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1687 Hwy 601N.-.¢ . .-., _ .. �..:..,.a.�:�....-r �+'w'�.ua ���.��y��V�'i`�:"_ .s.:a�..i � a.,✓. �.� �ti:, e� :r..W }�.,y:.d.'� t enti^...4.✓w»r `-✓'�Y'af': .fa.rar �f�"y'� � i-- yr` �1�1, R a �njF��Y �'' 1 y"'��-•'k Y ai �� Q'_" .. if , .y� r � .. 4,� . � . ���� �„^ 1.. r"11 �� �...,,� � , � _AUTHORIZATION NO. „� �� S�DAVIE COUNTY HEALTH DEP RTMENT � r�:, �� - Environmenfal Health Section PROPERTY I FORMATIQI� ,_ �,,,,,'� ;Permitfee s : � ' . ' '` , . � ` ' P.O: Box 848 . '`Name: � .•�� 1 i �} � � �'�'"1 GE-�i ��i i`�' -�-� � �G,7Mocksville,:NC. 27028 Subdivision Name ' , 4_ -,- .�� . . � , �.µ Phone # ,336 751-8760 `: r Directions to property: �`�.'�'-� � ' j`�`�� �'`'t� ° .� . AUTHORIZATION FOR - S ection: Lot: WASTEWATER Tax Office PIN:# . ' SYSTFM CONSTRUCTION � ' Road{Name: � �i��.i (��1 � Zip: �= �u2�' ,. **NOTE** This Authorization for Wastewat�erSystem Construction MUST BE ISS[1ED by the Davie County Environmental Health Sect�on prior to issuance of any Building�ermit,s: This Fomi/Authonzation Number should be presented to the Davie Counry Building Inspections ; Office when applying forBuilding Permits.'' `: (ln compliance with Arficle 11, o�G.S, Chapter 1.30A; Wastewater Systems Section :1900 Sewage Treatment and;Disposal Systems) ' �. � f:� I, ***NOTICE*** THIS AUTHORIZATION FOR VI�ASTEWATER CONSTRUCTION `` ' r.� '� �' ; •--..,,,' �cf , •. O '. ' , : ;: . , ' IS VALID FOR A:PERIOD OF FR'E YEARS, , ; : : , -� ENVIRONIv�IE A HEALTH SP CI�T DAT ISS ED � „ .�. -. > , , - . .. . , , ,:. ` , , . �. � � , ,.' . ,. , , r, _ . _ , . . . _. . � -V4 a t Ft ! AW DAVIE COUNTY HEALTH DEPARTMENT " ,IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION , Rermitte '„s N~ Subdivision Name: l ;i .M~TI�uections to property: t . ! t r'; -� `# Wh Section: - Lot: IMPROVEMENT PERMIT Tax Office"PIN:# - Road Name: Zip i v r C.lr/ • c. J ,NOTE** This Improvement Permit DOES NOT authorize the construction or installation of aseptic tank system or any was system An , AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained frdm this Department prior to the construction/installation of a system or the issuance of a building permit. (Iii compliance with Article I I of G.S. Chapter 130A, Wastewater Systems, Section :1900 Sewage Treatment and Disposal Systems) ***NOTICE***:THLS PERMIT IS SUBJECT TO REVOCATION IF SITE,.,, PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ; ENVIRONMEPTTAL HEALTH SPECIALIST `'' DATB ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE , INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE yy���� ����# BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No E . COMMERCIAL SPECIFICATION; FACILITY TYPU—, PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes o 0 LOT SIZE TYPE WATER SUPPLY 0 T DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE -2 SYSTEM SPECIFICATIONS: TANK SIZE�00 ® GAL. PUMP TANK GAL. TRENCH WIDTH f.6 ROCK DEPTHe20 LINEAR FT. ! c OTHER p REQUIRED SITE MODIFICATIONS/CONDITIONS: i-�% G 1 t.1��a l�y� K� � l D' or-r,1 ftF 1, t "J e DCHD 05/96 (Revised) O C? DCHD 05/96 (Revised) k �.a�ry ac:. a`'T s ,. ����i"�t�h'� � viY'Si -'r 7"Yv''.r"•i ¢`r>w . � .^-. , � 3 �n"ac'�,•c� ir'c S - ^ �r '•a'ti s. a.+ f+„n-`• " *v �a � � ` ..,�� drtru+.: i'G"��. ±;;.l.r'a��;^� ^��°,i: k. � 1... y�y 'c, 56'- kry •;c'" 1� 'a ie�r �'r ` r4 ., ! ✓�"" y. �,,,, �/tr•^� t -1 73 50 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION f ' tP.ertnitte Name " :: t i "i ,' ti •. tl1 1" is Subdivision Name: ft .� Directions to property: 1 �4=' ' It;'' / Section: Lot: IMPROVEMENT Tax Office PIN:# � PERMIT Road Name: L I V i.,., �,:1 t. zip: * ,NOTE** This Improvement Permit DOES NOT authorize the construction or installation of aseptic lank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. (Th compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL'H$ALTH^SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE y.,..- INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICA`fION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPEf ,' 1 LkZh4# PEOPLE # PEOPLE/SHIFF # SEATS INDUSTRIAL WASTE: Yes oNo LOT SIZE�TYPE WATER SUPPLYi,. ,—:J ) T' -f DESIGN WASTEWATER FLOW (GPD) �= j' NEW SITE REPAIR SITE f , _..... ...�..i. M+�'.,: 11 `tom SYSTEM SPECIFICATIONS: TANK SJZI O GAL. PUMP TANK GAL. TRENCH WIDTH -vim ROCK DEPTHLINEAR FT. (< Y OTHER REQUIRED SITE MODIFICATIONS(CONDITIONS: 1"'�i�!�_�(' J k^�= E �= 1 i7� C:S-F 1 4i• L 1 t IMPROVEMENT PERMIT LAYOUT f *APPROVED EFFLLrE FILTER* *RISER(S) IF 6 BELOW FINISHED GRADE*` f i- fECT. ._ ..