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1181 Calahaln Rd. , DAVIE COUNTY HEALTH DEPARTMENT ;.. , _ - : • Environmentai Health Section � P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990000968 Billed To: Craig Cartner Reference Name: Craig Cartner Proposed Facility: Residence IMPROVEMENT/OPERATION PERMIT I''��9 `2-/� �'� Tax PIN/EH #: 5800-45-0933 Subdivision Info: Location/Address: Calahaln Road-2702$ Property Size: 19.8 Acres **NOTE'�* Ttii bgmprovement/Operation Permit DOES NOT authorize the construction of a septic tank system or any wastewater system. An AiTTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS PERNIIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type f �/' �u(� #People _� #Bedrooms �� #Baths �_ Dishwasher: � Garbage Disposal: 0 Washing Machine: �� Basement w/Plumbing: ❑ BasementlNo Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size �� C Type Water Supply �� Design Wastewater Flow (GPD) �6� Site: New��Repair ❑ System Specifications: Tank Siz%�'d GAL. Pump Tank Other: Required Site Modifications/Conditions: GAL. Trench Width � Rock Depth %�. � Linear Ft�DI% IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6" BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** Environmental Health Specialist's Signature: DCHD OS/99 (Revised) Prop°��`� � ' � �5 N, � Date: ���% �d Account #: 990000968 Billed To: Craig Cartner Reference Name: Craig Cattner Proposed Facility: Residence ATC Number: 2327 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (33G)751-8760 Tax PIN/EH #: 5800-45-0933 Subdivision Info: Location/Address: Calahaln Road-27028 Property Size: 19.8 Acres AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSLTED by the Davie County Environmental Health Section prior to issuance of any building permit(s). T'his Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: ��%f� �,� Date: �� / 7� CERTIFICATE OF COMPLETION **NOTE** T'he issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit has 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. %h A�n��' Septic System Installed By: Environmental Health Specialist's Signatwe : DCHD OS/99 (Revised) � Date: D� 'o�%� ��� . ' � � n �2, ��j i5� Q U � APPLICAT10�11��i R SITE EVALUATION/IMPROVEMENT PERMIT & ATC .lAN 2$ 20G0 V avie County Health Departmeht „�_t,' nvironmenta/Hea/thSe�cGion �/// - �,..-..----�-�---�---' .O Box 848/210 Hospital Street �//" � . � Et�lVlRu�d����:.r�TAI HEALTH ��snille, NC 27028 � D�VIE COUNTY , � (336) 751-8760 a ***II�ORTANT*** THIS APPLICATION C�INNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BTJI�LETIN for instructions. 1. Name to be Billed �� %�`�.'� IL, •T'7 hiP �� Contact Person .! �� Q A�� �T !1U L ���ng �eee I 1 �31 i'��.� ��� �� �.. City/$tate/ZIP Home Phone Businesa Phone J li?E 2. Name on Permi.t/ATC if Different than Above �i'a{i�(�..- Mailinq Addresa _ �'J-�'�.�_ City/State/2ip s �.r:� �� 3. Appiication For: � Site Evaluation ❑ Improvement Permit/ATC Both � system to ser,.iae: 0�' House 6�' Mobile Home ❑ Business 0 Industxy ❑ Other s. �f esidence: � People �_ : Bedrooms � � Bathrooms � Dishwasher ❑ Gasbage Disposal ashinq Machine f7 Basement/Plumbing ❑ Sasement/No Plumbing 6. If Businaaa/Induatxy/Other: SpeciPy type # People � 3inks # Commodea � Shoxera # Urinala # Water Coolera IF FOODSERVICE: # S@at3 Estimated Water UsSge (gallona par day) 7. Type of water supply: County/City ❑ Well ❑ Community e. Do you anticipate additions or eapansions of the facility this system is intended to serve? ❑ Yes �.AFt� If yes, what type? ***IMPORTANT*** CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. EitLer a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: ��' �/7���.5 WRITE DIRECTIONS (from Mocksville) to PROPERTY: TaaOfiicePIN: # .SRoo-y5-o933 Go �y �•k� �-o ���e.