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2613 Hwy 601SDAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 i Account #: 990004114 Billed To: Oakwood Homes Reference Name: Benjamin & Shelda Jonas Proposed Facility: Residence ATC Number: 4509 Tax PIN/EH #: 5746-50-6971 Subdivision Info: �bl� Location/Address: 2631 Hwy 601 S.-27028 Property Size: 1 ac. AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: �/1 Date: CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit has been installed in compliance with Article 11 of G.S. Chapter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAY be taken as guarantee that the system nctio satisfactorily for any given period of time. %e t septic system nstalled By: .r Environmental Health Specialist's Signature: �:YG��f Date: DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Bog 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990004114 Billed To: Oakwood Homes Reference Name: Benjamin & Shelda Jonas Proposed Facility: Residence Tax PIN/EH #: 5746-50-6971 Subdivision Info: Location/Address: 2631 Hwy 601 S.-27028 Property Size: 1 ac. ATC Number: 4509 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction of a septic tank 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 (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRAOR MUST SEE THIS PERMIT BEFORE_ INSTALLING SYSTEM. Residential Specification: Building Type 1� #People #BedroomsyJ#Baths ._ C Dishwasher: Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply Design Wastewater Flow (GPD)e� 0 Site: NewG--Repair ❑ ll ; !A System Specifications: Tank Size,/&V GAL. Pump Tank GAL. Trench Width � Rock Depth — -V Linear Other: As stated in 15A NCAC 18A.196%F, Required Site Modifications/Conditions: accepted Systems may also be used IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISERS) IF 6 - BELOW FINISHED GRADE. ****NOTICE: Contact r ative of the Davie County Health Department for final inspection of this system between 8:30 a.m. to 9:30 a.m. or 1: m. to :30 in. on the day of installation. Telephone # is (336)751-8760.**** Mal ��l '00 r Environmental Health Specialist's Signature: Date: U G DCHD 05/99 (Revised) Sep Sep -20. 2006= 2:52PM davie county envhvalth 336 751 87NO.2022 P. 1 p•2 PROPERTY INFORMATION NOTE: A survey'ptat or site plan trarxt accompany this application. (Permit is valid for 60 months w.th site plan, no expiration with compete lat.) Street Address AG3I 4&, S P - Tax PIN# Subdivision Name SectionfLoot# Lot Size I ac^ Directions To Site: mr) 1 M- go Date HousclFacility Corners Flagged, If the answer to any of the followil* questions is "yes", supporting documlatato tioo ►mist be attached- Are ttached Are there any existing wastewrtcr systems on the stte? DYei Does the site contain jurisdictional wetlands? Dyes ro Are there any easements or right of --ways on the site? 0 Yes *Xo Is the site subject to approval by another public agency? RYes,'tXl a Will wastewater other than don u sdc sewage be gtnuttted? OYcs�100 IF RESIDENCE FELL OUT THE BOX BELOW.. #People # Bedroo:ra #Bathrooms Garden iVWWhirlpool OYes Wo