2324 Hwy 601SLT DEPARTMENT�� 5
DAVlE COUNTY HEA H
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Subdivision Name
Lot No
Sec. or Block No
Lot Size House Mobile Home — Business -- Speculation
No. Bedrooms No. Baths No. in Familyl
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES ❑ NO ❑
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
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.
1 �
Final Installation Diagr;
em Installed by
Certificate of Comp
letion— Date �l
*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.
:DAVIE COUNTY HEALTH DEPARTMENT
" ' 4 IMPROVEMENTS PERMIT AND ' CERTIFICATE OF COMPLETION
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
-' ..__(`'``':; , , Date �.
Name – -- - .... _
Subdivision Name
Lot No. Sec. or Block No.
Lot Size House Mobile Home— _ Business Speculation
No. Bedrooms `_'��, No. Baths No. in Family J
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES ❑ NO ❑
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
i
V
.1
. � r
1
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 Diagrai
m Installed by
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.
Parcel #: L5150A0014
Davie County, NC - Basic Estate Search
PAsic 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 #:L5150A0014
Account #:16657000
Owner Information
Building:
Tax Codes
BXF:
ONNELL JAMES ROBERT & CONNELL ANNIE M
Land:
ADVLTAX - COUNTY T
Market:
324 HIGHWAY 601 SOUTH
assessed:
READVLTAX - FIRE TAX
Deferred:
MOCKSVILLE NC 27028
Information
Township
EressProperty
(Units/Type): 1.780 AC
JERUSALEM
:2324 S US HWY 601
Deed Information
Local Zoning
Pate: 11/2000 Book: 00351 Page: 0091
[Plat Book: Page:
Legal Description
PIN _
2.63 AC HWY 601 1.78 AC
5746236560
Property Values
Building:
46,54
BXF:
4,02
Land:
21,49
Market:
72 05
assessed:
72 05
Deferred:
Sales Information
No. Book Paye Month Year Instrument
Qual/UnQual
Improved
Price
00351 0091 11 2000 WD
Unqualified
Improved
20,000
View Property Record for this Parcel View Map
for this Parcel View
Tax Bill Information
« Return to Basic Search
Page 1 of 1
Orio ��
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/itsnettView.aspx?prid=1481627 7/14/2016
i x _..M 47 4 w; f w:.,.: .t. a. a ( '.^,rf .z ti.nu�: ,k+•a 3.. , �:e dy» ,. d ....
s, i �l 1 r'Y !'4+. � ..r�cl, .y.,�, �•s.� .-i� t,: �`� i �"YS''-F ....,- y.: +..`i .. r .. .'.: ♦., y���s 3.^ti
DAVIE COUNTY HEALTH DEPARTMENT
'IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issuedfn Compliance With Article II of G.S. Chapter 130a
mita Sew,� s r
e S stegmPermit uje
�t Name.. .711;14Date )Alth.? Np U
Locati —
Subdivision Name Lot No. Sec. or Block No.
t/
Lot Size House -Mobile Home _ Business __ Speculation
No. Bedrooms No. Baths— No. in Family
Garbage Disposal YES Q NO ❑ Specifications or System:
Auto Dish Washer YES [p, 0 ]� Ai��
Auto Wash Ma thine YES E] NO
[ "may
Type Water Supply 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.
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
IDL)
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.
1
r'
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department IE;I'IV ILL i�
Environmental Health Section {'� `�
P. O. Box 665 AUG 0 ��y3
Mocksville, NC 27028
--------------
1. ---- ---- --
1. Application/Permit Requested By
Mailing Address d12
Home Phone
2. Name on Permit if Different than Above —
3. Application/Permit for:
4. System to Serve: ❑ House
❑ Business ❑ Industry
5. If house, mobile home: Subdivision
Business Phone
❑ General Evaluation
obile Home
❑ Other
tic Tank Installation
❑ Place of Public Assembly
❑ Unknown
Section Lot #
❑ Basement/Plumbing
No. of People 2 ❑ Basement/No Plumbing
No. of Bedrooms 2 GL -Washing Machine
No. of Bathrooms 2— ❑ Dishwasher
Dwelling Dimensions ❑ Garbage Disposal
6. If business, industry, place of public assembly, 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 Water Usage Figures
7. Type of water supply: ❑ Public Private ❑ Community
8. Property Dimensions -Fc re Sewage Disposal Contractor c� cssc y� `Cw C
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? 15' Yes ❑ No
If yes, what type?°� ss��,/� ,��%4p, lose im -14e -t o4urc
'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: e/ -5c:— -fv � ".toss t -reeks; Corn e r -s„ egs.5 cq laXS 4. �
�4 SS
� XleGctij
Qvrc FS'%� aK
r -i9 J, d- �o
c/o u & CY�
/ IAC-
g�ve
Wau.5_q� NH.^LcC�` (* C...J4fNete
o., ��1.-f
CPox 1x76)
gcrosS
ro C
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.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: 6Z 1. 1 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 system.