��-�� �r� t��'� Property Address: Road Name � ti� � � i�t.,..1r'tx�; �._��� � `l�4-�-- (Q� ���-5�.�� � �,� �`�t"� �� �7 �+ j� ,} t /� -: t/'��r j� �y r. + p / ^j�;� „„�' �} ; • � CIty�L.�p t, t1 C%`� _�c ,`}:,/ t��� S; :�,'. *tt ,+t7�G � f 1Z i��`t fi,�`! �` �¢" f%_ f A? s' ". S`�i i.-��� �2� 5" '� � ��.r�''� ��x��'c`'? i���..� i'�fyaC�l�';. If in a Subdivision provide informallon, as follows: �, Name: Section: Block: Lot: Date Property Flagged: �—�� G U This is to certify that the information provided is correct to the best of my knowledge. I understand t6at any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if t6e information submitted in this apptication is falsified or changed I, also, understand that I am responsible for all charges incurred jrom this application. I, hereby, give consent to the Authorized Representative of the Davie County Hfalth De� ar� �ent to enter upon above described property located in Davie County and owned by �PAiC ���rc�4 G�C/'�'�rr^ to conduct all testing procedures as necessary to determine the site suitability. DATE l �- � �Q "'� � SIGNATURE • . /1� THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Eaisting and proposed property lines and dimensions, structures, setbacks, and septic locations). Revised DCHD (07/99) ' �6 Site Revisit Charge Date(s): I Client NoHfication Date: I EHS• Account No. [JO Invoice No. � � �- � � �, ;"' � r�.:;��� ; .4 — ,y.�� � `���: , � . , ;:�. �,y � r, s , � "�F'���`� ' %'a�;, '�a�`^ 1 �. �� w ��s�,'� � a. w ' '� S� a�„'!!A!1"�,��i. �� Itic>y �SZQ -- _ _ _ _ � � ���� N �� !t ��� °.�o Ar• ,1 N 3 �;�'°;��� 4 �� ` � —' — — °'� { � �"� � ;� �5k ' � ao --- .�M,�, �,."� � �+i25 ° — � y�� � ,�4 . - � . `" >r!� �. .:� cV `Z /�(D ��Fj .3. �J� � �O � > �"+,� � � ul� � �. '�; %� M 1^� ,�j (y � f �� iq; al � � � .,� R � ,. i, � � � �xw� . �,�� t M "?�y'r � '`� " . 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' . ; ` ' � 1� �'N; � } �9 �� � , �X{ . ���+ y �,�, ui,, R��. � i .� � a � . � e � � � � ♦ t � ,+va�'w t I � � �1 �"�ky�E,'n� i � � .. � L. 16„�. � � �i �� � ° s,�HL�.,�. :'T... ^ a, . 'li ',�M;. j. �,�• � i Rl � i . i * , r �> � ..�� �'� � .t � �� .� � r�, ��y � ,,��y � � � �e ! y�.",�, ' a'�:'er ,.' ' _�.��v �'��F p �li A� r S , ' � q.�•1k 4, ` ^ n+�r.{u '•=9�1R�+w.r _ 111 . I * � '��� s � K+ ;�'� I ylp, ti � , "i'.. �.a'� ,,; � '` � t, � , �;t . �". �' :, ►♦ �;,�,, � ,. � , : v �.. ' •. � � n � �i; ' � i�� � '11, , 'l . W �'� - - r � � r' ...� - �0" ' . . � y . . . . . . ' �.. . ,a y'! ;f,�P•� ' � . �,, ; r,� �.� � .4 2-s ..:» �",• � � y �y , �, �=1 �.. . , � � 1�' 1 -r � � . . . • v� � 1� s��. . i " . ' .. ��.. . .N t � <i :4' . - �,?� . 1. . ,'% � - �+r . • �, . y, ` � , . �;�i,� � • . ' i.: �~� w ,�. I �'!�'"�, �, , ; a �� �� `" r � t t 1�`',� �� ( �fi �.Yk� . . , x ;, n � � , F: . . . .n� �' q � � DEED 800K..�_ PAGE.