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111 Somerset Ct, Lot 1 Davie County,NC Tax Parcel Report Tuesday, October 18, 2016 LU L ---- ---- 1AIv1P fZD I LIJ I 1 U 1 ---- ---- 111 '1 r W ` a ' I � 5 1 f — -------- 112 5 I I 1 1 1 1 I -- I --_ i �q102 145 144 � 71z9d4 Oq?y -•��� �<h 1 1/2//97 Yz �� P �l��jgG _ 133 + 12 7, 7o7 4 c. ©a KCLC[%lL ''^5kt a, xr O- 'f ,:;•; -:1 w, rr.�. -.. `re.`., „�., t�r� �.f.Y � . .:�" °'�,. ` -',� � AUYAORIZATION NO: 0977 DAVIE COUNTY HEALTH DEPARTMENT zr- ` ' Environmental Health Section PROPERTY INFORMATION Ve ittee s P.O.Box 848 . Name: gar, Mocksville,NC 27028 Subdivision,Name: �.%rJ/✓ "} Phone#:704-634-8760 Directions to.propertySection: /� Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION Road Name*. ` "Zip:' 1440 **NOTE*,*This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits.This FornVAuthorization Number should be presented to the Davie County Building Inspections Office when applying for.Building Permits. (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. TH SPECIALIST ENVIRONMENTAL HEA DATE ISSUED " �. '+...,n. r..;` �. T:"Fy'-or ".�vt ' .r DAVIE COUNTY HEALTH DEPARTMENT .. IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION eririitaa ! ,� s,s Name: Tfln �° ,z GAP° Subdivision Name: 9/��/t/ .� G'e- birections to property: Ir -: r�� Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# �.�' P Road Names• "' .� P� fir• **NOTE**This Improvement,,Permit DOES NOT authorize the construction or installation 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) ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE_ #BEDROOMS #BATHS—,'9_#OCCUPANTS GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION:FACILITY TYPE #PEOPLE #PEOPLFISHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE li-' REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH,l ROCK DEPTH., LINEAR FTS OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT k. "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 THE DAY OF INSTALLATION.TELEPHONE#IS(704)634-8760. OPERATION PERMIT SYSTEM INSTALLED BY. ^1 1 • ' - 110 , NQos� FA-C JT AUTHORIZATION NO._�_OPERATION PERMIT BY: DATE. "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT SYSTEM DESC ABOVE HAS BEEN INSTAL*INOMPLIANCE WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREA ENT AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96(Revised) t APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT&ATC ti Davie County Health Departmenta Environmental Health Section D P.O. Box 848 Mocksville,NC 27028 JUN 1' 7197 . (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSE S ALL THE REQUIRED INFORMATION IS PROVIDED. 3 1. Name to i,e BilledContact Person ►I Mailing Address Home Phone Cit} tate/Zip 3 �. wl1 Business Phone 2. Name or. Permit/ATC if Different than Above ' Mailing j!Adress City/State/Zip 3. Application For: [ ]Si Evaluation [. Improvement Permit&ATC [ ]Both 4. System to Serve: [ ouse [ ]Mobile Home [ ]Business [ ]Industry. [ er 1 : 5. If Re ' e,ice: #People #Bedrooms #Bat hrooms_49 [] Dishwasher[t4/Garbage Disposal [./Washing Machine [ ]Basement/Plumbing [ ]Basement/No Plumbing 6. If Business/Other: Specify type #People #Sinks #Commodes 1: #Showers #Urinals #Water Coolers