5346 Hwy 158 .f.:=.,,., .R•tF ."'„``- 'yy:�.-r�.f�-e"y,h)'»gGI«ryn.H'.'"'�'n'a'^..a;•i.r :`�v fi•�>< `G.w.c;+a3,.,,b.�-R-<=+w':<'Rs.=^y+ra'�r'w.^�w�.ya:""1.:w.xw�Fi"rWwp'�""a'-"y,:..9„yA.'".y-••;._;.-,yr.*.......dsr+a+x-.., .n....:�.d„�<
�5 r, DAVIE COUNTY HEALTH DEPARTMENT
y IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article I I of G.S.Cha ter 130a
Sanitary Sewage Systems / :1--. , / Permit Number
Name I L/�1� Gt/ //�� �Gr� �l/v,�.-�� Date ,��//!4s NO 7 2.6 7
Location � � "�` �l'i�r-T z�c7•-�1 � — !�O
Subdivision Name Lot No. Sec. or Block No.
Lot Size .�?DD House Mobile Home _T Business Speculation
No. Bedrooms .No. Baths No. in Family SdO�/o
Garbage Disposal YES ❑ NO ❑ S ecification for ystem:
Auto Dish Washer YES ❑ NO ❑ �pcD,yY '� 10xrr
Auto Wash Ma:hine YES ❑ NO ❑ '/ool�10acA .ya
Type Water Supply Lr/� --- a %s�.� //�� , /Uc,.�✓ar�✓� -,�s�
*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.
-f'Iev,c7il1;.5
47-
?
f,
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: . 33 System Installed by
N]
S
Certificate of Completion j Date
1
'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. �_� /
`_ _�. � 'S - LTi • ,.� -.r ,l'.- .`° ". r ., e • -° '1 .. 'i .. .` , `
DAVIE COUNTY HEALTH DEPARTMENT
_ IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
_ ;?
e *NOTE:Issued in Compliance With Article I I of G.S.Chapter 130a
. Sanit ry'Sewage Systems
1. P@rtmitb(er " c
1�' ✓may U�r �; j Y'///l93
j Name s Date / NO
Location
Subdivision Name Lot No. Sec. or Block No.,,'
o �
/S ,f;lGO
Lot Size House Mobile Home Business —_ Speculation
No. Bedrooms /Z/// .No. Baths No. in Family
Garbage Disposal YES ❑ NO ❑ Spec��ic�at�o�}s�or,�6ystem:,c� J,�jDX,J
Auto Dish Wash6r YES ❑ NO ❑
Auto Wash Ma.hive YES 'D NO ❑ 7
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 r ocation if site plans or the intended use change.
f •
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 i 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.
- APPLICATION FOR SITE EVALUATIONAMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section ( �^
P. O. Box 665 - --m=
Mocksville, NC 27028
IN 7
1. Application/Permit Requested By �Q ( S ���S0
Mailing Address
Home Phone ��Q Qq S''o�S� Business,Phone 9/9 9 9 ^0 Z6 Z-
2. Name on Permit if Different than Above V'G•�/a-&E l tJA-c-i VE R9�v /1-c� gp>�4C
3. Applicatio ermit for: ❑ General Evaluation ,Septic Tank Installation
4. System to Serve: ❑ House ❑ Mobile Home ❑ Place of Public Assembly
Business ElIndustry ❑ Other ❑ Unknown
5. If house, mobile home. Subdivision Section Lot#
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms ❑ Washing Machine
No. of Bathrooms ❑ Dishwasher
Dwelling Dimensions / ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type v Er i^/" -h4t
No. of People Served No. of Sinks 6
No. of Commodes -3 No. of Urinals
No. of Lavatories 3 No. of Water Coolers
No. of Showers Water Usage Figures S0 q0-/b-A1
7. Type of water supply: ❑ Public 'I64Private fpr 0" 4'A�/3/e3 ❑ Community
8. Property Dimensions /Sb too Sewage Disposal Contractor.
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes X 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.
Directions to Property:
L C-4 k-b aw
Sul
P{
This is to certify that the information provided is correct to the best knowledge, and I understand I am responsible for all charges
incurred from this application.
,a LgLi3
DATE SIGNATURE
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 representative of the Davie County Health Department to enter upon above described
property located in Davie County and owned by -
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal ys em.
