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135 Harness Ln Davie County,NC . � Tax Parcel Report b� D Tuesday, October 4, 2016 f ,-�„- -. `� / �119;'13� ,a 901 601 107` �22 + � 11� ,, 72401,7231 - 661 LLR� 124 7262 j�7239 �Grr �' � ~�` �7247 �r � 7280 7255 � , VO�'130 1 171 {72821 ,'�2678 2721� �123 2668�4„f 114� �. /ti 7300 114� .:135 2696 � ��2733 � 2719 209 7306 ' 132• � 195�-�10 �� 7301 tt 128�' 118 '* 2727� s�'"196 7316� 138 ;� s. ,� .7`�95 126� '�, 2722 . 3� �; �7315 150 � `; � 7340�r7325 158 '�, �� 7348 r7��1� � 146 ~�:`` 2769 i7339' 15�4� �2736 7345 V 152` � 178 167 , ,r7369 129 ,� 182� y7379 ,1q1 1�%� 181 192 �i 17387 134 ` 111 200' I �7401 � 153 242 232 / f7405 �66 `123 `L -�r 7419 174 -..165 -- 2��249�r i �_L_'� _ � �_171 tLL��7 � ��5ti — WARNING: TffiS IS NOT A SURVEY :.. _ .._._ _._. _ _ ,.-- : -- __ , . ._ �. ; Parcel Information Parcel Number: M5030A000104 Township: Jerusalem NCPIN Number. 57Q5498748 Municipality: Account Number. 23774000 Census Trect: 37059-807 Listed Owner 1: EDWARDS ROBERT DEAN Voting Precinct: COOLEEMEE Mailing Address 1: PO BOX 472 Pianning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNN R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-0472 Voluntary Ag.Dlst�ict Np Legal Description: HVV1f 801 Fire Response District: JERUSALEM Assessed Acreage: 5.52 Elementary School Zone: COOLEEMEE Deed Date: 11/1995 Middie School Zone: SOUTH DAVIE Deed Book/Page: 001830859 Soil Types: GnB2,GnC2,MsC Plat Book: Fiood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding 8 Extra 17730.00 Freatures Value: Land Value: 34300.00 Total Market Value: 52030.00 Total Assessed Value: 52030.00 9���A M data Is provlded as b wkhout warraMy or puarantee ot any Idnd dther eipressM or Implied Including but not IlmRed to the Davie County� Nr�plled wamMles ot mercha�Rablllty ar fitnesa for a partleular usa M usas oT Davie CowrtYs GIS websRe shall hold harmless the CourAy of Davle,NortA Cardina,its agaHs,conwltaMs,wntractors or anployees hom aMr md aA dalms or tauses of�ctlon due to �p UN.�'ti NC w arlcing out of the uu or Inablilty W use the p5 daU proNded by thls websita _ -z �..,. ., .. . ., , , _ . . .fa.�::-r� '.,/F�,,..�� ��Yr..�r.�J,y a-�.y;..yFCti,�.tiJrm .�..J.h,4;. ... �l-�?,. �:.�i;r' :� � .. ... � .i.. .,. . , _ , . . . � , � .. �c. . . �. - . ,.� ..�� ... ;�.. ..:... . .. •...-.. _..� . ;r: . .. . _ �ko �,.�..,.,,�;� _ . � DRVIE COUNTY IiEi�TH DEPARTMENT :":.";+�� � , ' IMPROVEME�(T PERMIT and OPERATION PERMIT .. . � , , . IM�RDVEIIENT PERMIT +�*t�TEf� This i�prove�ent per�it DDES NOT authorize the construction or installation of a septic tank syste� or any NasteNater syste�. �I AUTI�RIZATI�1 FOR WA5TE{JRTER 5Y5TEN CDNSTRUCTI�1 �ust be obtained fro� this Depart�ent prior to the construction/installation of a syste� or the issuance of a building per�it. tIn co�pliance Mith Article il of 6.5. Chapter 130A, NasteNater Syste�s, Section .1900 5ewage Treat�ent and Disposal 5yste�s) NAl� 11 o�etZ� � . � �w�A�?�S PRDPERTY ADDRESS � � �,.'3,� � _ a 76 ana� I I-13��5 LOCATION ��o � S ! R� a`� �5��s ' �,� �► � t��.ta ess �,A�a. - 'l�t eN a � �,�.