i If Foodservice:#Seats Estimated Water Usage(gallons per day) 7. Type of water supply: , County/City [ ]Well [ ]Community, 8. Do you a-iticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [ No i If yes,what type? �- 3 EITHER A PLAT OR SITE PLAN :PROPERTY INFORMATION REQUIRED:***IMPORTANT***AXLx4AWF THE PROPERTY MUST BE i y SUBMITTED WITH APPLICATION. /, O X (� ( ) Property'�imensions: WRITE DIRECTIONS from ocksville TO PROPERTY:. I Tax Off c,-PIN: # -1771- 2- - Ss/d �f Q.LGf IGL"YYl /�cL Property...address: Road Name &0 , City/Zip —l�C �Y1I C. 1'�(~2�i If in Sul :.ivision provide i fo at* as follows: 1' Name: 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 County Health Department to enter upon above described property located in Davie County and owned by �ltJ r s to ndu al testing proceduresas n ssary to et ine the site suitability. DATE r 7 SIGNATURE Revised DCHD(06-96) IV THIS AWA MAY 13E USED FOR PRAtVINC YOUR SITE PLAN: i 'DAVIE COUNTY HEALTH DEPARTMENT l r Environmental Health Section ! � Soil/Site Evaluation NAME DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY6'1� 1 LOCATION OF SITE Water Supply: On-Site Well _ Community Public Evaluation By: Auger Boring Pit ��_ Cut FACTORS 1 2 3 4 Landscape position Slope HORIZON I DEPTH Texture groupC Consistence Structure Mineralogy HORIZON II DEPTH -0 Texture group C Consistence i Structure -C-h/ A Mineralogyl' 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: `/ 'EVALUATED BY: 1Z /Z LONG-TERM ACCEPTANCE RATE: 17 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 ;lay loam, SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-Vf--.-y 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 3C-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 ■■■■■....■■tee■.■.■■■■N..■■■.■■■■.H..■ ■........tt■t■■■■■■■tt.t■ ■■■■■■■■■■■■■■■■■■■■.■■■■.■■■.■■ ■.■■■■■■■.....■ttttttt■...■■■■■■ ■■■.■■■ttttt.■e■tttt■....■...■■■■■■■.■■■■......■...= t■■tettt■t■■■ ■..■■tt.■tOttOtt■tttt■ttt/■■ttttttrtttt■ OM ■■■ ■ MEN MMMENNEUMM No ■■■■■■tt.■■tttttt■...............■.■......■.t■.r. ■■■■tttttt■tttt■ ■..■.■.■.■■■■■■.■■■■.■.■..■....■ .■■rr■■■/■te■eee■■tt■e■ett■■t■t■ ■■t/■t■■■.■...■■■■■............■■■■t■■te■tee■e■�■=■te■■t■te■ett■■■ so MEMEMOM ■■..........■■■■■ttt...t■t/■■■ttettttteeett.t.■ ■ =.tt.■tr...rtt■■ ■■..■t■■■■■..■..■■■......■...■■..t.■■/HOtt■e■■■■■ Ott■■=rttt/ttt� ■■.....■ttt.■tett■tetttt■t■■■■ttr■ �iltt■Ott■//tHrr■r.tt ■ ■■■■■ ■■ttt/■■t■■■ts.■t■.■■tr■......■■tt?�sartttt■■■n■■■e■Ctttt■�i■tttr=■ ■■.....■■............■.............�a..ttr.trt..tttt t.tttt■tt tt■ ■■■....■........■■■■■N■■.■■■.■■■■.H....■■■/■ ■ttt�tt■■■■■tt.NJ .......■...■...■.....■Hrtt.t......t■tr...tttt■.■_■.. ■MEMMMEM■■� MENEM ■■t■t■t==■.■.■■■ EMOMMEMM sm MIMEMMOMEM INN MEMO MEMNON M no 0 IN MEMO =i iiMEMO�■ii 'm I MMMIIMMMMMMI Iii1MMENME ■ No I .0.10000000001 t■p� ni■ ■ e ■■1iiii1 .Ott.■ .trrt■ ....■■ .t..rt ...■ ....r ■■■� ■■■■.■ ■■.■tt....rrt■.■..■...Ht■ ttttttt■■t/ ■ ttt■.ttt.tt. ■■.....■■■■■......■■■■■rnttr.ettttttt ■Nn■■ tete■■■■ ■.■■.t■Ott./n■rtttrtt.rt■n■■etttte■ rt ■■.■t■■■ �s��������.'iiui����i'■��it��ri=ii� 0�MOM ME MOMME M ■■ ■ ON NEE on ............pprn.uN.MOMMUMMEM rt■NEE r.tMMEMEMEMMINE NEE No .. .... 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