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150 Fred Lanier RdAccount #: 990003664 Billed To: Dwight Myers Reference Name: Proposed Facility Residence ATC Number: 4133 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Tax PIN/EH #: Subdivision Info: Location/Address: Property Size: 5719-15-7746 w9 _ ' r/�40";ef" US Highway 64 Vf27028 1 + acres AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This 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 YEAR Environmental Health Specialist's Signature: AZA d Date: 0 S CERTIFICATE OF COMPLETION **NOTE** The 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. a Septic System Installed By: ) T' Environmental Health Specialist's Signature : f / Date: DCI -ED 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990003664 Tax PIN/EH #: 5719-15-7469 Billed To: Dwight Myers Subdivision Info: Reference Name: Location/Address: US Highway 6427028 Proposed Facility Residence Property Size: 1 + acres ATC Number: 4133 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction of 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 permit (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS PERMIT 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 & #People #Bedrooms g #Baths Q Dishwasher:, Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #P/eople #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply Design Wastewater Flow (GPD) Site: New ❑ Repair ❑ System Specifications: Tank Size,/,,�,(QGAL. Pump Tank,& GAL. Trench Width I / Nir Rock Depth Linear Ft./2'0 Other: �I.-,1,��! C' At stcted in 15A NCAC Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the ie 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. f the installation. Telep ne # is (336)751-8760.**** d Environmental Health Specialist's Signature: Date: DCHD 05/99 (Revised) APPLICATION �11t� � 9 2005 a ` ENVIROt�P,1EMAN E EVALUATION/IAIPROVEA1ENT PERMIT & ATC County Health Department onmenta/ Heaitiy Section i 848/210 Hospital Street ,,ksville, NC 27028 (336)751-8760 ***IMPORtiPANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED I INFORMATION IS PROVIIDED. Refer to the RMINFORMATIOON BULLETIN for instruuctions.��7L� 1. Name to be Billed f/'/ C�/T-� Z_ /V V, �S Contact Person Delv1/r/-i1- ( 'l / z—ie'l Mailing Address b/ J� /3 'eolr'I/�/D�D% DD )—/V, �Q� Home Phone City/State/ZIPl�O Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: P-�glte Evaluation ❑ Improvement Permit/ATC ❑ Both 4. System to Service: E& Tiouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. Type system requested: ❑ Conventional M—c-onventional modified ❑ innovative accepted 6. If Residence: # People # Bedrooms h # Bathrooms 2 [BDishwasher ❑Garbage Disposal (Washing Machine 7. If Business/Industry /other: verify type # Commodes # Showers 121asement/Plumbing # Urinals # People ❑Basement/No Plumbing # Sinks # Water Coolers IF FOODSERVICE: It Seats Estimated Water Usage (gallons per day) 8. Type of water supply: ❑ County/City 2r Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 13'No If yes, what type? ***IIIIPORTitNT*** CL NTS MUST OMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PAT tr SITE PL MUST BE SUBMITTED by the client with THIS APPLICATION. Property DimensionsP I Al eA i 'i WRITE DIRECTIONS (from Mocicsville) to PROPERTY:' Tax Office l'IN: # - J • 0 I U� - l/�, 11 f %-� /�'S7 Property Address: Road Name USS, '/T/ l/ A p G E I uT City/zip Mek N1/14t- Y-101,911- Q /y, If in a Subdivision provide information, as follows: Name: Section: Block: Lot: Date home corners nagged: d b 3 D n s 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 ant 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 li/t'i-/�� to conduct all testingproceduresas necessary to determine the site suitability. DATE 9' O SIGNATURE TIIIS AREA MAY BE USED FOR DRAWING YOUR STI'E PLAN (Includ all of the follow' g: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Sign given Revised DCHD (05/03 Site Revisit Charge Datc(s): Client Notification Date: EIIS: Account No. 13 G Invoice No. �� PREU NA -__ LEGEND N.I.P.= NEW IRON PIN I = R/R SPIKE = COMPUTED POINT IN WATER x. = UMARKED POINT IN C/L OF RD. MYERS 1�' EKE 49' f. 413 82 AREA =moi INCLUDES H N -mss! 61 \ jj 69.01 V •- 41 � .