�� ;� ; Maii allcr recording to Andrcw White (nttomey's Dox) This instrument preparcd by Andrew White, Mocksville, NC 0 t� � 3 ( i (NO T17LE SEARGf REQUESTED OR PERFORMEDf WARRANTY DEED This Warranty Deed is made this 4'h day of SeptemUer 1998, by and between J.C. Cleary and wife, Gwendolyn L. Cleary (hereinafier "Grantors") of Davie County, North Cazolina, and Rodney Craig Cartner and wife, Wanda G. Cartner (hereinafter "Grantees") of Davie County, North Carolina. In consideration of certain valuable consideration by Grantees, the receipt and sufficiency of wl�ich is hereby acknowledged, Grantors l�ave and by these presents do grant a�id convey to Grantees in fee simple all rigl�t, title, claim, and interest of Grantors to that certain lot or parccl of land, and all improvements thereto, situaled in Davie County, North Carolina, described in the attached Legal Description. - Grantors hereby warrant and covenant witli Grazitees that Grantors are seized of the above-described property in fee simpie, have the right to convey the above-described property in fee simple, that title to the above-described property is marketable and free and clear of all encumUrances, that Grantors have done nothing to impair such title as Grantors received to the above-described property, and that Grantors will wanant and defend the title to the above-described property against the claims of all persons. In witness whereof, Grantors set their signatures below, this 4`h day of September 1998, Grantors: � . � �./..( � J. . Cleary Gwendolyn L Cleary � +kti�t#**t*#!#4t*#4Mtt�Rtt#t�**�*tM#tt#4**#4t##f�ftf*4*t4Mt##t4��tt*+M4t*#�4ftt+MtR**rtrtt�#• STATE OF NORTH CAROLINA COUNTY Or DAVIE .�I,�p��ci��Qt' 1„ �c��►Q�C' , a Notary Public of Davie County, North Carolina, do '•���;,•�`"H�l��'��tY�►���C,ertify that J.C. Cleary and wife, Gwendolyn L. Cleary did personally appear ,.�° ' k.�ba�"or���_[']'�e�•.this day and acknowledged the execution of the foregoing Warranty Deed as �.�� :.•' .nyrr...,, ., i' � . ��: � � C-� r� n � t�; s:�j tness my han d an d o f f icia l sea Us tamp, t his 4' h day o f Sep tem ber 1 9 9 8, E tu J ���u�'�;K� =' ; : :�z= �---� � Q •ti� u � i ; - - —, - '''��Gi.''Metr liF``� . ' `•�;'�C,���}��iission expires: ► << v . [SEALJ ..,,� ,.-;: .**.«**.*.*.*.�*..*.*......*..«*.:....*.**.:**.**«**+..*.*.�.*..:.*.�*.*.M�*:.*........ STATE OF NORTH CAROLINA COUNTY OF DAVIE The foregoing certificate of Jennifer L. Deeker , Notary Public of Davie County, North Carolina, is hereby certified to be correct. This Warranty Deed and this certificate are duly registered and recorded this 10 day of��'g�98, at 11:14 A. m., in Book 205 at Page 644 Henry L. Shore, Register of Deeds, Davie County, North Carolina By: /t� � y� ��.-„�L1 � [DrputYl UHVIE COUIITY sra ORTH NpRouNA G � N9-10-98 ��.Z4� _ C�i� �'. i, � Real Estate ��•" � Excise Tax APPLICANT INFORMATION Account #: 990000968 Billed To: Craig Cartner Reference Name: Craig Cartner Proposed Facility: Residence DAVIE COUNTY HEALTH DEPARTMENT Environmental Heaith Section Soil/Site Evaluation PROPERTY INFORMATION Tax PIN/EH #: 5800-45-0933 Subdivision Info: Location/Address: Calahaln Road-27028 Property Size: 19.8 Acres Date Evaluated: '�/� ��� Water Supply: On-Site Well Community Evaluation By: Auger Boring e/ Pit HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence SWcture Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SIT'E CLASSIFICATION: s LONG-TERM ACCEPTANCE R�TE REMARKS: LEGEND Public Cut EVALUATION BY: OTHER(S) PRESENT: 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 Moist VFR - Very friable Wet NS - Non sticky NP - Non plastic FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm SS - Slightly sticky S- Sticky VS - Very Sticky SP - Slightly plastic P- Plastic VP - Very plastic tructure SC - Single grain M- Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralo�v 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 - 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