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7199 Hwy 801Sr�yr`_ - _ lYi.�« �`. — l if� "�� q 4 t ��e,y: rf•S^f �'i "�d�'�� +4 �� .u:I+ R ,L"Atl r..i�'?'s .T � �&��,'.� f'.r � �✓k'O"� �"��'AU� HO#RI�,AT�o1v No . � ; � � � . DAVIE COUNTY HEALTH DEPARTMENT .�•. '' Environmental Health Section PROPERTY INFORMATION ' .:Permitte�'sJ ` . ,. P.O. Box 848 �� Name: `+�� 's �E..� Mocksville, NC 27028 Subdivision Name: � � � Phone #: 704-634-8760 .Directions to property: i��f /-�'� : • Section: ` Lot:' ' . � ' ` ' ' ` . AUTHORIZATION FOR " , _ ' , WASTEWATER Tax Office PIN:#�, '"'� � ;�'� '. _ � • . � � SYSTEM CONSTRUCTION .` ��'�, - , —� ' ; Road Name� c3 �/,�_ Zip: rf.} `� 4 **NOTE** This Authorization for Wastewater System Construction MUST BE.ISSLJED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts. •This Form/Authorization Number should be presented to the Davie County Building Inspections O�ce when applying for Building Permits: ,' (In compliance with Article l l of G.S: Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) f ' •� , ' �,�-� ;..,., ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION . r;;%' .,r,;�1�..�.+�fi��'`�-�'�¢'.'�r'.1 .:,,`.�' !`� !�"J•3y ;, LS VALID FOR A PERIOD OF FIVE YEARS. � . ;; ENVIRONMENTAL HEALTH S ECIALIST. .' DATE ISSUED. '� . . � , _ - DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION dame 1 ►r`r" Subdivision Name: 4Directio to_ property: Section: Lot: i IMPROVEMENT ,jtPERMIT Tax Office PIN:,,' ' NrP -Z695? 1 `Road NameJf. ZiP: **NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. Art 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) +' r ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE: r''', PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER t ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE f% # BEDROOMS - # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYP9 1 ` 1--e # PEOPLE r_,9_ # PEOPLE/SHIFT # SEATS INDUSTRIAL WA : Yes or No LOT SIZE � OTYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) 1,9d NEW SITEy REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE /dOd GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH -ZC—,7 LINEAR FT. Aoe, OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT **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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY: AUTHORIZATION NO. OPERATION PERMIT BY: / c DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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. DCHD 05/96 (Revised) APPLICATION FOR SITE EVALUATIONAMPROVEMENT ` ik Davie County Health Department r Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed od &M /" Oyts i riG' Contact Personme--rr #477 S Mailing Address 101Z- 66Ar Cl i� FS61 Home Phone 956 ` &79- 21 S I City/State/Zip px1 /J U fqz- 0 5='1-1 Business Phone lJlf 2. Name on Permit/ATC if Different than Above Mailing Address rf i q4 A K)N �9 0I te3 AA City/State/Zip 3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC D(] Both ,, 4. System to Serve: [ ] House [ 1 Mobile Home W Business [ ] Industry [ ] Other bEr-J' (A IVA I drX De+bA 5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ ] Garbage Disposal [ ] Washing Machine [ ] Basement/PlumbingIl-[ ] Basement/No Plumbing 6. If Business/Other: Specify type M16 # People #Sinks_ #Commodes # Showers D # Urinals # Water Coolers-0— If oolersIf Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: Dd County/City [ J Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes 0 No If yes, what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***)XPM OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 190 FY'44Wc ;U00 -Pee- WRITE DIRECTIONS (from Mocksvilllle) TO PROPERTY: Tax Office PIN: # �% - Sy - ; Tl4K� (� W U 6 ( To � w y 0 6 Property Address: Road Flame 9 liq pLv 00 I DYe1L 1 131 oC V City/Zip If in Subdivision provide information, as follows: r -t-5 I 1& Nil �Y e 'D,2 !