O
DATE SIGNATURE
DCHD (12.90)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME /�/Kii l7e //
ADDRESS
PROPOSED FACULTY
DATE EVALUATED
PROPERTY SIZE 1"%G
LOCATION OF SITE �O/S
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS
1 2
3 4
Landscape position
L
L-
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON I.I. DEPTH
Texture groupC�
Consistence
1 70
=121r
Structure
,r1 r6 A -
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texturegroup
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
,
SITE CLASSIFICATION: EVALUATED BY:
LANG -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 -Finn 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
■■■I■■■■li■I■■■■■■■■Iii.!■■■.■■■■■/■■lie.■■■.■..■..■■..■■■ ■■...■■
■.■■■■.■.■■.■...■.■■■■..■■■■■iI■■i/N■■.■■.....■■...Ii.■■■.■■..iii■
■■...■■■.■.....lilil■■■I.l.■■■■l■■■■Ill.■■■ill!■■■■■■■■liil■■■..■■
■O■■O■■i■■■Ii■■/■l■■li■ll■O.■■IIsi....■■...■■.....■.......■..■.■■■
■..■■■ilii.■■■■.■OO■■■■■!■■liI■■I■■...■...■..■...■.■..■.■..■O.mom
■■..il■..■■■i■I■■IIII■..I■■■■■■■ ■■I..■■iI/I■iI■■■.■■...■...■l®/■
■■Ii■■..■■■..■■iii....■..■■■■■■■�■■■.■■..........■.■■■....■....■■
■■..■■Oi■■■■......i■■■!■■■■...iii■■■I■■..i...■■..lei►"�■.....0■.■...■
■.■■■.■■!■■■■■.iii■■■■.■O■■■i■■ ■■■■■ilii!■■■.■.I..■....■■i■■ii■
■■■■..!■■■■..■■.■■.■.....■....■..■.■..■.■■■.■■..■...■.......■...■■
■■..■...■..■..■.....■■.ail.■.I..■.■.....■...■.■.■._..■■...■..■..■■
■■■...■l.■■Iii■....■■..■il■■■■■■ ■■■■■■■■ ■II.■Ilii.■■lll■lll■i■
MENEM
■■I..■OI/l■.O■Ill.■..O.ISI..■.I■I�.......■.■..��..■..■...■.■..■■.■■
■■■■...■■■■.■■.■..0..■■OY■■■■■■■■iii/■■O�■■■■17L�■■... ■..■.......■■
UiiiiiiiiiiEN! MEiiiiiiiiii
■..■...■......■.......�■....■■.■......Hfi .■■...■ ■.■■■.■■■■■■■■■■
..■.■■...■■.■■.■■...■.■.■.■.■..■..■■■.WHIS .■■■. ■ ■■■■.■.■■■■■.■
.■I...O.■.O.N.■.O.O/l.O..I/■.I■ .... Olil N .. ■ ■■ I■■l■■
■■i■■■■■■■■0......■■...0..■■..■.�■■■mu■■■■Hi■■O.■■■■H■■o■■O■
■..■■.■■...■.■.■■....■..a..■■......... ■■■....■ ■■.■■■■■■■■ .■■■
■...■....■...■.■..■e..0■.■■.■....■ ..■■.... ■ ■ ■■■■■■■ ■■■■■■ ■
■..■■.......■.■■.■....■■..■■.............■ .... ■ ■■■■■ H■■■..■
..............■....0.....■....■■..�.■.N�.�H■O �.�■�.�.■■..■.■
■■.....■...■...■.■..■.....a■...ei� ..H. H■■. ■ ■ ..■■■■■■.■■■
