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353 Sandy LnDavie Countv, NC Tax Parcel Renort 136 P Thursday. October 6, 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: WARMINki: 1111N IN 1VU1 A NUKVLt Y Davie County, Parcel Information 1700000091 Township: Fulton 5768956342 Municipality: 82521850 Census Tract: 37059-804 TAYLOR TERRY RAY Voting Precinct: FULTON 9987 BLOOMVILLE ROAD Planning Jurisdiction: Davie County MANNING Zoning Class: DAVIE COUNTY R -A Sc Zoning Overlay: 29102 Voluntary Ag. District: No 5.001 AC OFF FORK BIXBY Fire Response District: FORK 5.08 Elementary School Zone: CORNATZER 12/2003 Middle School Zone: WILLIAM ELLIS 005250832 Soil Types: WeC,WeB,ChA Flood Zone: Watershed Overlay: DAVIE COUNTY 0.00 Outbuilding & Extra 5130.00 Freatures Value: 35070.00 Total Market Value: 40200.00 40200.00 Davie County, 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 NC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to out of the use or Inability to use the GIS data by this website. or arising provided ' DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION * NOTE: Issued in Compliance With Article II of G.S. Chapter 130a 353 � Ln Sanitary Sewage System D�"-� i� )4dv4,r)c.�_ tg-o�c) Paromit Number Name�'�-�,��%�� !„�r Date O 7'35,6 Location / ';% i ✓ V::., d/ ./�l !�/.� ,h ' moi. lanp- Subdivision Name Lot No. Sec. or Block No. 76 Lot Size _� House Mobile Home —�-! Business -- Industry No. Bedrooms r No. Baths— No. in Family !__ Public Assembly Other Garbage Disposal YES ❑ NO Specifications for System: J Auto Dish Washer YES NO ❑ "/ �C Auto Wash Ma^hine YES NO ❑ Type Water Supply— (r' -- ---1 V -f z1f �jf��,, , *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 —–f *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by`�J U Certificate of Completion G �// Date—SJR-7r �y '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. • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME / l -O DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY � �°` LOCATION OF SITE Water Supply: On -Site Well Community Public C/ Evaluation By: Auger Boring [/ Pit Cut FACTORS 1 2 3 4 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH 410` 1 6 - �_S " �q 4 -- Texture group C_ C G C__1_ Consistence Structure CX,,e S/>e' 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: — EVALUATED BY:A01 /l LANG -TERM ACCEPTANCE RATE: G OTHER(S) PRESENT: REMARKS: LEGEND Landscape Position R -Ridge S -Shoulder L -Linear slope FS-Footslope 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 watef 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 ■��■��■��■��■��■��■��■ �� ■ ■ ■��■��■��■��■��n��■��■■��■ ■��■■��■ ■��■�r��■��l�S ■■�■��■■■■��■■��■��■■��■��■ ■��■��■��■■��■��\��■■ ■��■�■��■��■�■��■��■��■■��■��■ ■��■�� ■��E■��■��■■��■��■�■ ■■��■��■��■��■��■ ■��■��■��\��\�■��■�� ■��■��■��■��■\��■■■ ■��■■��■��■ ■��■��■■�■■�� ...........................�...................�.................. ........................... ................... .................. ::::::::::::::::::::C::::C:C::::::�:::�::::�:':'::::�::::::":: .....■.................................■.�...■■■�._■■...■....■:�■. ........................................................■......... ...............................�................................ ■��■��■�� ■��■��■��i��■ ■■■��■■��\��■��■��■��■■ ■��■��■��■��0��\��■��■��■��■�� ■■��\��■��■��■■ ��■�� e��i��nu��■ ■��\��■��■��■��\�� ■��n��■��■��■��■��■��1�/��M�� ■�� ■\��■��■■��■�■�� ■�� i�:7��■��■�� ■■��■��■��N��N��n��■ ��■ ■��■��■��■��\�■��■�\�� ..................................................�...... ...... ■ ....................................�............. ............... ....................................�.��....■........■■....■■■...■.. ....................................��•�.......................... ...■............................ ................................ '::::::::::::::::::::�::�:�:��:::�:::::C:::::�::::::::�: .........................................................�....... :::C:C::�:::C::�::�CC:C:::":C:':C:C::::::::::�:::S::C:..C:C:::: ■��N��\n��■ ■��■��■��i��\��■��■ ��:1��:~��■.