� Name: Section: Lot #: ' This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(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 for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County Heal h Department to enter upon above described property located in Davie County and owned err► g P _ azY Y by FlreD 0115 (��I D b"� �� to c educt all t stin roc ures as necessary to determine the site suitability. SIGN Revised DCHD (06-96) %-� THIS AREA MAY $E USED FOR DRAWINC7 YOUR SITE PLAN: ,.r � I► E4� l i r; ;i 10 d 1 b E ti DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation a NAME DATE EVALUATED�� a ADDRESS PROPERTY SIZE �te PROPOSED FACIILTY ©e it LOCATION OF SITED Water Supply: On -Site Well Community Public Evaluation By: Auger Boring f Pit Cut FACTORS 1 2 3 4 Landscape position Sloe Z HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH r �` Texture group Consistence Structure K, Mineralogy '4 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 RATEL , SITE CLASSIFICATION: EVALUATED BY: �Y 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 SILL -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 -Finn 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(01-901 CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC�CC�■CC�CCCCCCCCCCCCCNCC ■■■■.■■■■■■.■.■■■■■■■■■■■■■■■.■■■■.■■■■■■■■iii..■..■.......■■■■■■■ ■■.■.■■■■■■■■■■■■■■■■■■■■■■■■■.■■■■.■■■■il'�!�■■....■■i..■.■■.■■.■■■■ ■■i■.■■....■■■■....■■■..■■.■■■■i.■■■■■■■■■.■■■■■■.■. ■■.■■.■■■loom ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■.■■■■�.■.t.....■■■■..■.■ ■■■ ■■■■■■■■■■■■■■ecce■■■■■■■■■■t■■■■■■■.■t■■■■■■■■■■.t■■=ii■e..■.i■■■� ■■■.■■..■■.■■■.■■.■■■■■■■■...■■■■■■..■■■ei.e■■.e.iC.....■■■■■■..e■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■e■■■■■■■■■■■■■e►�■e■■■.■■■.�■■■■■■..■■■ ■■■■■■..■■.■■ CCCCCC�iMEMEMM"CCCCCCCCCCCCiC CCCCCCCCCCC■CC C�:CCC�CCCCCC ■..e■■ete■t■■■■e■■.e.t.■etc■■■■■■■■■�e.■t__�■■■■■■■eeee■■C.■t■■■■■ ■■.■■■■ee■■■■■■■■■■e.■■r.i■■■■■■■■..■■.■.C■■It■■■■ ■l■.■■■■■■■■t■■■ •••••••••••••••■•••■■■■t�.■■■■■■■.■■■■■C�CC�IC ■C C.�C�CC�CCCCCCCI ........................�........ .... .... 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CCCCCCC CCCCCC CCC CCCCCCCCCCCCCCC�CCC�'C' o REMMCCCCECENo ■■■■■■e■■■■e■■e■■e■■■t■■■■■■■■■■■■e■■ ..■ C■.■eCCt■■. ■■■■■■■■■■ ........e■..■■■■■■■■■■■■■...■..■....n'CMEN CC...........0■■■n ... ..■■...■...■................■... .■...■■�..■.■.....■■.■■■■■.C■■■■ ■■.■■.■■■■■■.■■.■■■■■■■■■■u■.■■■e■■■■e■■.�=e■■■.■■■■■■■■■■■■■■■■■■ ■■■est■■■■■.■■e..■e■■■■■■C■■.■■■■■.■.■i■.■■■■■.■.■..■■■■tu■■■■■e■ ■■■■■■■■■t..■■...■■■■e■■■■■e■■■■ t■■■■■■e■■.■■■e■■■■■■■■■■■■■■■■■ ■■■■ ■.■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■.■■■■■■■■..■.■■■■■■ ■■■■.■■■.■■■.■.■■■..■■■■■■■■■■■neo■■■■i■.■■■■■■■.■■■■■■t■■■■■■■.■ Davie County, NC I. i �J ;123 318 F1 'ir 74 JY�S X124 Tax Parcel Report Wednesday, August 31, 2016 ----- 414�6942241l 145 - \ l 698 2444'^'-`,452 2-073 " X159 1B1> 7010 - 2470i'483 ?2497 144 / /.6995' 179 197 7044 67005-- 188 <,ffi ik 699: 21 e 2 19� 188 7045 7037 -528 2531 7132 212 705 9 7081 r' r 125 2553 7130 f 77118 „ 7067 X7021 2546 2 5G +7099 7093 122 x'126 2556, 3' 17180 ------------- �/� ��+�.,_ j 3625+-4365 `� 4� 7255 7247 i 2678 130 X165 386 370 361 7282 y 2668 2721Y 171 378 i 373 J 7300 -1 123 • :u135 2696, 114 2731' 209 7306' 0 114 ,271 / 392 2733 119 :395 161 ;195�21b 7301 132' 138 \ 128 118 2727 402 �q05 y 7316 7305 ;;126., 111 128 `112 165 182:196 73307 5 '7309 E1� 2722 / > 113�i� 1 151'73 0 158 14 6 `. 107 I 430 166 -. 7331 2736 02769 o 7348 162 15^\, ` 438 _ 125 Qt35 '6152 339 , 'Al)3a 446 7369 1$ `17 X167 �\ ,131 1144 _ 126 _ 136 73874\73y79 129 1141 / 192184' 2802 28\ X1504- Y �134�g111 242 200 2823 X157 �� 7405 M7401 166 /\t/ " \ 160' 509174 . 165 kK153 0123 244 ��2f 2849 7440 /1t�7423 m16 171 All 8 254 2 4� 2192J5 \ \\ 7453 202\194 ;\ 156 *147 26 -' I l l r l WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: M503OA0001 Township: Jerusalem NCPIN Number: 5746503149 Municipality: Account Number: 8305214 Census Tract: 37059-807 Listed Owner 1: BLACKYARD AUCTION HOLDINGS LLC Voting Precinct: COOLEEMEE Mailing Address 1: 1921 ASHLAND AVENUE Planning Jurisdiction: Davie County City: CHARLOTTE Zoning Class: DAVIE COUNTY H -B,1 -1,H -B -S State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 28205 Voluntary Ag. District: No Legal Description: 20.00 AC HWY 601 & 801 LOT 2 Fire Response District: JERUSALEM Assessed Acreage: 19.07 Elementary School Zone: COOLEEMEE Deed Date: 7/2015 Middle School Zone: SOUTH DAVIE Deed Book / Page: 009930866 Soil Types: GnB2,GnC2 e g Yp Plat Book: Flood Zone: X Plat Page: Watershed Overlay: - ,WS -IV -P Building Value: 208300.00 Outbuilding & Extra 79810.00 Freatures Value: Land Value: 286050.00 Total Market Value: 574160.00 Total Assessed Value: 574160.00 All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the °"/P implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold Davie County, NC harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or c°u e'� causes of action due to or arising out of the use or inability to use the GIS data provided by this website.