The URL can be used to link to this page

758 Hwy 801NDAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section • P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001887 Tax PIN/EH #: 5862-67-5666 Billed To: Gail Evans Subdivision Info: ,/ Reference Name: Location/Address: 801/Woodlee-27006 Proposed Facility: Residence Property Size: 1 acre ATC Number: 2992 **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 2 #Bedrooms _ #Baths �� Dishwasher: Xr Garbage Disposal: Washing Machine;, Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type —#People #People/Shift #Seats Industrial Waste: ❑ Lot Size 14& Type Water Supply !!"44�Design Wastewater Flow (GPD) "&YO Site: New Repair ❑ System Specifications: Tank Size AJ GAL. Pump Tank Other: Required Site Modifications/Conditions: _ GAL. Trench Width Rock Depthf��'Linear Ft IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** It //1'6 Environmental Health Specialist's Signature: Date: DCHD 05/99 (Revised) r ; DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990001887 Billed To: Gail Evans Reference Name: ATC Number: 2992 Tax PIN/EH #: 5862-67-5666 Subdivision Info: Location/Address: 801 N1/oodl ee-27006 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, ection .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEW C NST UC ON IS V ID F A ERIOD OF FIVE YEARS. _h Environmental Health Specialist' s Signature: )ate: 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. Q r Septic System Installed By: Environmental Health Specialist's Signature: -� Date:! DCHD 05/99 (Revised) PPUCATION FOR SITE EVALUATION/IMPROVEMENT PER511T & ATC Davie County Health Department Environmentat Health Section C/ P.O. Box 848/210 Hospital Street �Q Mocksville, NC 27028 (336)751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS*ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to' be Billed (a Contact Contact Person 5 Mailing Address 5)o 7TW y /�(� Home Phone �q ( �� 1 OjCity/State/ZIP /& AM a -C - p'�� Business Phone �-9 �n a i 2. Name on Permit/ATC if Different than Above Mailing Addressity/Statep 4;1 -- 3. Application For: V!-3-i'te Evaluation ❑ Improvement Permit/ATC II Both 4. system to Service: Ouse ❑ Mobile Home ❑ Business fl Industry I.I Other 5.If//Residence: # People ! # Bedrooms # Bathrooms a /� IL, Dishwasher Garbage Disposal I�Washing Machine H Basem�e`nt�/Plumbing II Basemen L -/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals i) Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ❑ County/City VWell II Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? Il Yes EI No If yes, what type? ***Id1110RTANT*** CLIENTS MUST COMPLCTETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. ' 'mensions: 101 C,1- Tax Office PIN: # ��' b/()7 ,56 W4 Property Address• Road Namc o L5 14-j y J /V, City/Zip If in a Subdivision provide information, as follows: Name: Section: Block: Lot: UTE DIRECTIONS (from N1ocl:svillc) to PRO1'F,I1TY: CD� 1 � • Date Properly Flagged: This is to certify that the information provided is correct to the best of my knowledge. I understand that any perinit(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 fir 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 Davic,County and owned by ........ _.