499 Hwy 801N_{ Permitsee's —;- DAVIE COUNTY HEALTH DEPARTMENT
cir".r Environmental Health Section PROPERTY INFORMATION
P.O. Box 848 Health,
Section
to property: `''`7� ' �l f. Mocksville, NC 27028 Subdivision Name:
Phone #: 336-751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER `a!v Z _ (I f.
SYSTEM CONSTRUCTION Tax Office PIN:#�'
AUTHORIZATION NO: 003029 A Road Name:W`/ �%' Zip:,..
**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 Form/Authorization 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)
r /j ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
$.( t'llGc✓� ��,fG c:` rk IS VALID FOR A PERIOD OF FIVE YEARS.
SPECIALIST DATE_ ISSUED
ENVIRONMENTAL HEAL, SPEC
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYYP��E # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLYL CL�A�! DESIGN WASTEWATER FLOW (GPD) 30 NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE&.1_ t(y L. PUMP TANK QA GAL. TRENCH WIDTH l2 ROCK DEPTH/U/f4? LINEAR
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT------
FOR
AYOUT — —
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M.ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
u
b R{,
AUTHORIZATION NO.� 'OPERATION PERMIT BY: DATE: DO
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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.
DCHD 07102 (Revised)r ,
i.
s
f Permittee's___ I DAVIE COUNTY HEALTH DEPARTMENT
Name: AkhmaJ Environmental Health Section PROPERTY INFORMATION
UnO zi Q r P.O. Box 848
Directions to property: Mocksville. NC 27028 Subdivision Name:
AUTHORIZATION NO:
Phone #: 336-751-8760
AUTHORIZATION FOR Section: Lot:
WASTEWATER Tax Office PIN:#`
SYSTEM CONSTRUCTION
003029- A
Road Name: (fold. Zip:02799061
**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 Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 1 I of G.S. Chapter 130A. Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
41
Il� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEA SPECIALIST DATE IS UED
RESIDENTIAL SPECIFICATION: BUILDING TYPE BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE � � # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLYL,►7�L� DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEOL. PUMP TANK _GAL. TRENCH WIDTH c_ ROCK DEPTry.41 6 LINEAR FT.�va
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT 1�
Rs
l�
T 4141.1-t
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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.
APPLICANT INFORMATION
torn s`
/div(we /kc a-706�
Water Supply:
Evaluation By:
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/ Site Evaluation
On -Site Well Community
Auger Boring Pit
PROPERTY INFORMATION
Public
Cut
FACTORS 1 2 :3 4 5 6 7
Landscape position
Slope % ZM
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II 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: �J EVALUATION BY:
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
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
�'1415t
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
lot€
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)
Parcel #: C7140B0001
Davie County, NC - Basic Estate Search
.Basic Search Real Estate Search Tax Bill Search Sales Search
View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
Parcel #: C7140B0001
Account #:82532162
Owner Information
uildin
Tax Codes
BXF•
IDES SHARRAN L & SIDES TOMMIE RAY
nd:
ADVLTAX - COUNTY TAX
Market:
99 N. HWY 801
ssessed:
VrREADVLTAX - FIRE TAX
eferred•
DVANCE NC 27006
Property Information
Township
FLand (Units/Type): 2.000 LT
FARMINGTON
dress: 499 N NC HWY 801
Deed Information
Local Zonin
Pate: 08/2010 Book: 00833 Page: 0742
Plat Book: 0003 Page: 095
Legal Description
PIN
LOTS 1-2 DAVIE GARDENS SECTION 2
5862968381
Property Values
uildin
10216
BXF•
01
nd:
60,00
Market:
162 16
ssessed:
162,16
eferred•
Sales Information
No. Book Page Month Year Instrument Qual/UnQuai Improved Price
1 00363 0277 03 2001 ED Unqualified Improved 120,000
2 00833 0742 08 2010 QC Unqualified Improved 0
3 00135 0395 01 1987 WD Qualified Improved 72,000
View Property Record for this Parcel View Mao for this Parcel View Tax Bili Information
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;YI
®rn,--,S
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=1460115 9/14/2016