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429 Hall Walker LnDAVIE COUNTY `HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION J * NC)TB lss.ued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systems Permit Number Name _�k� Ct ti Date Lt 1 c N2 5956 e ,\ • Location Subdivision Name K Lot No. Sec. or Block Nd. Lot Size House Mobile Home _ Business Speculation No. Bedrooms No. Baths No. in Family Garbage Disposal _ YES .❑ NO ER-- Specifications for System: Auto ,Dish Washer YES ❑ NO [f f ) u © coo) `* r• _ _a Auto Wash Machine YES [ NO ❑ 00 Type Water Supply *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. too 00, Improverrients permit by *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 day of completion. Telephone Number: 704-634-5985. Certificate of Completion ��\ Date *The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT .�` Davie County Health Department Environmental Health SectionQ �Pl. 1t P. 0. Box 665 RECEl�E Mockoville, NC 27028 1. Application/Permit Requested By Mailing Address O�LI09 Aa 7/0 6 Home Phone�9191�/��9�� EHYBusiness Phone 2. Name on Permit if Different than Above / 3. Property Owner if Different than Above �P, �^/�riP, /7-_1_4 4Gi. 4. Application/Permit For: lC) General Evaluation j S/Tank Installation 5. System to Serve: 0 House Mobile Home 0 Business Industry Other 0 Unknown 6. If house, mobile home: Subdivision - Sec. _ Lott No. of People /74 No. of Bedrooms No. of Bathrooms / Washing Machine Dwelling Dimensions Basement/Plumbing Basement/No Plumbing J Dishwasher 0 Garbage Disposai 7. If business, industry, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers 8. Type of water supply: C Public 9. Property Dimensions 10. Sewage Disposal Contractor No. of Sinks No. of Urinals No. of Water Coolers 'Private q Community 11. Do you anticipate additions/expansions of the facility this system is intended to serve? Yes No If.yes, what type? *NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject tb�,revocation, if site plans or the intended use change. Effeati'v* October 1, 1989. This is to certity that the intormation provides is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this appl ation. Date S'gnature Directions to Property: DCHD (10-89) DAVIE COUNTY HEALTH DEPARTMENTp �, R - 919 0 ENVIRONMENTAL HEALTH SECTION I SITE EVALUATION CONSENT FORM 1. Complete the form below and return to the Davie County Health Department. 2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin." NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO BEGIN THE REQUESTED EVALUATION. DETACH HERE AND RETURN TO: Davie County Health Department, Environmental Health Section, P. O. Box 665, Mocksville, N.C. 27028 Davie County Health Department Environmental Health Section Site Evaluation Consent Form �LOCATION OF PROPERTY: DATE RECEIVED (office use only) yes fno) 1. 1 am the owner of the above described property. yes no 2. 1 am not the owner of the above described property, however, I certify that I have consent from z5w ei:Z , owner to obtain a owner's name site evaluation by the Davie County Health Department for the purpose of determining the suitability for a ground absorption sewage treatment and disposal system. yes no 3. 1 hereby give consent to the authorized representative of the Davie County Health Department to enter upon the above described property and conduct all testing procedures as necessary to determine its suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATU E 4. 1 hereby authorize the Davie County Health Department to release site evaluation results from the above described property to the following: — Owner only — Owners designated representative — Anyone requesting results Only those listed below DATE SIGNATURE DCHD (11 /84) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section R O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name Date 2,L c% Address Lot Size ! 51-7 FACTORS ARF'A 1 \ AROCT ARK13 APPA A 1) Topography/ Landscape Position 9) SS �5�, C–I'gJ S PS U U U U �) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) <*�:' PS S S S PS U U U U 3) Soil Structure (12-36 in.) Clayey Soils S � — L) S PS U U U U q Soil Depth (inches) PS � � S PS U U U U i) Soil Drainage: Internal PS S PS S PS U U External S � S PS U U i) Restrictive Horizons Available Space S PS S PS U U I) Other (Specify) S - PS S PS S PS S PS U Site Classification '3) N U—UNSUITABLE Recommendations/Comments: S—SUITABLE PS—Provisionally Suitable y NS-1 Described by Title Z .1 Nk Date SITE DIAGRAM ]Sol DCHD (6-82) Parcel #: C70000011607 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bill Search Sales Search Q View Prooertv Record for this Parcel View Map for this Parcel View Tax Bill Information Parcel #: C70000011607 Account #:8300620 Information Tax Codes ADVLTAX - COUNTY T E2HALOwner LAND DEBORAH D LWALKER LANE READVLTAX - FIRE TAXNCE NC 27006 55,86 arket• Property Information Township nd (Units/Type): 1.970 AC FARMINGTON ddress: 429 ALL WALKER LN Deed Information Local Zoning ate: 12/2011 Book: 2011E Page: 1218 lat Book: Page: Legal Description PIN 1.970 AC OFF HWY 801 5872099378 Property Values uildin : BXF• 4,50 nd: 55,86 arket• 60,36 ssessed: 60,36 Deferred: Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 1 00131 0010 03 1986 WD Unqualified Vacant 1 2 2011E 1218 12 2011 DC Unqualified Vacant 0 View Prooertv Record for this Parcel View May for this Parcel View Tax Bill Information « Return to Basic Search Page 1 of 1 A.t� 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/itsnet/View.aspx?prid=1462496 9/14/2016