__ to conduct all testing procedures as necessary to determine the site suitability _ I DATE Z SIGNATUI E GI�C� �� THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property Lincs and imcnsions, structures, setbacks, and septic locations). Revised DCHD (07/99) I tjLj EHS: Account No. eJ—' / Invoice No. v f 0 • ♦ V APPLICANT INFORMATION Account #: 990001887 Billed To: Gail Evans Reference Name: Proposed Facility: Residence DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation Property Size PROPERTY INFORMATION Tax PIN/EH #: 5862-67-5666 Subdivision Info: Location/Address: 801N1/oodlee-27006 - 1 acre Date Evaluated:�� Water Supply: On -Site Well t/ Community Public Evaluation By: Auger Boring c/ Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure ) L Mineralogy I 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: v EVALUATION BY: Wil! 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 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) NN ■■ ■■■e■e■ee■■■ecce■■ee�■ee■e■■e■e■■eee■e■■■e■eeeee■■e■■ ■■eeeee■■■■■■■■■■■■■■■■■■■■e■■■■■■■■■e■■e■eeeee■■■■■ ■■■■■■e■■e■saes■■■■■ee■■■■ee■■■■eee■■eeeeee■eeet■■eee■ ■■■■■■■■■ecce■■■c■■■■■■■■■■■■■■■■■■■■eeeee■■■■■■■■N■■ ■■■■e■■■■■■■■e■ea■■■■■■■e■■■■■■■■eeeee■e■■■■■■■■■■■■e■ ■■■ee■■e■e■■■a■e■■■■eee■■e■e■■■■■■■■■■ecce■■■etee■■ee■ ■■■■■■■■eeee■ee■e■■■■.e■ee■e■■■a■ee■■ease■■■■■■■see■■■ ■■e■■eee■■■ee■■■■■■■�e■■■■■e■■e■■ee■■■■■■■■■■■eeee■■■ ■■■■■■■■■■■■ecce■■■■■■■■e■■es■■■■e■■■■■■■e■■■■e■e■■■■■ ■■■■■■■■■■■■e■e■■■e■■■■■■ee■■■■■e■■e■■■■■eee■■■■■■■■■■ ■eee■■■■■■■■■■ee■e■■e■■■■■ee■e■■■e■■■■■■■■■■■■■■■■■■■■ ■■■■ee■■■e■■■■■eee■■■■■■■■■■■■■■■■■■■■■■■e■■ee■e■■■■■■ ■■■■e■ee■ee■■e■■e■■■■■■■■e■e■■■■■see■■■■■■■■■■■ce■e■e■ ■■■■■■■■■■■■■e■■■■■■ee■■eee■■■ee■ea■■■■■■■ee■■■e■■e■■■ ■■e■ee■■■■e■■ecce■■e�e■■e■■eeee■■■e■e■■■e■■e■■■■■ee■■ ■■■eeeeeeee■■■■■■■■■ee■■■e■e■■■e■■ee■e■■■e■■e■■eeee■■■ ■eee■■■■e■■■■■e■■e■e■■■■■■■■■■■ee■e■■■e■■■e■■e■■■■ece■ ■■■■e■■■■■cee■e■■■■■■■■■■■■■■■■■ee■■■e■ee■e■■■■■■ace■■ ecce■■■■■■■■■■■e■■■■e■■■cee■■■■e■e■■■■■■■■e■ee■e■■e■■■ ■■■■eee■■■■■■■■e■■e■�■■e■■e■ec■■e■■■■■■e■■■■eeeee■■e■ ■■■ee■ee■e■■e■■e■■e■■■■■e■■■■■■e■■e■■ee■■ee■■eee■■e■ ■■■■e■■■■■■■■■■■■a■o=======�■■■■■eeeee■■■■■■oe■■■■■■■■ ■■■■■■■■■■■■■■■■�-.�■■■■■■ee��■■■eeee■■e■■■eee■■ec■■■■■■ ■■■■■■■■■■■■■■■■i■■e■■■■■■■e■■e■■■ecce■■■■■■■■■■■■■■■■■ ■■■■■■ee■eee■■■■i■■■■■■■■■■■■■■■■■■■■■■■■e■■■■■e■■■e■■■ ■■■■e■■■■ee■■■■■ie■e■eee■e■■e�■■■■e■ee■eeee■■ee■ee■e■e■ ■■■■■■eee■■ec■■■■e■■■■eAse■■■■e■■ee■■■■■■■■■■e■■■e■■e■ OMENMEMEMEEMMMEM i EMNONMEMNONNNNNNNMEMNON ■■■e■■ecce■■■■e■■e■ee■■e■e■■e■■e■■e■■■■■■■e■■eee■■■■■■ ■■■■■■■■■■■■■■■ern■■■■■■■■■■■■■■e■■■■■■■■■■■■■■■c■■■ ■■■■■■■■■■■■■■■■■►�■■■■■■ee.■ee■■■■ecce■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■eee■■■■■■■■■■■■■ ■■■c■ee■eee■■■■■eee■eee■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■e■■■e■■■e■e■■■■■■e■■ecce■■■e■■■■■■■■■eee■■s■■■■■■■■ ■■■■■■■■■eee■e■■■■■■�■ecce■■■e■■■■■■■■e■■e■■■■■■■■■■■ ■■■e■■■■eeee■■e■ee■■ ■■■■■■■■■eee■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■e■■■■■■■■■■■■■e■e■■eee■e■■e■■■eee■■■■■■■ ■■eee■■■■e■■■■■■■■■e■■■eee■■e■■■■■■■eee■■■■■■■■■■see■■ ■■■■■■■■■■■■■■■■■■■■�■ecce■■■■e■■ee■c■■■a■■e■■■■■■e■■ ■■■■■■■■■■■■■■■■■a■■■■■■■e■■■■■ee■ee■ee■■eee■■■■■■eee■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■e■■eee■ecce■■■■■■■■■■■■■■ee■■a■■■■■■■■■■■■■■■■■■■■■■ eee■■■■■■■e■■e■eee■■�■■■■■■■■■ee■ee■e■eeeee■■■■■■eee■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ecce■e■■■■■■■■■■■■■■■■■■■■■■■a■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ee■e■■■■■■■■■eee■■■e■■ee■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ rrr�n +r�erefi�^r}r. Mr�:.�m^� v ^,r.�/^�+c'7a+..,.,n±.-rwnr nr ..�+.-.,.^- t ^'YR''^ rR •^«- s'..;s_ r ( ...,,: ..n..c�z.rls„...�..vuh.[awl1✓.u�wia.n+. ..� A4� �.. ....:,.....w...., u._4.+..._.e uan .v.. .