157 Wall StParcel #: MS 100A0004
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Parcet #: M5100A0004 Accou�t #: 82517329
Owner Information Tax Codes
EARNHARDT FRANK ADVLTAX - COUNTY T
O BOX 536 FIREADVLTAX - FIRE TAX
OOLEEMEE NC 27014
Pro e Information Townshi
Land (Units/Type): 1.000 LT JERUSALEM
ddress: 157 WALL ST
Deed Information Local 2oning
Date: 03/2003 Book: 00472 Page: 0075
Plat Book: Pa e:
Le al Descri tion PIN
1 LOT WALL ST 5745066588
Pro e Values
uildin : 30 33
BXF•
Land: 12 50
Market: 42 83
ssessed• 42 83
Deferced •
Sales Information
No. Book Page Month Year Instrument Quai/UnQual Improved Price
1 00144 0055 06 1988 WD qualified Improved 13,500
2 00472 0075 03 2003 WD Oualified tmnmvPrl ��_nnn
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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 inerchantability 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/itsnet/View.aspx?prid=766099 10/11/2016
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AUTHORIZATION NO. Q� 9 2 � DAVIE COUNTY HEALTH DEPARTMENT Z y�
"'' �� Environmental Health Section PROPERTY INFORMATION
Permittee's � .; �r ,�' ,�'� �,/ P.O. Box 848
Name: ��`r �',�?��'� �" "��'�,�,�`�?� �^''�r '' Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property: �f��^'i%' '„�!� Section: Lot:
AUTHORIZATION FOR
� WASTEWATER Tax Office PIN:#��" 1��_ -�( �
SYSTEM CONSTRUCTION
�--_ Road Name: !� � t� i• Zip: � t c�
**NOTE** This Authorization for Wastewater System Construction MLJST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Pernuts. This Forn�/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Pernuts.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�i �,1 ,�:
.'%'; ,� i' .sC:•
ENVIRONMENTAL HEALTH E
— �'�
DATE ISSUED
***N01TCE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
, . ..
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�: , ; , _ : y . AVIE COUNTY HEAL :. , - ... . .. . .. , , . .. . _ . .- , . , . , , .
�� �
_ . �l�oc7
� , � �-: � TH DEPARTMENT -�- �l���
" '`r"`� ` IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION''
� ��
Perrriittee's , �x' � � ,� �
Name: { �'.= �''�'s ;�`�; .�-����� k+`�� �`s '""���' -:'"�" - Subdivision Name:
Directions to proper`ty: ���'T' . r' "}�� � Section: Lot:
.,,,.` - IlVIPROVEMENT �',' F� C"� 1 r-� , r 1
� PERMIT Tax Office PIN:#.s y ..� - �� - �� � ' f �i
�i J R:�' � � r ,
Road Name: ��� �� ` � ��� = Zip: �- a �3 '`'
**NOTE** This Impmvement Pemut DOFS NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building pernut.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
' r ��-`' PLAN OR TIIE INTEPNDED U E CHANGE. OUR WASTEWATER
� t� �ir , �r x. . ,, .` �..,i . ; �,,,, -,
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFTCATION: BUILDING TYPE �-� # BEDROOMSc � # BATHS "•�, # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILTTY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE��Gti � S(� TYPE WATER SUPPLY (�; DESIGN WASTEWATER FLOW (GPD) ��r !� NEW SITE [/ REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE +' �� � GAL. PUMP TANK GAL. TRENCH WIDTH a'� / ROCK DEPTH � Y� � LINEAR FT. %�� �/
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT' LAYOUT
**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 THE DAY OF INSTALLATION. TELEPFIONE # IS (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: �'d � Y�JIJILLI.�
1 'Tj.�,�iC "Dacu. `� � %
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AUTHORIZATION NO. � V�� OPERATION PERMIT BY: DATE: �
�
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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 WII.L FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD OS/96 (Revised)
APPLICATION FOR SITE EVALUATION/IMPROVEMENT
"' Davie County Health Department
Environmental Health Section
P.O. Box 848
Mocksville, NC 27028
� (704) 634-8760
��� f� �, �-.
____ --. =� _ :: _ _: . : i
��9I�Y 2 7 I9�7
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed �/e/�-i✓ ��. G�✓' i'1 �'l a ��� Contact Person r�/; N/� �� v �'1 f 14 r�(
Mailing Address � U i"� ��' 'J`� 3� Home Phone '� ��- .2 S¢•� G� v
City/State/Zip l, �� v � e� vn r� �� �'% U 1� Business Phone �� � t�
2. Name on PermidATC if Different than Above
Mailing Address
3. Application For: [] Site Evaluation
City/State/Zip
[ ] Improvement Permit & ATC [�Both
4. System to Serve: [] House [�]�Iobile Home [] Business [] Industry [] Other
5. If Residence: # People # Bedrooms .3 # Bathrooms� [] Dishwasher [] Gazbage Disposal
[�Washing Machine [ ] BasementlPlumbing [ ] Basement/No Plumbing
6. If Business/Other: Specify type # People #Sinks # Commodes
# Showers # Urinals # Water.Coolers .
If Foodservice: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: [!,}'C`ounty/City [] Well [] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes [�o
If yes, what type?
EITHER A PLAT OR SlTE PLtiN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** �'�c'OF THE PROPERTY MUST BE
� SUBMITTED WITH T�I�S APPLICATION.
Property Dimensions: J l U X l S U � WRITE DIRECTIONS (from ocksville) TO PROPERTY:
Tax Office PIN: #_S'7 4�-�_ - U l 4 U � �� U I � ��cfi�. �;�, h f' v n h �✓ �a __
Property Address: Road Name (.�/ A- � � � t• � S� �/ ��� h f � n (� P�' u���-rn , ��•
City/Zip v u�t Q!^/t o e i�� a')U / Q ;<���"' e-,1 L./n� � i ��. 02 �n d ��, "T`'
If in Subdivision provide information, as follows: � a r, ��`��
Name: �
�
�
Section: Lot #: ;
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are
subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or
changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized
Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned
by /�R��✓� r,�u ��G r n/1G rc� � _ to ct all testing pr es as necessary to determine the site suitability.
DATE .� SIGNATURE � a� ���'�'
Revised DCHD (06-96)
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� .�. � DAVIE COUNTY HEALTH DEPARTMENT
� Environmental Health Section SECTION LOT
SoiUSite Evaluation
APPLICANT'S NAME �_ �`l�h /ir�(Y� DATE EVALUATED �"y' J'7
PROPOSED FACILITY �%i �1" PROPERTY SIZE ���/�a
SUBDIVISION �!��� ROAD NAME �r�/f'%� .�%�
Water Supply: On-Site Well
Community
Evaluation By: Auger Boring �� Pit
Public ��
Cut
SITE CLASSIFICATION: %��
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (O1-90)
EVALUATION 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 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
MineraloEv
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 - gaUday/ft2
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