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5002 Hwy 601N;Xro DAVIE COUNTY HEALTH; DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a r Sanitary Sewage S stems - _ Permit Number Name ���Y� �� �� t"�5 Date t�Y ,1� NO 6230 Locat' `� �=' you c s �� `\A Q-1 Subdivision Name A� ! 1 Lot No. Sec. or Block No.. ' Lot Size t y House Mobile Home �'� Business _— Speculation No. Bedrooms No. Baths ,= No. in Family Garbage Disposal YES ❑ NO ©�, Specifications for System: Auto Dish Washer YES p' NO � Auto Wash Machine YES ©' NO ❑ 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 revocation if site plans or the intended use change. .i. Improvements permit byQs"— 'Contact a representative of the Davie County Heal h Department for final i4ection of this system between 8:30- 9:30 A. M. or 1:00-1:30 P.M. on day of completion. elephone N tuber: 704 634-5985. Final Installation Diagram; daSstem InsTed b t S h. �.()SP .6 , 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. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section�CEIy� y' P. 0. Box 665- Mockaville, NC 27028 Al. Application/Permit R quested By _ Mailing Addrress1 �i Home Phone \ �qj �h l -,O d Business Phone 2. Name on Permit if Different than Above 3. Property Owner if Different than Above 4. Application/Permit For: 0 General Evaluation V-S/Tank Installation S. System to Serve: 0 House z --mobile Home 0 Business 0 Industry u Other 0 Unknown 6. If house, mobile home: Subdivision Sec. Lot# No. of People 3 Dwelling Dimensions No. of Bedrooms _ Basement/Plumbing No. of Bathrooms Basement/No Plumbing 10"Washing Machine. %Dishwasher Garbage Disposal 7. If business, industry, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers S. Type of water supply: C Public �ivate 9. Property Dimensions D Community 10. Sewage Disposal Contractor- • &/ 11. Do you anticipate additions/expansions of the facility this system is intended to serve? Yes G-'-'�o 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 applicatio . Date Signature r Directions to Property: DCHD (10-89) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ADDRESS �" P PROPOSED FACIILTY DATE EVALUATED / �;L— I 'c�' ? O PROPERTY SIZE LOCATION OF SITE Water Supply: On -Site Well V1, Community Public Evaluation By�,tL Auger Boring S Pit Cut Slope Z FACTORS 1 2 3 4 Landscape ositionRec. S S S Slope Z HORIZON I DEPTH (ATexture rou L C L C L CL Consistence FT Structure CK MineralogX HORIZON II DEPTH Texture group =-1 Consistence - h7 Structure A a k_. R 47 Mineralogy HORIZON III DEPTH Texture grou2 Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS S 5 RESTRICTIVE HORIZON— SAPROLITE - — — CLASSIFICATION 5 S S LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: S LONG-TERM ACCEPTANCE RATE: REMARKS: cy.• DCHD (01-901 EVALUATED BY: U 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 Mineraloity 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 Parcel #: B30000003401 Davie County, NC - Basic Estate Search -iBasic 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 #: B30000003401 Account #:78972000 Owner Information Buildin : Tax Codes BXIF ILKINS BETTY 30 nd• ADVLTAX - COUNTY T arket: 002 US HIGHWAY 601 NORTH ssessed: FIREADVLTAX - FIRE TAX Deferred: OCKSVILLE NC 27028 Property Information Township Land (Units/Type): 7.170 CLARKSVILLE lAddress: 5002 N US HWY 601 Deed Information Local Zoning Pate: 12/1990 Book: 00157 Page: 0352 Plat Book: Page: Legal Description PIN 17 AC HWY 601 5823069736 Property Values Buildin : 49,87 0011 BXIF 3,46 nd• 56,93 arket: 110,26 ssessed: 110,26 Deferred: Sales Information No. Book Paye Month Year Instrument Qual/UnQual Improved Price 00157 0352 12 1990 WD Qualified Vacant 6,500 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search Page 1 of 1 oP�r� wrj--111� 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.daviecountyne.gov/itsneWiew.aspx?prid=1458160 8/24/2016