Basement: OYes Flo BasermutPlumbing:- OYes 0 IF NON -RESIDENCE FILL. OUT THE BOX BELOW Type of Facility/Business Total Square Footag: of Building Il! Pcoplc # Sinks N Commodes , _ # Showers # Urinals Estimated. Water.Usaple(Qallons..Wcay)(Attachdocwr�enationof. similar facility water consumption) FOODSERVICE ONLY. # Seats Type system requested:*onventional OAcceptcd ❑Innovative OAlternml+t DOtber Water Supply Type, 'Cowtty/City Water O Naw Well OExistitg Well O Community Well Do you anticipate additioes or expaosiow. of the facility this system Is intended tc- serve? O Yes (1Vo ifyes; what type? _ ll This is to certify that the infoonatioa provided on this application is due and canect to the best of my knowledge. I understand that any permits) or ATC(s) issued hereafh:r at subject to suspension or revocation if the site is altered, the intended use Changes, or if the inforrration submitted in this applicat on is falsified or changed. / undermnd that /am responsible for aU charges incurred Jkm this opplicafioh. I hereby grant risbt of entry to the Aud ofized Repfeaerr�ti�e of the Davie County Healdt Department to conduct necessary ittspecdons to detemmte compliance with applicable laws and'riles on the above described property located in Davie County and owned by Property owners of owner's legal representative signature Date Sigagiven DYes DNo Revised 2/06 Site Revisit Charge Date(s);T Client NotiticationDate: _ ENS: Amount N Invoice q b1% APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC c.v ,r • Davie County Health Department • �'bt= Environmental Health Section Q P.O. Box 848 g M k ille NC 028 oc sv 7 2 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED _ THE REQUIRED INFORMATION IS PROVIDED.' 1. Name to be Billed �d� —J �.�t.:1 Contact Person Mailing Address,�� Home Phone ?d 2 �� 1Z 9 City/State/Zip '%�f11�J�..�i�1. ✓ 1- f=, �2 7 a g Business Phone .5a.-1,_ 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: [Site Evaluation [ ] Improvement Permit & ATC [ k] Both 4. System to Serve: [ ] House ["Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People-_ # Bedroomsb2^ 3 # Bathrooms_ [ ] Dishwasher [ ] Garbage Disposal [//]Washing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing 6. If Business/Other: Specify type # People #Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: [ ] County/City &4 Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [y]"No If yes, what type? '" EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT **KXVM OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 2 y 6 1 WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: #S -7,5/b - T'0 - 6 �; Property Address: Road ]dame.9 b .ZS �uM 40)— s,,.&.; City/Zip &,", c2 7D.9 If in Subdivision provide information, as follows: (ttdQ_�-c /� ►+��A� Name: � s��l1 A Section: Lot #: 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 Davie Coynty Health Department to enter upon above described property located in Davie County and owned by DATE /n2 - Revised DCHD (06-96) to conduct all testing procedures as necessary to determine the site suitability. THIS AREA MAY 13E USED FOR DRAWING YOUR SITE PLAN: • ,. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME ! DATE EVALUATED o PROPOSED FACILITY PROPERTY SIZE / �l SUBDIVISION ROAD NAME (ODl Water Supply: On -Site Well Community. Evaluation By: Auger Boring 1'-� Pit Public Cut FACTORS 1 2 _•I- - 3 4 5 6 7 Landscape position .�. Slope % <- HORIZON I DEPTH Texture groupL, Consistence ✓ /' Structure Mineralogy HORIZON II DEPTH t 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 RATE: c REMARKS: DCHD (01-90) 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 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 ■E■EME■■■ ■E■MMEN■■ ■E■EMM■■■ ■MMEME■O■ ■■■■M■■E■ ■■■■MMEM■ ■■E■OMM■■ ■EM■MM■M■ ■E■■ME■■■ ■E■■M■■■■ MEMEMEMEM ■■N■MO■E■ MEMMENMEM ■EM■M■ME■ MEMEMEMMM ■E■EME■■■ ■■MEMS■■■ ■■M■EMMM■ ■■■■M■MM■ ■■■■■■ME■ ■■■NOMMEN ■ENEME■■■ ■E■MEM■M■ ■■■■M■■■■ ■■EOM■■■■ ■■■■E■■■■ ■■■■M■ME■ ON no ■ ■ ■■■■■■■■Nee■ ■■■■■■■■■O■■ ■■■■■■■E■■■■ MEMO■■■■■O■■ ■■■■e■e■■■■■ NONE OMMEMEMEMNONMONSONMM ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■E■■■ee■■■eeN■■■e■■■■■■■■Nee■■■ ■■■■■■eeee■■■eee■■ee■■■ee■eeee■ee■ ■■■■N■■■■■■■FIMMM■■■■ ■■■■O■■■■■■■ ■■■■N■■■e■■ee■Nee■eEE■■■e■■■Nee■■■ ■e■■ee■■■Nee■■�Mee■■ee■Nee■ ■EMEMEM■ ■■■■■ME■ ■EM■■ME■ ■E■■■ME■ ■■M■ MEMO ■■■E MEMO MEMO ■S■■ A■■■ '��J■■ an ■■■ ■■■■■N■■■■■■■■■■ee■■ ■■O■EE■E■■■■■■■■■■■■ ■■■■■N■■■MM■■■M■e■■■ ■■■■■e■■M■EON■■MMMMM ■O■■■N■■■■■■■■■■■O■■ Nee■■ ■e■■■ ■ ■ ■ ■ ■ ■ ■ ■ NOON■■■ MONSOON ■M■■■■■ MONSOON ■■E■E■E■■■ ■■O■■E■M■■ MEMO■■■M■■ ■M■■■■■■e■ ■■N■■ee■■E ■MN■■M■■■■ ■■O■■■■■M■ ■■e■NMOO■■ ■■E■■■■■■■ ■E■■■■■■■■ ■S■O■■E■■■ ■■N■■■■■■■ ■■N■■■■■■■ MEMO■■■■■■ ■■N■■■■■■■ ■■N■M■■■■■ ■■E■■■■■■■ ■ME■N■EMME ■■■■■EON■■ ■■SE■■■■■■ ■■OM■■■■■■ ■■E■■■■■■■ Davie County Health Department and Come Health Agency Environmenta[Health Section P.O. BOX 848 / 210 HOSPITAL STREET COURIER #09-4-06 MOCKWILLE, N.C. 27028 PHONE: (704) 634-8760 February 3; 1998 Janes D. Dillard 5625 Hwy. 601S. Mocksville, NC 27028 Re: Site Evaluation Highway 601 South/2.466 Acres Tax PIN(s): #5746-50-6971 Dear Client(s): As requested, a representative from this office visited the aforementioned site on January 30, 1998. Based upon the information provided on the application for site evaluation and after the evaluation was completed, the site was found to be provisionally suitable installation of an on—site sewage disposal system. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R. S. Environmental Health Specialist RH/wd Enclose-re(s) R/W R/W Tax ,,!cp 41-5-3 n/f damc3 E. Sides and Mr.-, Patrieio S. Sides H ' " DB 151 0 PG 538 r e � - •- 199.98' iIRS e-"- N 58°22'50"E T-Bcr w/Cap - 1 Joint Ute Gravel Orive _ — •+—. 1 { a Telc; noT r,c r Pcdustcl.S p -F'Z---'-- I --=_-____ Z' Ccn0._ • I� I f0 FerceJ iag Lc: -- 1 / raj 10' x 10' Conc. Acd.,.