�! ... ENVIRONMENTAL HEALTH SECTION P. 0. Box 848/210 Hospital Street Courier #09-40-06 Mocksviile, NC 27028, Phone #: ' (336)751-8760 August 29,.2001 Gail Evans 5100 Highway 158 ..Advance, N.C. 27006 Re: Site Evaluation/ Woodlee/801 Tax Office Pin : #5862-67-5666 Dear Client(s): As requested, a representative from this office visited the aforementioned site on August 29, 2001. Based upon the information provided on the Application for Site Evaluation and after an evaluation was completed on the site, the site was found to be provisionally suitable for the installation of an on-site sewage system. Before an Improvement Permit/Authorization to Construct can be issued the appropriate application must be filled out and the house/mobile home location staked off. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Specialist Mdi Davie County, North Carolina Spatial Data Explorer qO P�� 5�r-I<>i�l Data �z�Ic-rer p � �.�*Nortffi 101VAIJ qjgg) ►M 60 M a Lo v SW Click on the Map to: Zoomin 0 ZoomOut d Repenter Map C) Identify: Parcels Zoom Factor: ZX d Radius Search (feet) 1 �� 1 137 130031 �0 1 b `Li (AW666 N w (WO) 60 T »-- W.73A) ..4. Parcel Data Find Adjoining Parcels • Parcel ID: C700000087 • Account Number000022132000 • P/N:5862675666 • Legal 1:3.69AC HWY 801 D • Owner Name: DULL LAWRENCE AND LILLIE • OwnerlAddress 1: DULL LAWRENCE AND LILLIE • OwnerlAddress 2.- • .• OwnerlAddress 3: 5100 US HWY 158 • City, State Zip: ADVANCE ,NC 27006 - 0000 • Land Value: $69,520.00 • Building Value: $178,570.00 • Out BuildirnyExtra Features Value. $13,120.00 • Assessed Value: $261,210.00 (11636 • Assessed Acres: 3.63 • Deed Book/Page: 00012 / 0124 • Deed Date: 1984/08/24 • Sales Price: $30,000.00 • Property Address: 758 NC HWY 801 • County Zoning: • Census Code: • City Code: • Fire District. SMITH GROVE • Flood Zone: ZONE X • Flood Community: • F/cod Panel. • Flood Map Date: • Soil: • Township: FARMINGTON NE D SE Page 1 of 2 Map Layers Draw selected layers: Boundary ❑ Census Tracts [ City Boundaries** ❑ County Zoning Multi Symbol ❑ E911 Fire Districts (_ ❑ Flood Panels [ ❑ Flood Zones [ Parcels [ ❑ School Districts Multi Symbol ❑ Soils C ❑ Town Zoning [ ❑ Townships Multi Symbol ❑ Voting Precincts [ Infrastructure ❑ Driveways ❑ Rail Lines — ❑ Street Centerlines — Q US/NC Highways Multi Symbol US Highway— NC Highway— Interstate— [71 Aerial Photography [ Physical ❑ Creeks and Rivers — ❑ E911 Addresses K ❑ Fire Departments ❑ Schools MAP -Currency ... /esrimap.dll?Name=Davie sdx&Cmd=Clk&Left=1566060.89881976&Right=1567092.20958368/22/01 r , 171 a 126 118 106 10 113 123 T T 14 149 55 r 48 75 3 71 7 70 1000 39 23 230 22 12 04 18 2 1c :. Parcel #: C700000087 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bili Search Sales Search View Property Record for this Parcel View Mar) for this Parcel View Tax Bill Information Parcel #: C700000087 Account #:22132000 Owner Information uildin Tax Codes BXF• ULL LAWRENCE P& DULL LILLY L nd• ADVLTAX - COUNTY T Market: 100 US HIGHWAY 158 essed: FIREADVLTAX - FIRE TAX eferred DVANCE NC 27006 Property Information Townshi nd (Units/Type): 2.590 AC FARMINGTON [Address: 758 N NC HWY 801 Deed Information Local tonin Pate: 08/1984 Book: 00124 Page: 0142 Plat Book: Page: Le al Description PIN 66 AC HWY 801 5862675666 Property Values uildin 199,03 BXF• 9,07 01 nd• 57,43 Market: 265 53 essed: 265,53 eferred Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 1 00124 0142 08 1984 WD Unqualified Improved 30,000 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search Page 1 of 1 OU0 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=1472319 9/1/2016