195 Ryans WayDAVIE COUNTY HEALTH DEPARTMENT
'
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
NOTE: Issued in Compliance with G.S. of North Carolina Chapter., 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A.1934-.1968) Permit Number
Name
N2 6:13, 9
41L') Da_i
e
Location /Ao,
Subdivision Name Lot No. Sec. or Block No.
Lot Size House' Mobile Home 1Z Business speculation
No. Bedrooms —C2 No. Baths No. in Family
Garbage Disposal YES p NO Specifications for System:,
Auto Dish Washer YES NO
Auto Wash Machine YES NO C]
Type Water Supply ✓
*This permit Void if sewage system described below isnot installed within 36 months from date of, issue.
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L
Improvements permit by
*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 day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by,,. VL1 4 2
00
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o le n
t';;7
0 �r
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cr
Lei ribed a �c
Certificat f Completion
ific
' Date
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'The signing of this certificate shall indicate that t e system cribed.��We has been installed in compliance with
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the standards set forth in the above regulation, buts Lath"O way be en as a guarantee that the system will function
satisfactorily for any given period of time.
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APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section isQ OCA
R O. Box 665 R�f+
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEENQR ISSUED. t
l Home Phone ! �' 3� `,i
1. Permit Requested By `1 4 rn e. ,S r� - / a A Business Phone
2. Address,g)C �3�3�0 /Yf oaks v ��//P �(l_�► 2 7oz 8'
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventional_le!!!�Other Type—
Ground
ype Ground Absorption
c) Sub -Division Sec. Lot No.����
5. System used to serve what type facility: House Mobile Home_ I' siness
IndustryOther
b) Number of people
6. ay If house or mobile home, state size of home and number of rooms.
House Dimensions /!A 1 4_27 D
Bed Rooms _ Bath Rooms erttesetnr`pL
'/
/� �� C b 1r'v
b) If Business, Industry or Other, State: Number of persons served
What type business, eta
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures:
commodes urinals
garbage disposal
lavatory showers
washing machine
dishwasher sinks
8. a) Type water supply: Public Privateer Community
b) Has the water supply system been approved? Yes No_kef!�'
9. a) Property Dimensions I b `pr- ,
b) Land area designated to building site Ac
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?' —V
What type?
This is to certify that the information ' correct to the best of my knowledge.
Zip
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR CO LIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
F, wD r A -y
A, > W EVA) n i -ems 4'
�e r 9
DCHD (6-82)
r
DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Date f� -
Address S `n -p Lot Size �-
FACTORS ARK1---\ ARE -2 AREO ARE04
8)
1) Topography/ Landscape Position S S S _-S
U _U_�
?) Soil Texture (12-36 in.) Sandy, S S S S
Loamy, Clayey, (note 2:1 Clay) PS PS PS PS
U � �
3) Soil Structure (12-36 in.) S S S S
Clayey Soils S U PSS
1) Soil Depth (inches) - S 6-� S 2? S ` S `
\US y Q-� pS '�y U° -
i) Soil Drainage: Internal S US S S
PS _ ® � -SPS
External S S S S -�
<::4!) WSJ
U
i) Restrictive Horizons
Available Space C �P5 S
PS PS PS
U U U U
Other (Specify) S S S S
PS PS PS PS
U U U U
9) Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/ Comments: Ll
Described by Title eol' Date U -1
SITE DIAGRAM
4
�i
. 2
DCHD (6-82)
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/ Comments: Ll
Described by Title eol' Date U -1
SITE DIAGRAM
4
�i
. 2
DCHD (6-82)
Dade Car(nty Nealt,, r7yenartment
and .dame Nealtfisy
210 HOSPITAL STREET/ P.O. BOX 665
MOCKSVILLE. N.C. 27028
PHONE: (704) 634.5985
October 17, 1988
James C. Sloan
Rt. 5, Box 336
Mocksville, NC 27028
Re: Site Evaluation
Highway 801N.
Dear Mr. Sloan:
As per your request, a representative from this office visited your
site on October 17, 1988, to determine the soil/site suitability for the
installation of a ground absorption sewage system. Unfortunately, due to'
the reasons noted below, we must classify this site unsuitable:
1) Soil is made up of 2 to 1 clay.
2) Shallow soil.
3) Mottling in soil.
We sincerely regret this classification and are more than willing to
discuss this matter further, upon your request.
Sincerely,
Charles E. Little, R.S.
Environmental Health Section
CL/wd
Enclosure
C y
71.'
ti
Parcel #: B400000010
Davie County, NC - Basic Estate Search
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View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
Parcel #: 6400000010
Account #:66548000
Owner Information
uildin
Tax Codes
BXF•
LOAN JAMES C& SLOAN SHELBY J
nd:
ADVLTAX - COUNTY T
arket:
195 RYANS WAY
ssessed:
FIREADVLTAX - FIRE TAX
Deferred:
OCKSVILLE NC 27028
Property Information
Township
nd (Units/Type): 13.990 AC
Vddress:
FARMINGTON
195 RYANS WY
Deed Information
Local Zoning
Pate: 11/2002 Book: 00449 Page:.0076
Plat Book: Page:
Legal Description
PIN
15 AC HWY 801 OFF
5823869598
Proa Values
uildin
92 81
BXF•
9,73
nd:
88,39
arket:
190 93
ssessed:
190,93
Deferred:
Sales Information
No. Book Pape Month Year Instrument Qual/UnQual Improved Price
00449 0076 11 2002 WD Unqualified Improved 0
View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
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1.5.9
http://maps.daviecountync.gov/itsnet/View.aspx?prid=1467035 9/14/2016