__li ;� N � ^ p Wcll/'Ne'I Hwse��' X - "•TI 10' a!d, 2 Story 3n J� House with •11 •l�. I Orick/Ynyl Sid'rg on 14.4' x J2.YEu�!S . Dr:ck r.l VII Iq cdI I II -------"', e P JI X _ ''f Joint Use Grovel Drive - �' • l I T-Bor w/Cap ' p' N� N 5g_ 32'Op"E 206.29 • Tax Lot 21 Tax Block "A" Tax Map M-5-3 2.466 Acres+/ - 199.54• Sh-A Encroaches S 60°27 5 �. T -Bar •N/Cc7 j Prccerty Uro `5„ � � � I O Joint Use Gravel Criv° � r 1 I 1 f Shed Encroaches "i R/W hway'601 26'+/— Pave,-,ient Tax Lot 21.02 Tax Block "A" Tax %lop M-5-3 n/f Louise R. Dillard DB 159 0 PG 157 45,08' N 34°47'35-N / 1/2" EIR I � i 1 I I 1 -Prc;erty Linc S 51°51'20"N 11• -- Tax Lot 27 Tax Block "A" Tax Map M-5-3 n/f David Ray Mliler GB 117 0 PG 584, 1/2" EIR 263.84' S 39°37'20"E C S a1°49'35"W 1/2" OR Fp \114.86' I 1--, x 0 I X Tax Lot 26 Tax Block "A" I Tax Map M-5-3 n/f Grady L. McClomrock, Sr. and Wife Lucy S. McClamrock DB 195 0 PG 508 Une otP. r f M "I Cnp� ti 9 Born Owe (yotrortY Une L 8 Bay, - 2'}�' Concrete Walk II I' Well House ' �II Concrete Pad --71 rNj Brick Building 11 II o 14.4' II 3 II 11 ,0 11 11� 6'+/- �-- oncrete Wolk t t N r-C--_----�e ;m -Old `__----- lean 2story n n I 1 Via_ Brick House x Part Tax Lot 21 I 1 Tax Block "A" 'a -. Fenced x Tax Map M-5-3 Dog Lot jf Billy Ray Tutterow, Joint Use Grovel Orme n— — — �I P X & Charles David Tutterow RB 442 0 PG 899 Vv X T.:gar w12 f� \NT -ear /Co^ J 1 R/W , 1/2" EIR . Fnd R/W S; Wighway 601 ' Public R/W 26'+/— Pavement Joint Use Gravel Drive Tax Lot 21.02 Tax. Block "A" Tax Map M-5-3 n/f Louise R. Dillard DB 159 0 PG 157 --L-• �� " Fnd I• 1 . I CI � L -11--r 1/2" EIR Fnd 5 T-Scr�CaP Fnd IRS L O Lot 1 Part of Tax Lot 21, t I Tax. -Block "A" -� Tax Map M-5-3 . 1.466 Acres+/ - 0 PP Shed Encroaches ,Property Une . 6.8'+/— I'll a - Shed Encroaches Property Line 6.7+/— L.- 10 .T+/ -L-10 X 11/2" EIR Fnd 0 IRS — i C L-4 �a o� X l x Tax Lot 27 Tax Lot 26 X Tax Block "A" I Tax Block "A" Tax Map M-5-3 Tax Map M-5-3 n/f David Ray Miller n/f The Lucy Shaffer McClamrock DB 117 0 PG 584 Revocable Trust. U/A May 14. 1997 1/2" EIR Fnd Divisionof Lot 2 Q111 'of Tax Lot.14 Part Tax Lot 21 Tax Block, 'W' Tax Block "A" Tax Map M-5-3 Tax Map M-5-3 n f James Warren Tutterow, / jf Billy Ray Tutterow, 1.000 Acres+/ CA Deborah T. Strausser, & Charles David Tutterow RB 442 0 PG 899 Vv 0 IRS — i C L-4 �a o� X l x Tax Lot 27 Tax Lot 26 X Tax Block "A" I Tax Block "A" Tax Map M-5-3 Tax Map M-5-3 n/f David Ray Miller n/f The Lucy Shaffer McClamrock DB 117 0 PG 584 Revocable Trust. U/A May 14. 1997 1/2" EIR Fnd Divisionof �r I I GnB2 pili dRd +a iad4�t'" GnB 1 .44` �6 r c t n r � E . . o "I � db ,�III ,d� I pu �iNP 1 X4 wb� adl�irra� i �' ni .r��:lry pii i 7,94 7 '701Eim N1 c TR yid lat �IN li� i� �� li 1i n m S } : IX C 1 t v � ' .' r. .y ,fix$ s '- �;4 ` vq 1171 ILI `N —-04 An WAT Qz L R i rc #pn m.� 4 ,.k • t ' T 3 •,R � dv R a4 40 r e DAVIE COUNTY HEALTH DEPARTMENT • - - Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION Account #: 990004114 Billed To: Oakwood Homes Reference Name: Proposed Facility: Residence Property Size: PROPERTY INFORMATION Tax PIN/EH #: 5746-50-6971 Subdivision Info: Location/Address: 2631 Hwy 601 S.