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2631 Hwy 601Sf DAVIE COUNTY HEALTH DEPARTMENT / L) IMPROVEMENTS PERMIT AND CERTIFICATF .OF COMPLETION *NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a Sanitary Sewage Systems _ Permit Number Name «v �. a �_ '�� h _ c� - Date 1 h N2 638'1, 1 nratinn�` � \-\ \ _? c"), \ ..I 'A \` \ C7 �-��S l! \ \\�- �11 ` `? -i (1 �1'% Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home ✓� Business Speculation _Bedrooms _.No. `Baths— No. in Family Garbage Disposal YES ❑ NO p/ Specifications for System: Auto Dish Washer YES ❑ NO © 6 Auto Wash Ma .hine YES ff?�';� NO ❑ ; `�.., �*'e - �} c�L� 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. F v' GUI Improvements permit *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 0 F Certificate of Completion �[�O Date n �� *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 P. O. Box 665 RECEIVE13 APR Mockoville, NC 27028 1. Application/Permit Requested By Mailing Address 6' 1Z TIC / 3 l ?� Sd� 021-79 7/1 LARp Home Phone ? Business Phone 2. Name on Permit if Different than Above 3. Property Owner if Different than Above 4. Application/Permit For: lC) General Evaluation S. System to Serve: 0 House 8 -Mobile Home L] Industry u Other 6. If house, mobile home: Subdivision No. of People % Dwelling Dimensions ffeS/Tank Installation 0 Business 0 Unknown Sec. Lot# No. of Bedrooms "%17 7Basement/Plumbing tj No. of Bathrooms Z Basement/No Plumbing @.Washing Machine J Dishwasher Garbage Disposal 7. If business, industry, other: Specify type No. of People Served ,� No. of Sinks No. of Commodes 2 No. of Urinals No. of Lavatories :2- No. of Water Coolers No. of Showers / S. Type of water supply:Pub-laic @ Private Q Community 4 9. Property Dimensions 12/,fC��. 10. Sewage Disposal Contractor 11. Do you anticipate additions/expansions of the facility this system is intended to serve? [] Yes- LAy-No 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 trice best of my knowledge, and I understand I am responsible for all charges incurred from this application. Date Signature Directions to Property: .�&T DCHD (10-89) .� h n4AJ-.1. 1 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME 0U \ S C LJ �� V\y, a ADDRESS PROPOSED FACIILTY Water Supply: On -Site Well Evaluation By -k L- Auger Boring �— DATE EVALUATED PROPERTY SIZE 2 I 4 LOCATION OF SITE _ La I s ' 1 71 Community Public Pit Cut FACTORS 1 2 3 4 Landscape position R. Slope % O- U- _ a HORIZON I DEPTH Texture group C L Q L,_ I - Consistence T Structure MineralogX HORIZON II DEPTH 4 Q LA 0 11 4011 Texture group Consistence Structure K Mineralogy . A I1 ; HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS S,S RESTRICTIVE HORIZON -- --- ., SAPROLITE CLASSIFICATION 7, VS- S LONG-TERM ACCEPTANCE RATE -, o S- p , S - 77 SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD(01-901 EVALUATED ._�'�� 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:i, 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 ■OMENMEMEMEMENERM ■OMEMOM■EN000MEa■ ■OMM■■EMEMMEMEM" ■EMEMEM■ ■ENNOME■ ■M■■s■N■ ■OM■M■■■ Parcel #: M503OA002102 Davie County, NC - Basic Estate Search .w Basic Search Real Estate Search Tax Bill Search Sales Search Q View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Parcel #: M5030A002102 Account #:82514642 Information BXF• Tax Codes nd: LLARD JAMES DANIEL& DILLARD BEBEE J Market: ADVLTAX -COUNTY TAXI ssessed: E625Owner US HIGHWAY 601 SOUTH Deferred, FIREADVLTAX - FIRE TAX 2006E 0140 05 2006 WL OCKSVILLE NC 27028 Improved 0 Property Information Township Land (Units/Type): 0.580 AC JERUSALEM ddress: 2631 S US HWY 601 Deed Information Local Zoning Date: 09/2006 Book: 00679 Page: 0815 Plat Book: Page: Legal Description PIN 1.57 AC HWY 601 5746507701 Property Values uildin : 23,74 BXF• 1,41 nd: 12,87 Market: 38 02 ssessed: 38 02 Deferred, 3 Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price L 00159 0157 05 1991 WD Unqualified Vacant 0 2 00679 0815 09 2006 WD Unqualified Improved 27,500 3 2006E 0140 05 2006 WL Unqualified Improved 0 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information C< Return to Basic Search Page 1 of 1 q�4t� 1° K, 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=1470322 7/19/2016