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4494 Hwy 801SDavie Countv. NC Tax Parcel ReDort db,ao i a4 Tuesday. September 27. 2016 Parcel Number: K700000052 Township: Fulton NCPIN Number: 5777232886 Municipality: Account Number: Census Tract: 37059-804 Listed Owner 1: FULTON Mailing Address 1: Davie County City: DAVIE COUNTY R -A State: Zip Code: No Legal Description: 4.32 AC HWY 801 Assessed Acreage: 3.94 Deed Date: 12/2010 Deed Book/Page: 008460249 Plat Book: x Plat Page: - Building Value: 70480.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 44140.00 Total Market Value: 114620.00 Total Assessed Value: 114620.00 Voting Precinct: FULTON Planning Jurisdiction: Davie County Zoning Class: DAVIE COUNTY R -A Zoning Overlay: Voluntary Ag. District: No Fire Response District: FORK Elementary School Zone: CORNATZER Middle School Zone: WILLIAM ELLIS Soil Types: PaD,PcB2,PcC2 Flood Zone: x Watershed Overlay: - Eel Davie County, NC All data is provided as is without warranty or guarantee of any kind either expressed or Implied including but not limited to the implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Permittee's� L DAVIE COUNTY HEALTH DEPARTMENT Naive:— -:) t �� -( fes@ %til iJ �, Fk'C environmental Health Section PROPERTY INFORMATION / P.O. Box 848 Directions to property: f� %� ' Mocksville, NC 27028 Subdivision Name: 61 j t !_f C� G! ; Phone#:336-751-8760 Section: Lot: AUTHORIZATION FOR WASTEWATER T SYSTEM CONSTRUCTION x Office PIN:# - - `�.. AUTHORIZATION NO: 002985 A Road Name: r ,i Zlp. **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.] 900 Sewage Treatment and Disposal Systems) *+'NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS —�L # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT# SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE U TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) -J �� NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE (� 000—GAL.J PUMP TANK GAL. TRENCH WIDTH �( ROCK DEPTH "LINEAR FT. 4 Ar. stated In j6A j.tyC OTHER D4 16A.1969(P,) BCCP.r)ind SYsteitl� relaY a150 be lisp. 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 C— SYSTEM INST�LED BY: / ©f i1� �pL I� d �{ s PUt1t'I r rJ c� q 1 t7 il AUTHORIZATION NO. OPERATION IT BY: r� "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICA WITH ARTICLE 11 OF G.S. CHAPTER 1304, SECTION .1900 "SEW 7 GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTO , L M k O DATE: a THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE ZEATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A ; FOR ANY GIVEN PERIOD OF TIME. DCHD 02/02 (Revised)4,536, '� �%TI 7� � •c,-�. yr _ :�. 'eF�-T�'� ,-,� M•.a '�.:ayi-y t aw -. y �.•.'x 1`2.' •r q r ^,i ?ra. '`f rti , ++,� rY Permittee"' DAV COi NTYREA`LTH DEPARTM�'Y Nary r h'1 'y0 A11/1 Environmental Health Section PROPERTY INFORMATION P.O. Box 848 ^. Directions toro ert : i $ f ' .P P Y t Mocksville, NC 27028 Subdivision Name: l t >t x.i i' �:. , Phone #: 336-751-8760 1 r{ tom_.+ t1 1 c-, Section: Lar. AUTHORIZATION FOR +�! WASTEWATERTax Office PIN:# SYSTEM CONSTRUCTION AUTHORIZATION NO: 0020085 A Road Name: 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 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) h :'i * f..i-• �%*,OTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION .N IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE ! # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPES # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No , tic' V LOT SIZE TYPE WATER SUPPLY l C/ DESIGN WASTEWATER FLOW (GPD) -j� NEW SITE REPAIR SITE �r "LINEAR � SYSTEM SPECIFICATIONS: TANK SIZE 'I �G GAL. PUMP TANK GAL. `FRENCH WIDTH r ROCK DEPTH •, LINEAR FTS 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 w l L� �•'(� K SYSTEMANSTALI?D BY: NO AA U� Jv V go- --�, Jr a V ( h [T O 0 f l Y Y Del 5 AUTHORIZATION NO. OPERATION IT BY: �+ / .DATE: **THE ISSUANCE•()F THIS OPERATION PERMIT SHALL INDICA. THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE'I 1 OF G.S. CHAPTER 130A, SECTION .1900 "SEW G T` TREATMENAaND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL F&CTION SATISFACTO L FOR ANY GIVEN PERIOD OF TIME. OCHD ovoz (Revised) 3G S ` 11'7k dau ZZ,75'7- DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME I W u -Ir ,C VL - ADDRESS ADDRESS "4 4?4 �f UU6-►/-� DIRECTIONS TO SITE PHONE NUMBER � w l 476 SUBDIVISION NAME LOT # / Q Ce . . - '�- (d S t 151i1( ,-u L DATE SYSTEM INSTALLED jqq � NAME SYSTEM INSTALLED UNDER _ QQ TYPE FACILITY S t> t" gUMBE9 BEDROOMS NUMQER PEOCLC'PL�F SERVED TYPE WATER SUPPLY CO SPECIFY PRdBLEM OCCURRING DATE REQUESTED �D INFORMATION TAKEN BY, 4 This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application. ISIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1193 1 Go.MtiAPS - Davie County NC Public Access n ° ` Davie County, NC - GIS/Mapping System Os� �IN �'+ s � ' MIiJ Click Here To Start Over KI- est Active Layer. ©Useptap Tips U �` �: ❑ PARCELS (Map Tips Available) Page 1 of 1 Quick Search: (County ID or Oil)ner Ni -- M. v Addre http://maps.co.davie.nc.us/GoMaps/map/Index.cfm?mainmapservice=gomaps&CFID=412... 9/21/2009 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION aVAf r'afgl� � v k-C Supply: Evaluation By: On -Site Well Community Auger Boring Pit PROPERTY INFORMATION �[�\9 to 0wy861 5 Aco C -e fij C - 7d0 Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position L Slope % 1 HORIZON I DEPTH Texture groupG Consistence r Structure see Mineralogy HORIZON 11 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: LONG-TERM ACCEPTANCE RATE: 6, 7J RFMARKS- EVALUATION BY: bb h / V a ld 0 J/1 S 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 ON4IS EN . , Moist 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 1YQSeS 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)