1386 Hwy 801NAccount #: 990003269
Billed To: Charlie Doby
Reference Name:
Proposed Facility Residence
38� -o
ATC Number: MM -
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Tax PIN/EH #: 5852-99-0205
Subdivision Info:
Location/Address: 1386 Highway 801 N-27006
Property Size: 10 acres
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: 6&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 a guarantee that the system will function satisfactorily for any
given period of time.
r
J'
Septic System Installed By:
Environmental Health Specialist's Signature:. Date:
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
• ` P. O. Boa 848/210 Hospital Street OL 0
Mocksville, NC 27028
(336)751-8760 ^
_I
IMPROVEMENT/OPERATION PERMIT
Account #: 990003269 Tax PIN/EH #: 5852-99-0205
Billed To: Charlie Doby Subdivision Info:
Reference Name: Location/Address: 1386 Highway 801 N-27006
Proposed Facility Residence Property Size: 10 acres
3,910
ATC Number: OW
**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 CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type #People _ #Bedrooms #Baths
Dishwasher: d Garbage Disposal: ❑ Washing Machine:` Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial,,, Specification: Facility Type #People #People/Shift #Seats Industrial Waste: 171A
Lot Size VC— Type Water Supply Design Wastewater Flow (GPD) Cg�a Site: NewZ'Repair ❑
d
System Specifications: Tank Siz %bio GAL. Pump Tank GAL. Trench WidthGcRock Dept ?
_Linear Ft. //4
Other:
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT -
FINISHED GRADE. ****NOTICE: Contact- represer
system between 8:30 a.m. to 9:30 a.m. or 1:00Ir t�
D EFFLUENT FILTER RISER(S) IF 6 " BELOW
dayAvie County Health Department for final inspection of this
installation. Telephone # is (336)751-8760.****
l
Environmental Health Specialist's Signature: Z,4 Date: w/
DCHD 05/99 (Revised)
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to enter upon above described proport) located to Davin County and owlted byl
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DATE I.SeMATUIM a^
TMS ARKA MAY 98,1)S Y01tMkW1T)C YOUR SITZ PLAN (Include all of Iba fongivinSt 9xisdar a proposed
property UM and dimensiM atructuree, setbacks„ and septic IecaUow}
Resbcd KIM (OS103
SIN Aw46t Chemo
Dale(s):
Client Notification Dote:
1[11;1:
Accoaat No.
Invoice No.�
T0'd Z4Qt 1966 3NIS13l1Q021ja00MN33N30Id Wd [0=S6 bOOZ-ZZ-Nflr
JUN -23-2004 09:43 AN PIOENEERWOODPRODUCTSINC 9984572
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DAVIE COUNTY
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(12.39A)
0205
APPLICANT INFORMATION
Account #: 990003269
Billed To: Charlie Doby
Reference Name:
Proposed Facility: Residence
Water Supply:
Evaluation By:
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
PROPERTY EWORMATION
Tax PIN/EH #: 5852-99-0205
Subdivision Info:
Location/Address: 1386 Highway 801 N- 700
Property Size: 10 acres Date Evaluated: v
On -Site Well / Community
Auger Boring r✓ Pit
Public 1�
Cut
FACTORS
1 2 3. 4 5 6 7
Landscape position
�.
Sloe %
HORIZON I DEPTH
'•
Texture group,
Consistence
Structure
Mineralogy
HORIZON II DEPTH
c�
Texture group/
Consistence
r
Structure
JEi (4
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: �Vro
LONG-TERM ACCEPTAXE RATFe)
REMARKS:
Grp_
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
DCHD 05/99 (Revised)
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Parcel #: C600000073
Davie County,- NC - Basic Estate Search
Basic Search Real Estate Search Tax Bili Search Sales Search
View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
Parcel #:C600000073 Account #:82533099
Owner Information
uildin
Tax Codes
BXF:
ILL EDWARD O & HILL YULONDA J
nd:
ADVLTAX - COUNTY T
�READVLTAX
Market:
O BOX 11281
essed:
- FIRE TAX
eferred•
INSTON SALEM NC 27116
Property Information
Township
nd (Units/Type): 1.750 AC
Edress:
FARMINGTON
1386 N NC HWY 801
Deed Information
Local Zoning
ate: 11/2011 Book: 00874 Page: 0915
lat Book: 10 Page: 385
Le al Description
PIN
1.75 AC HWY 801 lot 1
5852990205
Property Values
uildin
3717
BXF:
nd:
46,79
Market:
83 96
essed:
83,96
eferred•
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
L 00042 0588 04 1944 WD Unqualified Improved 0
t 00874 0915 it 2011 WD Qualified Improved 75,000
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
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oP�f�
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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=1477943 8/31/2016