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2997 Hwy 64E y�� \ ..�_ J ...e. r� ., .itt��v .., `s . . -, . ;�r'• • -� '�1 :+E . ` d�+j, .t+- .. . ., . .- � ,. . . ... `" . -...._ .. k,:'_..� ...r �..�:�. " -•� �. ; . w.-. s _ �� .r�yy tl� . � � � � ._. �:: ''i 'M" ...• ''I„�i" .� � � . ��.��,y _Y DAVIE COUNTY HEALTH DEPARTMENT ��.. �.��_�-; _.' IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION - . "ffOTE:"Issued in Compliance with G.S. of North Carolina Chapter 130 Article 1.3c --� � f•Se age Treatment and Disposal Rules (10 NCAC 10A .1934-.1968)' ` ' Permit Number .. Name �� ,�� 1�'�'`��'''� � % Date��=1 r�� N� cE."�� - � cation �^ �� — , r- I`�,�1;� -�>%, ,� �-1�'.��"t_.T�.1�f'�;� _ . � - } Subdivision_Name Lot No. Sec. or Block Na Lot Size �/`� � House Mobile Home _ Business � Speculation y� No. Bedrooms °�� 1 No. Baths �'� No. in Family � %�� y�'�--s' -- Garbage Disposal YES p NO Specifications for,S,�stem� Auto Dish Washer YES ❑ NO f � �� ,/DD U�T.�' ��.� Auto Wash Machine YES ❑� NO �/�.��X��,�a,, _ Type Water Supply � __ _ . . *This permit Void if sewage system described below is not installed within 36 months fro date of issue. ._. , : _ rl � _ ' � . - _ �� ,�,,� : � � , / r,�� F L 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 .��,, ;j� /,y-�� -��=-- 1 r� . 1 , �°j,� 1! . � � �� , Certificate of Completion 1��'-�r Date -��/%�,-rl�" , "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. \ ; , ; � � (I. �:?.._ , DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section. � P. O. Box 665 Mocksville, N.C. 27028 ' SOIL/SITE EVALUATION f� � Name �/s�� Date �'�� Address Lot Size f�� FACTORS AREA 1 AREA 2 AREA 3 AREA 4 1) Topography/Landscape Position S S S � PS � � 2) Soil Texture(12-36 in.) Sandy, S S Loamy, Clayey, (note 2:1 Clay) � � � � � U —CJ 3) Soil Structure (12-36 in.) �--� Clayey Soils � ��PS� - S PS U � 4) Soil Depth (inches) �i � � P l�' � . u u u 5) Soil Drainage: Internal , _<� � � � External Q S ps PS S PS . � U U U 6) Restrictive Horizons �,,,� ,r� _�� — 7) Available Space � S � � PS , PS PS S U U U U 8) Other (Specify) S S S S pg PS PS PS � U U U 9) Site Classification � � � � � U—UNSUITABLE S—SUITABLE P�rovisionaliy Suitable Recommendations/Comments: Described by Title .�,��'� Date SITE DIAGRAM �� X'� . �� . fiM . , UCHD(6�82) . . .� . , ; .. � , , ., APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT ApR 2 � �+ Davie County Health Department P A � � Environmental Health Section P. 0. Box 665 - Mocksvilie, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone � �rZ—ra.J a"� 1. Permit Requ ted �' /_ Business Phone 2. Address � �� 3. Property Owner if Different than Above Address ' 4. Permit To: a) Install�Alter Repair b) Privy Conventional�GOther Type Ground Absorption c) Sub-Division Sec. Lot Na 5. System used to serve what rype faciliry: House Mobile Home Business� Industry Other b) Number of people �� ' 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions , Bed Rooms Bath Rooms�Den w/Closet b) If Business, Industry or Other, Stat • Number of ersons served What rype business, etc. �-�ftf�,.L,�� Estimate amount of waste daily (24 hours) � 7. Number and type of water-using fixtures: commodes urinals garbage disposat lavatory showers washing machine dishwasher sinks 8. a) Type water supply: Public Private Com unity b) Has the water supply system been approved? Yes� 9. a) Property Dimensions ,1�l,�1�� b) Land area designated to bui�ding site c) Sewage Disposal Contractor � � 10. Do you anticipate any additions or expansions of e facility this sewage system is intended to serve? What type? This is to certify that the information is cor ct to t bes of my knowledge. ' CG Dat Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL CAWS Allow 5 days for processing . Direction t perty: � � ��` ��` � �� , , �� . �� re ��-�� ' � , DCHD(6-82) Parcel#: J70000007903 Page 1 of 1 o��r� Davie County, NC - Basic Estate Search �,o��;` ' Davie County Web Site .. Basic Search Real Estate Search Tax Bill Search Sales Search � View Prooertv Record for this Parcel yiew Mao for this Parcel Vlew Tax Bill Informatlon Parcel#:J70000007903 Account#:82513238 Owner Information Tax Codes HACH THI RY ADVLTAX-COUNTY T 997 US HIGHWAY 64 EAST FIREADVLTAX-FIRE TAX OCKSVILLE NC 27028 Pro e Information Townshi nd (Units/Type): 0.690 AC FULTON ddress: 2997 E US HWY 64 Deed Information �Local toning ate: 10/1999 Book: 00318 Page: 0040 lat Book: Pa e: Le al Descri tion PIN .843 AC US HWY 64 5767999030 Pro e Values uildin : 150 89 BXF: Land: 30 06 Market: 180 95 ssessed: 180 95 Deferred: Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 00191 0186 11 1996 WD Unquaiified Vacant 0 00318 0040 30 1999 WD ualified Im roved 209 000 View ProDertv Record for this Parcel View Ma�for this Parcel View Tax Bill�nformation « Return to Baslc Search 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 publlc 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, (ncluding without limitation the implied warranties of inerchantability and fitness for a partfcular use. If you have any questions about the data dispiayed on this website please contact the Davie County Tax Office at(336) 753-6120. 1.5.9 http://maps.daviecountync.gov/itsnetlView.aspx?prid=1461587 6/22/2016