�'t `'� , �`, 5UBDIVISIDM NAME LOT NUMBER SEC./Bl�li MIMBER �'� `'� RESIDENTAL SPECIFICATION: BUILDIt�'i TYPE . o ImQ t BEDR�MS � A BATHS I # OCCUPANTS � 6ARB�E DISP�AI.: Yes/� \� , � # PE�LE # PEDF�LElSHIFT � 5ERT5 INDUSTRIW. WASTE: Yes/No COMI�RCIAL 5i�CIFICATIO�:`fACILITY>TYPE a .: =7�.y;, . ��'ir,� LOT SIIE �'J ��Z �S�.9a�TYPE 41ATER S1IPPLY �� . DESI6N NASTENFITER FLON {fiPD) d�.D t�l SITE. � REPAIR SI�E . .� � . + -�wy ...•�w '-vi. ',:� , �'t•� r'�. �� : ��.+.; ';;t • ,�+ ' �? / ti- SY5TEM SPECIFICRTIONS: TANf( SIZE ���' 6AL. PIA� TAF6t 6RL. TRENCH WIDTH .� ROCK DEPTH ��� LIt�AR FT.; ,���+ .;,, _ OT}�R r��._. � t . � t � �`"�� ' � �,e �., t �;e�, ".h . REQUIRED SITE MDDIFICATIDNS/tXINDITID�IS: �THIS PERMIT IS�JECT TO REUOCATION IF 5ITE PLANS �1R THE INTENDED USE (�1GE. YOl1R 4�S�TERWATER SYSTEM C�NTA�TOR M�lST-; ` SEE THIS PERMIT BEFORE INSTALLIN6 THE SYSTEM.`` � 9 y � 5' "' �%.�- . ` r:;,� F ` � .r , :�:. m. �� o �. � . B � _.__._ _,----. . . .._�. D ba+ F 1�r . �+y/D O�� � t/ t . . -� �� .....� ..'. ...... . i �'' � ���.S�s�.Av �, ��s�'�� 4IMPROVEMIENT PERMIT BY �- , +��CONTACT A REPRESENTATIVE OF THE DAU�E�,COUNTY-�LIH.DEPARTF�NT FOR FIt�I. INSPECTION � THIS SYSTEM 6ETUEEN , 8:38-9:38 A.M. OR 1:�-1:30 P.M:"ON;,TN�`DAY'OF INSTALLAT.I_ON.�TELEPHOF� # IS t704f b34-8768. �, ; -�-�—_......_,. , �_ �ERATION PERMIT ,� +''����.,y ,SYSTEM INSTALLED BY N�� M P� �� ►1� ,:� ' �:`h..,_ .. � _ ., . . . - -... '`'w. .� , «. . ,.� . ,,,,... . � . k r�.,.v � . y � 1`� . I�� rn Q � ' �"�. b � 1� ������a i f'; � �� Ja� AUTHORIZATION N0. C�O /� �ERATIDN PERNIT BY �� c�-��►��`�''� DATE s`�g`9� f*TF� ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT TF� SYSTEM DESCRIBED ABOVE HAS BEEN INSTRLLED IN COMPLIi�JCE WITH _ '`'�� � ARTICLE 11 OF 6.S. CFIi�TER 130A, SECTION .1908 "SE41�iE TREATMENT AND DISpOSAL SYSTEMS°, BUT SHALL IN ND WAY BE TAKEN AS A 6'UARANTEE T}�? THE SYSTEM WILL Fl�ICTION SATISFACTORILY FOR ANY 6IVEN PERIOD � TIME. DCHD 10/95 , �+i�� "���+���,r �.�'s,.�` t.:.,+ \Y��'t}' � 'Y�x{''�i'. �:�'�'.� : � . . . _ �4.,.... . ... , ��": � , _ � * . ; � . . . .,. . � . ... . �, . . .. ., � �: ..� � ; � - � � .. . . .: ._ .� ,. .;.. :. . . .., :� _. �.. , ; ..F, � . � �y�� , .� ti ..r-�;':*,; Davie County Health Depart�en�U CD p � '�l '�`�'��%'. . ENVIRO�IMENTAL HEALTH SECTIQN --�' :. , P.D. Box 665 �O.00 �s�1� : .,. Mocksville, N.C. 27028 , . - , . :�. . � �l - � � . �AUTFIORIZATIaI FDR HASTEiWTER SYSTEM CaSTRIJCTION � iIssued in co�pliance with Rrticle 11 of . 6.S. Chapter 130A, Wastewater 5ystess) +�*+�This Ruthorization For Wastewater 5yste� Construction �ust 6e issuedrby thef�Davie Cuunty Environ�ent`al,i�ealth Section prior to issuance of any Building Per�its. This For�/Authorization Nu�ber should be presented to the Davie County8uilding Ins ections �ffice when applying for Building Per�its.+�* �i- NRME �o�e_�.\ p. F �W AR�S DATE � \` �3 ' 1 rj Alli�RIZATION FLl�ER ` '�� :;� �° �c� �0 .� :, NRlE OJ IlPROVElQ(i PERMIT (If different than above) �. SIlE LOCATI W �� R N �Ss In f�N'�- � COl1fNT5/CON�ITIQ15 al i�IJT}�RIIATI�I TO C�NSTRUCT iIRSTENRTER 5Y5T�1�1 ' � f':�, t�: 't � ' ''_:�' ` w.,�� � : , ryry . ff�QiICE� THIS AUTFI�RIZATIDN FDR ��TENA7ER 5Y5TEM CDNSTRUCTIDN I5 VRLID FOR A RERIDD � FIVE t5) YEAR5. � :;,, ��ti ���-�� �. 