4335 Hwy 601Nr � � 4 -,a r, n .`ai . ,`i,'' e '��J:e aS �.: �' x .*�� {;,,i;� d � 'a +., :a t„ ..a ry � i ,•'+ _ ._ �,_
S 4 r
DAVIE ' COUNTY HEALTH DEPARTMENT
-�� - IMPROVEMENTS PERMIT AND . CERTIFICATE OF COMPLETION
I�f *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a
Sanitary Sewage Systems o a,` 9-, Permit Number
Name �� �! F i1J/ls1 6%�rl:�,.�,<f /'`� Date /P" - Ix/ %/ N2
'r
Subdivision Name _z�= -611 Lot No. Seca or Block No. ��
Lot Size ���f/,�,, House Y Mobile Home _T Business Speculation
No. Bedrooms No. Baths No. in Family a _
Garbage Disposal YES ❑ NO 2r'— Specifications for System:
Auto Dish Washer. YES I NO ❑ /
Auto Wash Ma .hine YES NO E]f y
y /1�c9 ��
Type Water Supply 4i___ `T ��
*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.
*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
s
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.
m
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation �r //�
NAME Vii, DATE EVALUATED �v ` �D _2Z
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY u�k-- LOCATION OF SITE �D>�
Water Supply:
Evaluation By:
On -Site Well
Auger Boring 4J
Community
Pit
Public e__--'
Cut
Landscape position
,L
Z
FACTORS
1
2
3 4
Landscape position
,L
Z
Slope Z
L
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
ell
G
Consistence
,
r67
Structure
Mineralogy
/
,
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
)OS Zn
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE: t 7
REMARKS:
DCHD(01-901
EVALUATED 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
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
■■
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■EN
■o■
■o■
■
■
■EMEMEMMEMEME■E■■
5OMMEMEMi■MOM■EM■
■OMME■0MOMMEMOM■■
��. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. 0. Box 665
Mockaville, ' NC 27028
,l. Application/Permit Requested By;U��������
Mailing Address,
Home Phone g`1�15 -4 gs Business Phone �� q93 10
2. Name on Permit if Different than Above
3. Property Owner if Different than Above t) I
4. Application/Permit For: lC) General Evaluation 2/S/Tank Installation
S. System to Serve: VHouse Mobile Home 0 Business
L Industry u Other Unknown
6. If house, mobile home: Subdivision r� ALL &r11FLoP/iEWec.�_ Lotnl.Ar-7
No. , of People Z Dwelling Dimensions '�o /1 40
No. of Bedrooms - Basement/Plumbing
No. of Bathrooms _ ` Basement/No'Plumbing
Washing Machine Fj Dishwasher 0 Garbage Disposai
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:Publicdo.4 o/ , 0 Private Community
9. Property Dimensions
I , " /\ �21�
10. Sewage Disposal Contractor_��
11. Do you anticipate additions/expansions of the facility this system is
intended to serve- Yes P-lqo
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.
/0 — 7 Z 9- —It
Date Signature
Directions to Property:
I/o R T l-1 0/y 6 o I
p� krr
DCHD (10-89)
Parcel #: C300000085
Davie County, NC - Basic Estate Search
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View Property Record for this Parcel View Man for this Parcel View Tax Bill Information
Parcel #: C300000085
Account #:65175500
Owner Information
Page Month Year Instrument
Tax Codes
115 72
ERMAN PHILLIP DEAN& SHERMAN PATRICIA A
22
ADVLTAX - COUNTY TA
16 00
35 US HIGHWAY 601 NORTH
LO3
131 94
READVLTAX - FIRE TAX
13194
CKSVILLE NC 27028
Vacant
Property Information
3 00161
Township
Land (Units/Type): 1.120 AC
Vacant
CLARKSVILLE
[Address: 4335 N US HWY 601
Deed Information
Local Zonin
Date: 10/1991 Book: 00161 Page: 0202
Plat Book: 0004 Page: 127
Le al Description
PIN
LOTS 6-7 FOSTALL SECTION 1
5822171771
Property Values
Page Month Year Instrument
Buildin :
115 72
BXF:
22
Land:
16 00
Market:
131 94
ssessed:
13194
Deferred:
Vacant
Sales Information
No. Book
Page Month Year Instrument
Qual/UnQual
Improved
Price
L 00139
0016 07 1987 WD
Qualified
Vacant
2,500
>- 00141
0728 '01 1988 WD
Qualified
Vacant
3,500
3 00161
0202 10 1991 WD
Qualified
Vacant
2,000
View Property Record for this Parcel View Map for this Parcel View Tax Bill 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,
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=1476602 8/23/2016