� T j Y **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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634:8760. 1 3tSixxxxNHX OPERATION PERMIT SYSTEM INSTALLED BY: µ r AUTHORIZATION NOJ, OPERATION PERMIT BY: DATE: ' **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THATSYSTEM DES RIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE' WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREA ENT -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 05196 (Revised) s: r r� r APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & Davie County Health Department Environmental Healtfi Section P.O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 i @ L5 ow 15 AR b 2000 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. .r' /./ 1 1/-\ I til. C r 1. Name to be Billed Mailing Address City/State/ZIP 2. Name on Permit/ATC if Different than Above Contact Person Home Phone Business Phone Mailing Address City/state/Zip 3. Application For: ❑ Site Evaluation 911 Improvement Permit/ATC a. system to service: ❑ House ❑ Mobile Home ❑ Business S. If Residence: it People # Bedrooms ❑ Industry ❑ Both i9' Other .. M Bathrooms O Dishwasher 1.1 Garbage Disposal II Washing Machin II Basement/Plumbing H Basement/No Plumbing 6. if Business/Indu try/Other: Specify type N People _ # Sinks # Commodes. i Showers 1i Urinals r Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of Water supply: 0/ County/City ❑ Well ❑ Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes (�Io If yes, what type? ***Ib1P0RTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY xP;F0:2,`riATlvi. REC1uES 1 ED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: Tax Office PIN: # Property Address: Road Name / 4 ,i1 w, t W/ g City/Zip 41V If in a Subdivision provide information, as follows: Name: Section: Block: I.At: WRITE DIRECTIONS (from Mocksville) to PROPERTY: Date Property Flagged: �e— 6- —0 C, This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the 1)3viiegounty He It Departmen to enter upon above described property located in Davie County and owned byILLS to conduct all testing procedures as necessary to determine the site suitabil' . DATE ��� �DOU SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (I elude all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). so- ('0 Revised DCHD (07/99) 10 Site Revisit Charge Date(s): Client Notification Date: EHS: Account No. Invoice No. ~ P;3 / PROPOSED PARKING / 198 AREA ~ ----_' --_.`-° � � ry DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION Account #: 990001085 Billed To: Faith & Victory Ministries Reference Name: Tyler Lynde Proposed Facility: Church Property Size: PROPERTY INFORMATION Tax PIN/EH #: 5729-85-3410 Subdivision Info: Location/Address: N.C. Hwy. 601 N.-27028 200 X 100 Date Evaluated: Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group 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 SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RA' REMARKS: EVALUATION BY: 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 CONSISTENCE Mois 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 05/99 (Revised) Parcel #: H40000000601 Davie County, NC - Basic Estate Search . Basic Search Real Estate Search Tax Bill Search Sales Search View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Parcel #: H40000000601 Account #:8300266 Owner Information Building: Tax Codes BXF• HE PARC INVESTMENT GROUP INC Land: ADVLTAX - COUNTY T Market: 4 652 US HIGHWAY 158 ssessed• FIREADVLTAX - FIRE TAX Deferred: MOCKSVILLE NC 27028 Unqualified Improved 150,000 Property Information 1986 WD Township Land (Units/Type): 1.000 AC MOCKSVILLE [Address: 1687 N US HWY 601 Deed Information Local Zoning Date: 04/2011 Book: 00857 Page: 0079 Plat Book: Page: Legal Description PIN 1.43 AC HWY 601 53273410 Property Values Building: 46,6001 BXF• 3,60 Land: 138,00 Market: 4 188 20 ssessed• 188 20 Deferred: 2011 WD Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price L 00331 0007 04 2000 WD Unqualified Improved 0 ? 00857 0079 04 2011 NW Unqualified Improved 0 3 00857 0082 04 2011 WD Unqualified Improved 150,000 $ 00130 0191 02 1986 WD Qualified Improved 75,000 View Property Record for this Parcel View Map for this Parcel View Tax Bili Information < Return to Basic Search Page 1 of 1 oZvt� A. out4 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, 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/itsnetfView.aspx?prid=1477090 8/10/2016