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135 Royall LnDav F111111-9 >-016 161 All data is provided as Is without warranty or guarantee of any idnd either expressed or Implied including but not limited to the Davie County, Implied warranties of merchantability or Mness for a particular use. Alt users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, cordractora or employees from any and ail claims or causes of aW on due to NC or arising out of the use or inabtllty to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY ;. Parcel Information Parcel Number: F200000018 A Township: Clarksville NCPIN Number: 5801619293 Municipality: Account Number: . 8306099 Census Tract: 37059-801 Listed Owner 1: ROYALL RONNIE GRAYLAND Voting Precinct: CLARKSVILLE Mailing Address 1: 389 DUKE WHITTAKER ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag. District: No Legal Description: 10.27 AC DUKE WHITTAKER Fin; Response District: SHEFFIELD - CALAHALN Assessed Acreage: 10.08 Elementary School Zone: WILLIAM R DAVIE Deed Date: 12/2014 Middle School Zone: NORTH DAVIE Deed Book I Page: 2014E1206 Soil Types: MrC2,MnB2,MdB,MdD,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 38710.00 Outbuilding 8r Extra Freatures Value: 10080.00 Land Value: 70560.00 Total Market Value: 119350.00 Total Assessed Value: 119350.00 161 All data is provided as Is without warranty or guarantee of any idnd either expressed or Implied including but not limited to the Davie County, Implied warranties of merchantability or Mness for a particular use. Alt users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, cordractora or employees from any and ail claims or causes of aW on due to NC or arising out of the use or inabtllty to use the GIS data provided by this website. "'00 DAVIE COUNTY HEALTH DEPARTMENT J'_frf-q�� IMPROVEMENTS PERMIT AND CERTIFICATE - OF COMPLETION t)Z4) *NOTE:.' Issued in Compliance With Article I I of G.S. Cha pter 130a Sanitary Sewage Systems PermlNu Wr J Name 7-/ .natp NO Location _77` Subdivision Name /�5 Lot No. Sec. or Block No. Lot Size House l Mobile Home Business Speculation No. Bedrooms No. Baths No. in Family Garbage Disposal YES [3 NO Specifications for System: Auto Dish Washer YES NO Auto Wash Ma-.hine YES, NO Type Water Supply *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. Improvements permit by *Contact a representative sentative 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 day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed Certificate of Completion Date 'The *signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section .� P. O. Box 665 '!� t: i�x �f' ;7 Mocksville, NC 27028 OCT 18 1993 1. Application/Permit Requested By. - --- - --- Mailing Address �7 (D Yr 1�—, I _fib ' Home Phone(7' bV ) qac- 7 tl � MOCK -260 -e IV • C. O7oa R Business Phone(/, 0_L/ 5-L1 (9 - 7� 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation r (Septic Tank Installation Permit 4. System to Serve: ❑ Houseobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision No. of People N No. of Bedrooms No. of Bathrooms f' Dwelling Dimensions Q 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Sinks No. of Urinals No. of Water Coolers Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing &VVaishing Machine ❑ Dishwasher ❑ Garbage Disposal No. of Showers Water Usage Figures 7. Type of water supply: ❑ Public rivate P�- El Community 8. Property Dimensions f o // a _ � Sewage Disposal Contractor V24 t � h e fmAn l Jl,i /'1- ) 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes b -N6___ If yes, what type? 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: S6 6q 4,5 ward Le�n-}e r + far d -k, roc S�'Gf e s -F >✓ � I l e a � �SS-e� `C ch4e r �,4- 6,.f- LJ' I( �'- CS/,e- a .b P rvacl on Ya u � f� � /_ 5 o -�o our Seton � h 00 Y / 4 oma/ wild % CI ear' Iao-rU�d>. 1� ('_AJ1'Y�'-).� Osseo 6 r dy— wIoplkc Z/t� GAI_ 11,4MW(5_ � 40C. This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this a plication.✓�� O DATE ( SIGNATURE I CONSENT FOR SITE EVALUATION TQ BE DONE QN ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. I DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representati f the Davie Cunty at��th DepartMont to ent 4�on above described property located in Davie County and owned by A,) t o rl% o ► I t "-k n -A . 1Y/ to conduct all testing procedures as necessary to d ermine said sites suita ility for a ground bbsorption sewage treatment and disposal system. Z�L Z 5 _� DATE SIGNATURE DCHD (1193) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ��/� � DATE EVALUATED /Zr 7�/v ADDRESS PROPERTY SIZE ,/O PROPOSED FACIILTY LOCATION OF SITE AaA. Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group, Consistence Structure f l� 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: REMARKS: DCHD(01-901 EVALUATED 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 Wet NS -Non sticky NP -Non plastic FR -Friable FI -Firm VFI-Very firm EFI-Extremely firm SS -Slightly sticky S -Sticky VS -Very Sticky 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 .■■■■■■■■■.■■■.s..■.■..■■....■■..■_�..■■■■■ii ■■■■■/■■■./.■u■■.■....■■..■.■..■■ ■■e■■■■e■■ee■■■■■eN■■ee■■e■■■■ ■.■■■.■■■■■■■■■.■e■o■■■.■■�„■■■i.■■■■■n■■■ ■■■■■■■■■■■■.■■■■■.■■■■■■■/r1ilO■■■■ I■.■e■/■■..■■■./■■■....■e.e■■■■iii■■iiQiiiii■ ■/■. iiiiiai iiieii ■■■■■■■■ ■ ■ ■■■■■■■ e■■■■e ■■■■■.■■■.e■■■ ■■■ No ■ ■�i■■E N■■■■■ iiiiiiiiiii IR NNE mom MOMMOMMOMMMOMENO IN MOMMEMOMMENO i�mosommommom ■ ■t■■■■■e■■■■■eea■i:.::tee■■!■■■■N■■■.��..■■/■■■//■o■/■u eeeee■■ecce■e■■■■■eeeeeeeeee ■ee■■■■ ee■ecce■Neeeeeeeee■ ■■■e■■■■■■.■■■■■■■■■■■■■■■■ii■■■■■■■/ u■/.■■■■.■■■■■■■■■■■■ .............■.......C■■■■■■......■...■■■.■■■■.■..■■/N■■.■■ ■■■e■■■e■■ee■■■■ ■■■■■■■■■■e■■■■■■■ee■ee■■ee■■■■■e■■■e■■e■■■ I■e■■■■e■■ee■■eeeeeeeeeeeeeee eee■e■■■e■■■e■■■ee■■e■e■■e■ee■ lees■■ee■eeeeUeeeNOMee■eNNe■NNeeMM■ le■■eM■ee■ee■eee■ee■e■eee■eee■■■■■■■■■■■■■■■■■■■■■■■e■■■■eee■ ee■ee■eeeeeee■eeeeeeeeee■ ■■■■■e■■■e■eeee■e■■eeeee■■eeeee■■e■■■■e■eee■■■■N■■■■ee■■■e■