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)
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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
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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
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0
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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