■■..i.■■■..■■■...■..■■■.■.■.■■.. .■..■H.■■■ ....■■■O■■.■....■
■...■N■■.■...........■■............ ■■.■ ■ ■.■■■■■.■.u■..■■
■O..■■. ■.■..■■■■■■ ..■■■..■■■■■■■■�.H■�■ ■ ■■■■O■■■O■.. ■■■■■
iiiiiii iii�iiiiii.■=iiiiiiiisiiiiiiioiiiiii■ ■i■iiiiiiiii=ii�No
■■i......■■■■.........■■..■■..e......■..■.�C�.■■■�■..■C.■.■■■■■■■
■........■.■....■....■.I■....ii!■IiiH..O■ ilii/...IO. ■■IR .OI
■■■OOI■.■.■.■■■■.■.■■■■O.■■■O.i■ ■■I■■.■ ..IO.NO..iIO.li■O■■■■■■
■■■■■■./■■■.■..■■■■■.■..■■■■■O.uIO.■iii! ■.N■NI...NI■...■.l■■■
■■■l■■.R■■■III■■ll■■■■IIID.■■■■■■.■R/■i /N■ ■.■■■■■.O■■■■H■■■■
■..■O.■■...■...■■.■■■■..■...■■■■■O.■■.■.■■.■.■.■...■OO■..R.■iii.■
■■■.■■■■.■■.....■.II�■■...■■■..i�.■ilii.■.Ili.i...■....Ili■!■.■■■
■■■■■■■..■...O.II■l■.■■■■...■ti■ ■O■■■■■O■■■■■I■■■■■■O■■I■■.■O■■■
■■■■■■■■■Ol■■■■■■O■■O■O■■■■■■■■■■■■■■■■■■■■O■■■■O■OOO■■O■■O■■i■■O■
■■■■■O/■■■O■■■I/■■■.■■■■■■■■/■IO■■■■■O■■■O■■■O■■■■■O■■■OOOO■■O■■■■
■■■.■■■■■■■■■■■lO■■■O■l■■■■■.■■■■■■■■■■O■■■O.■■■■■■u■■O■.■■■■■■■■
■/■■ ■■.■■■I.I.O/■■.■■/■■■l■■■■/U■.■■■/.O■■■■I■I■■■.■■/■O.■N■■■■
■.■■■■■■.■.O■.■■■■■■■l.■.■■■■■■■ ■■■■■■■■/■■O■I■■■I.■■■■■■■I.■■.■
■■■■O■■I■■l■■l■■■■■l■■■■■■O■■■■u■■■■O■■.■■■.■.■■■O■■.■■■■■■■■..■■
Parcel #: L515OA0014
Davie County, NC - Basic Estate Search
't
Basic Search Real Estate Search Tax Bill Search Sales Search
View Property Record for this Parcel View Man for this Parcel View Tax Bill Information
Parcel #:L51SOA0014
Account #:16657000
Owner Information
Tax Codes
ADVLTAX - COUNTY T
READVLTAX - FIRE TAX
ONNELL JAMES ROBERT & CONNELL ANNIE M
324 HIGHWAY 601 SOUTH
MOCKSVILLE NC 27028
BXF:
Property Information
Township
Land (Units/Type): 1.780 AC
ddress: 2324 S US HWY 601
JERUSALEM
72 05
Assessed:
72,05
Deed Information
Local Zoning
ate: 11/2000 Book: 00351 Page: 0091
Plat Book: Page:
Le al Description
PIN
2.63 AC HWY 601 1.78 AC
5746236560
Property Values
Building:
46,54
BXF:
4,02
Land:
21,49
Market:
72 05
Assessed:
72,05
Deferred:
Sales Information
No. Book Paye Month Year Instrument Qual/UnQual Improved Price
1 00351 0091 it 2000 WD Unqualified Improved 20,000
View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
« Return to Basic Search
Page 1 of 1
oP�r�
t;:
t+0 U 10-1�
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/itsnet/View.aspx?prid=1481627 7/14/2016