-27928 1 ac. Date Evaluated: V Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit Public // Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % 71 ETC— HORIZON I DEPTH Texture groupL Consistence V / Structure r Mineralogy HORIZON 11 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: EVALUATION BY: L - 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 Tkinre 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 ONSIST .N ZYIQist VFR - Very friable FR - Friable FI,- Firm VFI - Very firm EFI - Extremely firm 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 1YOteS - 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 05105 (Revised) ■■■■■■■■■■e■■■e■■■■■■■■e■e■■■e■■■■e■e■■■ee■e■■ee■■e■■ee■ee■■■■■■ ■■■■■■■■■■■esa■■■s■■eee■■■■■■■■■■■■■■■■ee■■■ee■■■■eee■■■■■■■■e■ee■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■e■e■■■■■ee■■e■■■■■ee■■■■■■ecce■■e■■■■■■ ■■■■■■■■■■■■■■■■■■■■a■■■■■s■■■■■■■■■■■■��2,rr�■■�i�■%ice■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■t■■■■■u■��■■■■rimier■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■n■Ana■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■s■■■■pie■■■■■■■■■■■■■e■■■■■■■■■■■e■■■■■■■■ e■ecce■■■■■■■■■■ee■■e■■e■■e■■e■�e■■■■■ee■■■e■■■■■■■■■■■■e■■ee■■■■ ■��■��■�■�S■MME■■ OHNE■UM■E■■M■■■NNE■■■NN■■MENNEN ■■■■■■■■■■■■■■■■■■■■■■eee■■■■�■■■■■■■e■■ee■■■■e■■■■■■■■■■■■■■■■e■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■ee■eee■■■■■■■■■■e■■■e■►iea■e■eeeee■e■■■e■e■ee■■■■eeeeee■e■e■e■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■�■■■■!.1A/'/!r;�■■e■■■■■■■■e■■eee■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■e■■e■■e■■■■■■eese■■■■■e■ee■■■ecce■ee■ee■■eeeee■e■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■■■■■■■■■■■e■■■■e■■■■■■■■ Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 Improvement Permit September 22, 2006 Oakwood Homes 828 Piedmont Drive Lexington, NC 27295 Re: 2631 Hwy 601 S. Tax PIN# 5746506971 Dear Mr. Smith This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems). This Improvement Permit is subject to revocation if site plans or the intended use change. System To Serve: G' Wastewater Design Flow(GPD): Valid: Years ❑No Expiration System Type: ❑Conventional Accepted ❑Innovative ❑Alternative ❑Other Site Modifications/Permit Conditions: d n eq osle Aew swa sA As stated in 15A NCAC 18A.1.913 51 u) r,•. accepted Systems may alvo h,: use i.p.letter 7/06 Parcel #: M503OA002103 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bill Search Sales Search Q View Property Record for this Parcel View Man for this Parcel View Tax Bill Information Parcel #: M503OA002103 Account #:82523427 Owner Information Building- Tax Codes BXF: ONAS BENJAMIN X JONAS SHELIA C 1OCKSVILLE Land: ADVLTAX - COUNTY T Market: 613 US HWY 601 SOUTH Assessed, FIREADVLTAX - FIRE TAX Deferred: NC 27028 Property Information Township nd (Units/Type): 1.000 AC JERUSALEM [Address: Deed Information Local tonin Date: 10/2004 Book: 00576 Page: 0034 Plat Book: Page: Le al Description PIN 1.000 AC HWY 601 5746517091 I Property Values Building- 60,6701 BXF: 5,1301 Land: 1755 Market: 8335 Assessed, 8335 Deferred: Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 1 00576 0034 10 2004 WD Unqualified Vacant 0 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search Page 1 of 1 V1 c°Ws 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=1466930 8/2/2016