnhardt
677 Main Church Road
Mocksville,NC 27028
Mr.Barnhardt,
The property at 1938 US Highway 158,Mocksville,North Carolina 27028 visited on
March 22, 2007 in response to a complaint filed by Vincent Newberry. Sewage was
flowing from the septic system that serves the home at 1938 US Hwy 158 was flowing
onto Mr.Newberry's property at 141 Sain Road. An aboveground discharge of sewage
under North Carolina Statutes is illegal.
Per our conversation on March 9, 2007, you informed me that the sewage overflow had
been remedied. Mr.Newberry contacted my office to inform me that the sewage
discharge was still occurring. After carefully re-investigating, the septic system is not
only overflowing but is also partially located on the adjoining property owned by Mr.
Gregory McColloh.
Per our conversation on April 4, 2007,you were given 30 days to repair the septic
system Over the course of the next couple of weeks an option for tying into the county
sewer system was investigated and found not feasible at this time. After reviewing the
site that the septic and home occupy,there is no room to repair the septic. You have thirty
days from the date of this letter to complete one of the following legal options:
1. Take the septic system out of service. This means that the home can no longer be
occupied and the septic system disconnected.
2. The other option is to survey the property(that you own) adjoined to the rear for
a septic easement, which will allow the septic to be repaired.
If you choose to grant yourself an easement or simply add more property to the one in
question, once the easement has been legally recorded a repair permit can be issued.
If you have comments, concerns, or questions, don't hesitate to contact me using the
information below.
Sincere ,
Rob Nations,RSI
Environmental Health Specialist
Davie County Environmental Health
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position L l�
.Slope%
HORIZON I DEPTH
Texture groupe L
Consistence
Structure
Mineralogy
HORIZON II DEPTH — K
Texture group G
Consistence
Structure
Mineralogy
HORIZON Ill DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
Y
SITE CLASSIFICATION: V. 5.�f /i� EVALUATION BY: �n�L� :�2&vo-,C
LONG-TERM ACCEPTANCE RATE: 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
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
1lZQiSt
VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm
MlA
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
1Y.lQt�S
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 05105(Revised)
Parcel#: H500000027 Page 1 of 1
qP�r�
Davie County, NC - Basic Estate Search ®rjo--Ils
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View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
Parcel#:H500000027 Account#:4928000
Owner Information Tax Codes
itNHARDT EDWARD C&BARNHARDT DORIS W ADVLTAX-COUNTY T
93 MAIN CHURCH ROAD FIREADVLTAX-FIRE TAX
MOCKSVILLE NC 27028
Property Information Township
nd(Units/Type): 0.260 AC MOCKSVILLE
ddress: 1938 US HWY 158
Deed Information Local Zoning
Pate: 10/2006 Book: 00685 Page: 0348
Plat Book: Page:
Legal Description PIN
1 LOT HWY 158 5749265546
Property Values
uildin : 45,54
BXF•
Land: 10,04
00001111
arket• 55,58
ssessed: 55 58
eferred: 01
Sales Information
No. Book Page Month Year Instrument Qual/Ungual Improved Price
00136 0414 03 1987 WD Unqualified Improved 0
00666 0970 06 2006 WD Unqualified Improved 0
00685 0348 10 2006 WD Unqualified Improved 20,000
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
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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=1471946 6/9/2016