��:�� :::::::::::�.:::::�::�::::�:::�::::::�:':::::: ':::::::C:::::::: ..................�...,................. ..E�..... ;�.....�........ ..................►...�................. ,..... .... ........ :�:�::�::::::::::':�::_::::::::":::: ::.�::�' ::�L:C::C=�::':� .....................�...........i1.■. ,��-• � ..■........�.... ■■■■■■■■■■■■■■■■■■■■■i■■■■■■■■■■■■■■.;�■; �� ■i' 'ui a:':::::': ..................►...��.............�,.o �. .......0 �� ■��■��■��■f��I�=�.i/��n� �� ■��■��■��11��■■��\.��H��n h� ■��■� ■�■��■��■■il��n�� i % �� H�� ..................��....�.........._...��. �. =�CC.:�........ ...................�......��.....� ..�• . .. ......... ■■��■��I��r■i�'ii..-.��■�� ■ ��%��■�� ■��u�� ■�■�� u� e■��u��■ -- -- ---- - - ■��■� ��■��11� �/I�■��ii��i�� ■�� r �� :::::::��::C:::::�::.::::::::::::::::::.:::■ ....... .. . �'�i 'i'�i ��u��■ ■��■��■��■ ■ ■ �� u� ■�� ..................�...�................."�.�.�C.....C.=...C...C.=... ..................�...��..........�,...��.._,.................. .... ■�■�u��■��■��■��■■�■��■...�■L�.�•��►al �1��u��t��■��■�� i��.��n�r�e�r�—��n��n��t�� ■��■��u��■�i��c��r�u��■�� Nn�a�u��■��■ ■��■i��a��■►�� ■ �■�� ■��p��\��11■�(�� N�� r��N�� :::C::�CC:::::::::��:'�C:::E:C:::::::C:::::::::::::::::�::::::::�: ■........■■■......��.C�■..........�....■........................... ■■......■■........��..�........... .■.....■....■................... .........■■......��■.�.............■.■_■.■..■...■.■■■..■......■.■■ ...................�................... ..........................■ ...................�............................................... ...................�..............■■..■■■.■■■■■■■■■■..■■■■■■■■■■■.■ ■.■■■.■.■■■.......�........■...................................... ■.....................................■■■■..■.■.■■■■.......■■...■■ .�.. ...........................�................................ :::::::::::�.:::::::::::::::::::.::::':::::�::::::::::::::C:::: ' APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS ,pavie County Health Department q'Q s Env' gental Health Section 1�4� P. O. Box 665 �N u �• r , �fRYlocksville, N.C. 27028 CONSTRUCTION SHA cCi "L NOT BEGIN UNTIL IMPROV MENTS PERMIT HAS �n � �e , Cv Permit Requested By 2. Address 3. Property Owner if Different than Above L Address 4. Permit To: a) Install Alter Repair b) Privy Conventional Repair --- Type . Ground Absorption Home Phon Ne 1 WE I °r usiness Phone 5'F t ;Z Y616 c) Sub -Division Sec. Lot No. --- 5. System used to serve what type facility: House Mobile Home Business Industry Other b) Number of people CO 6. ay If house or mobile home, state size of home and number of rooms. House Dimensions '5!!� X 76 Bed Rooms 3 Bath Rooms Den w/Closet b) If Business, Industry or Other, State: Number of persons served What type business, etc. Estimate amount of waste daily (24 hours) 7. Number and type of water -using fixtures: commodes urinals garbage disposal lavatory 2 showers Z washing machine dishwasher sinks 1 8. a) Type water supply: Public Private Community b) Has the water supply system been approved? Yes ✓No 9. a) Property Dimensions X Soo b) Land area designated to building site c) Sewage Disposal Contractor 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? What type? This is to certify that the information is corre the bes owledge. to Owner Signature OWNER IS SO ELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Directions to property: DCHD Allow 5 days for processing la Nn OD NA i}rf 596 A �Q 4 ' 33 A c \^ V >. ,. O to �• 5 j7 i 4 I, g'�I `� '^: O _ ` "a . rte• .�,� 2(o, i� • `� �.g,z�s yrs Y _� sn ^, r .r� �+'�- "'��\ ..� � �. a .,s4i •rP �R . ," 11 U � • � i .e n •.♦ ,• '";•t` ,.g<,• , '�•.ti,.i a ;^,,,1. •c�.tw ,IT 'y'' iR� O'f-•"I •i• •r 16.r.r_"."F ya �*t*�rJy,�v V •r, �r � 4. w ri" * r r ,rlN ' '", AC, '� ; 198 �iV, Pr ti ;' :s!`•� p ' " +'n't tWii w .�, x""`x.,F p '4 2 6 74 7.90. r -► 1� N ! .N •' .<•" :fix .s ` � � .,�, <':witi' '�Y,1 I ��y � ,' . �� 445. 442.2 y t 4 �.r ,,. 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