DATE SIGNATURE /
DCHD(12-90)
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT I1
Davie County Health Department �`d �Yt
i Environmental Health Section
P. O. Box 665 f1AR - 5 1993
Mocksville, NC 27028
-----------
1. Application/Permit Requested By �944 F5 I3e e S 0.-,j / 6 1�L)l ^�i�
Mailing Address Ao-,X t{e IJo X_Tlux, 7 Toa L
Home Phone ���- �� � � Business Phone
2. Name on Permit if Different than Above
3. Application/Permit for: General Evaluation )�l Septic Tank Installation
4. System to Serve: ❑ House ❑ 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 ❑ Washing Machine
No. of Bathrooms ❑ Dishwasher
Dwelling Dimensions ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify typeVE I E,2►.y�FR•., kL s n 4-At_
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 -2 OU-/000
7. Type of water supply: ❑ Public, z o o Private ❑ Community
8. Property Dimensions _ r"T Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this
/syttem is intended to serve? Yes ❑ No
If yes, what type? �+ c Y"� 4- 1 uu-o ie k
U 104 ` /Soo r-T 2
"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:
y
w roo
.s. -
y
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.
3—/—Y3e�
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
Fand
ECK ONE: 1. I OWN the property. ❑ 2. I DO NOT OWN the property.
ked Box#2, the rest of this fo m MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of the Davie County Health Department to enter upon above described
cated in Davie County and owned by
all testing procedures as necessary to determine said site's suitability fora ground abs sewage treatment
al system.
3--7-
DATE SIGNATURE
DCHD(12.90)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
- / Soil/Site Evaluation
NAME DATE EVALUATED �y�
ADDRESS �/J PROPERTY SIZE
PROPOSED FACULTY A- '11y;e a LOCATION OF SITE / f
Water Supply: On-Site Well Community Public f�
Evaluation By: Auger Boring i / Pit Cut
FACTORS 1 2 3 4
Landscape position
Slope % — —
HORIZON I DEPTH
Texture group 512- S%/_
Consistence
Structure
Mineralogy
HORIZON II DEPTH �+
Texture groupC
Consistence
Structure
Mineralogy • J,-( -/
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 c
SITE CLASSIFICATION: EVALUATED BY:
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
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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• " Daae County Aealtfr 7Sen7
aent
n glome Nealtl a d
210 HOSPITAL STREET/P.O, BOX 665
MOCKSVILLE.N.C. 27028
PHONE:(704)634.5985
March 25, 1993
James Beeson
Rt. 1, Box 3
Advance, NC 27006
Re: Site Evaluation/Hwy. 158E.
Village Way Veterinary Hospital
Dear Mr. Beeson:
As requested, a representative from this office visited the aforementioned
site on March 22, 1993. The site was found provisionally suitable for the
installation of a ground absorption sewage system.
If you have any questions, please feel free to contact this office.
Sincerely,
Robert B. Hall, Jr. , R.S.
Environmental Health Section
RH/wd
Enclosure
Parcel#: D808000002 Page 1 of 1
Davie County, NC - Basic Estate Search oln,
Davie County Web Site
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View Prooerty Record for this Parcel View Mao for this Parcel View Tax Bill Information
Parcel#: D808000002 Account#:6198250
Owner Information Tax Codes
EESON JAMES PRICE&BEESON SUSAN ADVLTAX-COUNTY TAX
04 YADKIN VALLEY ROAD READVLTAX-FIRE TAX
ERMUDA RUN NC 27006 1 I03ADVLTAX-BERMUDA RUN C
Property Information Township
nd(Units/Type): 0.690 AC FARMINGTON
ddress: 5346 US HWY 158
Deed Information Local tonin
Pate: 03/1993 Book: 00167 Page: 0781
Plat Book: 0002 Page: 059
Legal Description PIN
LOTS 8-13 ARDEN VILLAGE 5872437845
Property Values
Building: 241,2801
BXF: 8101
Land: 271,6801
Market: 513 77
Assessed: 513,77
Deferred: 21
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
00167 0781 03 1993 WD Unqualified Vacant 150,000
00116 0033 03 1985 WD Qualified Improved 70,000
00117 0781 03 1993 WD Qualified Vacant 150,000
00126 0033 03 1985 WD Qualified Improved 70,000
View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
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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/itsneWiew.aspx?prid=1462308 6/16/2016