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131 Tarye LnPermittee's j DAVIE COUNTY HEALTH DEPARTMENT Name:- �:ry ���,1J �`^� t Environmental Health Section P.O. Box 848 P6(. PROPERTY INFORMAT�J.,�5/()� Directions to property: ` - `" Mocksville, NC 27028 Subdivision Name: l� fj j Phone #: 336-751-8760 Section: AUTHORIZATION NO: 002636 A Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION - - r �� 1u Ld s 1 � Road Name r' •�� **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 4Sf G'"S:. apter 130A. Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) t t ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ✓ f . ' f_ . -'s ; ` _� ' i (_, IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONtitENTAL HEAETHSP CIALIST i DA E ISS IED RESIDENTIAL SPECIFICATION: BUILDING TYPE r # BEDROOMS 2 # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY (— -)/�JJ(DESIGN WASTEWATER FLOW (GPD) t NEW SITE REPAIR SITE fIT 1 _+1 1 SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH � <^ ROCK DEPTH , " LINEAR FT. REQUIRED SITE MODIFICATIONS/CONDITIONS: ; 1tiLI 1\jt- t\'N k"I T or SySl = IMPROVEMENT PERMIT LAYOUT I 1,A 1 �t J -tis moil 7 1 vwq L"'o I S Itj G&.1>►1► uF 11 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. 1 OPERATION PERMIT SYSTEM INSTALLED BY: V AUTHORIZATION NO.U04 OPERATION PERMIT BY: DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DIMCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I 1 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 07!02 (Revised) ,...F �/ V ' ' �Y67 Perini ee's ' -- DAVIE COUNTY HEALTH DEPARTMENT Nam' �� .,t `�}i'w� � � �L: L- Environmental Health Section PROPERTY INFORMAT fj(„ P.O. Box 848 V/ Directions to property: t '` L` Mocksville, NC ?7028 Subdivision Name: Phone #: 336-751-8760 Section: Lot: AUTHORIZATION NO: 00536 A AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION 2/ r1] i Lie Road Name: I Zip: 1; **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Countv 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 1 I of G'"S: Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) 1 ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH. SPECIALIST DA E ISS iED RESIDENTIAL SPECIFICATION: BUILDING TYPE A # BEDROOMS - # BATHS J # OCCUPANTS = GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY G`LA,11) DESIGN WASTEWATER FLOW (GPD)>Y `�" NEW SITE REPAIR SITE ✓ I IT 1 _' I SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. T.RE.NCH WIDTH "' ROCK DEPTH t LINEAR FT. ` -- OTHER REQUIREDSITE MODIFICATIONS/CONDITIONS: dal l IMPROVEMENT PERMIT LAYOUT �A j L`a`y f" Iill ,. J T- A 6 jT l �nwr�„"ter, }- W ► �.� 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 (� L, ) I SYSTEM INSTALLED BY: l rVNI r I- AUTHORIZATION NO. �� '•1 `" n OPERATION PERMIT BY: ? % DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM D CRIBED ABOVE HA 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 02/02 (Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION `APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME � I - /� I lu PHONE NUMBER / �� tJ'��► ADDRESS 5?_Og 7 SUBDIVISION NAME DIRECTIONS TO S LOT # DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY M �b NUMBER BEDROOMS 2-11 NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING 4:S: C4.JC9 DATE REQUESTED INFORMATION TAKEN BY 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. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1/93 DAVIE COUNTY HEALTH DEI'ARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION ������►�..�- ., � 1 std l Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position L, Slope % LU HORIZON I DEPTH O Texture group Consistence Structure Mineralogy HORIZON II DEPTH - Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture groupf 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: EVALUATION BY: c- l_E:76f � 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 ist 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 dotes 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 05/99 (Revised) C ':CC=:::CC:"::::::::::::��C.......................�....... ������������������������e����■ � ...... 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" p�.. �c �� " : � : �' i �� ti. , �, � �� � � , , , ..<::. ��,.�����. — � ��.� �, � ��, ;..:tiu����,�.., � ;�,. �t�.� .����� �� °.����� DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR hJ --I) 0—o ��i DATE �'�� PERMIT LOCATION;>. r �, i' 5 1 r t` c• i s. 7- SUBDIVISION NAME y k. ,�>. LOT NO. HOUSE ❑ MOBILE HOME BUSINESS • NO. BEDROOMS N0. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ NO ❑ AUTO. DISHWASHER YES ❑ NO ❑ AUTO. WASH. MACHINE YES ❑ NO ❑ SITE SUITABLE YES ❑ NO [y�-►^�" SIZE OF TANK�j) gal. NITRIFICATION FIELD 66,0 sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual ❑ Public IMPROVEMENTS PERMIT BY - I. }1��Ar CERTIFICATE OF COMPLETION I By— (8/16/73) *Construction must c LOT AREA S. R. NO. SECTION OR BLOCK NO. House Trailer Two Bedroom House Three Bedroom House Four Bedroom House • 800 Gal. 400 Sq. Ft. 800 Gal. 600 Sq. Ft. 900 Gal. 900 Sq. Ft. 1000 Gal. 1200 Sq. Ft. INSTALLED BY �ct �c� .$',�; 4 mo-"" Date R -/Z- 76 ly with all other applicable State and local regulations l Parcel #: J5160B0005 Davie County, NC - Basic Estate Search kBasic Search Real Estate Search Tax Bill Search Sales Search View Property Record for this Parcel View Map for this Parcel View Tax Bill Information i arcel#:15160B0005 Account #:19692000 Owner Information Building: Tax Codes BXF• DANIEL ERVIN GRAY & DANIEL VICKIE S Land: ADVLTAX - COUNTY TA Market: 131 TARUE LANE ssessed: FIREADVLTAX - FIRE TAX Deferred: MOCKSVILLE NC 27028 roperoperty Information Township Land (Units/Type): 5.840 AC MOCKSVILLE ddress: 131 TARUE LN Deed Information Local Zoning Date: 04/1966 Book: 00075 Page: 0354 Plat Book: 0001 Page: 091 Le al Description PIN LOTS 234-238+P/0 111-118 JACOB EATON 5737971745 Property Values Building: 59,4901 BXF• 13,8601 Land: -181,5901 Market: 454 94 ssessed: 454,94 Deferred: Sales Information No Sales Data found. View Property Record for this Parcel View Map for this Parcel View Tax Bili Information « Return to Basic Search 0 Page 1 of 1 Davie County Web Site All Information on this site is prepared for the inventory of real property found within Davie County. All data Is compiled from recorded deeds, plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be consulted for verification of the information. All information contained herein was created for the Davie County's Internal use. Davie County, Its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or Implied, in fact or In law, including without limitation the implied warranties of merchantability and fitness for a particular use. If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120. 1.5.9 http://maps.daviecountync.gov/itsneWiew.aspx?prid=1459176 7/19/2016