� lI y I- GF+ADY L TUTTEROW, CERTIFY THAT UNDER MY DIRECTION AND :•UPERV1SION, THIS MAP WA'- DRAWN FROM AN ACTUAL FIELD 7URVEY MADE BY TUTTEPOW '-JRVEYING COMPANY - elm PW0FE` ,IONAL LAND ;URVEYOP L-2527 TUT1'EROW Si1RVEYING COMPANY 1 '4 --DI_ITH ,SAL I ;BURY S T. MOD'S'VILLE, N,I=. X7028 3.36? 751-561 b 41 415 AC. R/W W � LAKE 64 NO SCALE N d VICINITY MAP x c� • r NN NO^ ` •jam CD sN � Q N 50 25 0 50 100 150 SCALE IN FEET PLAT OF SURVEY FDR DWIGHT L. MYER,`' REV I S I ONS SCALE, j " _ ` APPROVED BY, DRAWN BY- DATE, Y- G.1- TUTTEROW FILE NAME, MYERS-DL T , SEPT- 18 -_'UD( BEING 1 .415 Al'-- TAKEN FP --,IA THE DWIGHT L M 1 ER`-, PROPERTY (D.B 54. PG 49 ')(D B 113, Pv. :1 13) LONG IN TriE CALAHALN TCIWNSHIP DAME COUNTY, NORTH CAROLINA DRAWING NUMBER - TAX MAP REF.: H-2, P/0 16 FACTORS 1 DAVIE COUNTY HEALTH DEPARTMENT Landscape position ' • J ' ' Environmental Health Section HORIZON I DEPTH Soil/ Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990003664 Tax PIN/EH #: 5719-15-7469 �- Billed To: Dwight Myers Subdivision Info: �V728 Reference Name: Location/Address: US Highway 64 Texture groupG� Proposed Facility: Residence Property Size: 1 + acres Date Evaluated: 7! Water Supply: On -Site Well Community Public e� Evaluation By: Auger Boring Pit � Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group G L Consistence Structure �- Mineralogy HORIZON II DEPTH Texture groupG� Consistence Structure 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 C SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: LEGEND EVALUATION BY: 2—,�2/11 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 FR - Friable FI - Firm VFI - Very firth EFI - Extremely firm 31t 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 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 05105 (Revised) ■■ee■■ee■■eeeeeM■■■■eeMMee■■MM■■ie■■■MeeMMMMMMMMM■MMMMMMMMM■MMMMe■ ■■■■■■M■M■■M■e■M■■■■eM■■■■M■MM■■■■■■M■■■MMMe■/■■MMM■■■■■■■■■■■MMM■ ■■■■■■■■MMMM■M■■■■■■■MMM■M■■e■■■M■■■M■■■■■Me■■■MM■■eM■MM■■M■■■e■■■ ■■■■MMM■■MMM■■■■■■■■■■■M■M■■■e■MMM■■MMM■■■EMM■M■■■e■■■■■M■■■■M■■e■ ■■M■■MMM■MMEM■■MM■e■e■eee■■enc■■nn■■■eee■eee■e■■eeeM■MM■MMeeeee■e■ ■■■■■■■■■■■■M■■M■■M■■■■■■■■r.Eur■f�■■■■■■M■eeMM■■ee■M■■■■M■■■/MM■J■ ■e■eee/■//Mee■■eee■�■/■e■■e■■e■e■■e■■e■eeiee.�eee■eeeMMeMMeMMM�eeM■ ■■■■■M■■M■■MMM■■■■■■M■M■M■■M■■MM■M■■■��■■■■■■■i�■■■■■■■■■■e�■■■■■■ ■■■■■■■■■■■■■■■eee■■■■■■■■■■■■Mr•r■■■■■n■elle■■■►i■■■■■■■■■I�e■M■■■ ■■■■/■/eee_■e■ecce■■■■e■eeeeeeee%■�1/■■■f'�cwee■■■■eew�■eeMMM■/��/■/eee ■■■■■■■�_..��..a■■■■■■■■■■■■■lei■■ ■■■eree�. �■■■■■■■►�■■■■■■►gee■■■■ ■■■■■■■■■■■M■■Mfi.w■■■■■■■■/%■■■■e■■■■nee?a�f■■lee■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■fide■!%■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■eei■■■el■■■■e■■■■■■■■■■■■■■■■■■■■■ MENNEN MEMME%MEMEME sommool EMMONS EMMONS MENNEN ■■■■■■■■■■■■■MM■■■M■M■■MMM■■■■■■■M■■■■■■I■■■/■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■eei■■■■■■■■■■■■■■I■■■■■■■■■■■■■■■■■■■■■■■■■■ ■/■■■e■■eMMM■MM■■■e■�■e■■■■■■■■■■E■■■■■■I■■/■■■■■■■■eee■■■■■■/■eee■ ■■■■■■■■■■■■■■■■ri■■er■■■■■■■■■■■■■■■■e•■i►.r■■■■■■war■■■■■■■■■■■■■■■ ■■■■O■■■■■■■M■■I■■■I■■■■■■■■■■■■■■■■■O■\/■/■■■iiia■■/■f1l�■■■■■■■■/■■ ■■■■/■/■■■■/■■�/■■I■■■■■■■■■■■■■/■■■■■Mfr■■■■■■flee■■■.•_sMeee■/■■■e■ ■ie■e■■■e■eer,■■e■ueeie■e■e■ecce■■■eMM■■e■■e■ee■e■e■eeeM■e■■e■Meee■ ■■■■■■■■■M■■■i■■■■►�■e■M■■■■■■■■■■■■■■■M■MM■■■ecce■■e■■ecce■■■■■■■■■ ■M■■M■■■■■■M■1■■■■■MMMe■eee■■■■■■■■■■e■■■■■■■■■e■■eeM■■■■c■■e■e■■■■ ■■■■■■■■■■■■SIM■■��■■■■■MM■M■■M■■■MM■■M■■■■■■■eM■■■■M■■■MM■■■■■■■■e■ ----------------------------- --- - 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COUNTY TA 1981 WD 150 FRED LANIER ROAD sed: FIREADVLTAX - FIRE TAX Deferred: OCKSVILLE NC 27028 2015 WD Unqualified Property Information 0 Township —� �Land (Units/Type): 238.010 AC 2015 CD CALAHALN ddress: 150 FRED LANIER RD 0 4 Deed Information 2016 XX Local Zoning Date: 01/2016 Book: 01009 Page: 0069 211,000 Plat Book: age: Legal Description PIN 38.005AC HWY 64 5719157469 Property Values n 93 29 rMarket: Price 1 864,81 1981 WD 958 10 sed: 15183 Deferred: 806,27 Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 1 00113 0068 02 1981 WD Unqualified Improved 0 2 00995 0764 07 2015 WD Unqualified Improved 0 3 01001 0637 09 2015 CD Unqualified Vacant 0 4 01009 0069 01 2016 XX Unqualified Vacant 211,000 View Proper Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search Page 1 of 1 A 01 .V A. �0 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/itsnettView.aspx?prid=755566 7/5/2016