4:•S 11 - 13 95 `�` ;. " �•�� ENVIHbN€NiRL IfALTH SPECIflLIST '. •;r DATE . , �. ... . - , � 2. _� � DCHD 10/95 _ \ y f . _ .. - - - . . . .�_ ._ . - _ ,._ � , . ,� . . . � . __ , : .. .� .. ..� _ti� . _. . . ..,.,. _. . _ , �•,: . � . , '� �'=�o►:� APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE �� � O�V �' • Davie Counry Health Department � Environmental Health Section NOV ' 9 I� P. O. Box 665 Mocksville, NC 27028 � ' L ApplicatioNPermit Requested By �11b t� n'r � �,�,��Q� S Mailing Address �' v•�d X- �� a- � Home Phone 7D�-�o��' ���� / � i U !'�Ul /C1! � �' C � a 7a�� Business Phone�./d'��Y"�9(�l2 2. Name on Permit if Different than Above 3: Application for: ❑General Evaluation 0'�eptic Tank Installation Permit 4. Sy§tem to Senre: ❑ House (�Mobile Home O Place of Public Assembly ' ��. O Business O Industry ❑ Other ❑ Unknown 4' ' � - 5. If house, mobile home: Subdivision Section Lot # � ❑ Basement/Plumbing i` No. of People � ❑ BasemenVNo Plumbing No.of Bedrooms � (�Washing Machine . No. of Bathrooms � � ❑ Dishwasher �� Dwelling Dimensions ��7''� (O� ❑ Garbage Disposal �, 6. If business, industry, place of public assembly, other: Specify type �,� . . � No. of People Served No. of Sinks E: �. No. of Commodes � No. of Urinals ` k Na of Lavatories No. of Water Coolers � No. of Showers Water Usage Figures �k (•: 7. Type of water supply: Q�Public • ❑ Private O Community �. 8. Property Dimensions -� �� Sewage Disposal Contractor �: —/ 4 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes [d No If yes,what type? � 4 c �. . : ' �' 'NOTE: Improvemenfs Permits shall be valid for a period of 5 years from date issued. Improvement� Permits are subject to �: revocation, if site plans or the intended use change. Effective October 1, 1989. ; • . � , � PROP�RTY IPdFORMATION R�QUIFED: S}7 5� Tax Office PIN �r 57yS� �� " � �: Directions to Property:. . � Road Name ��,(JE�S �,,Qj?f1 � � � .���•��/� ��� " " " "K f� ��� Box �� (if available) i � � 06i�� O,S • ' /�f ��� i� /�Si' �p c�ry mo�ksv�'/(p, .Cl,(�, �. ; ; � � Y � , < e 1 This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for atl charges t incurred from this application. �. //- g- �'S �?� ����� . DATE SIGNATURE � � CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY 'MUST CHECK ONE: 1. I OWN the property. ❑ 2. I DO NOT OWN the property. If you checked Box#2,the rest of this form MUST be completed by the owner or a person authorized by the owner. I hereby give consent to the authorized representative of the Davie County Health Department to enter upon above described : property located in Davie Counry and owned by to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment � and disposal system. . � � DATE SIGNATURE � � �: OCHD(1►93) f, ., ____----_ � . �-�_`�-----4 --�- �' .v r' ', APPLI AT � '��' �.� "•`';" C ION FOR SITE EVALUATION/IMPROVEMENTS P� MI7 , � • . � � Davie County Health Department �Il,(' ;��"��� � Environmental Health Section � � , _ ., . P. O. Box 665 �---------_—,. . Mocksville, rvc 2�o2s D��'[E CQ J,y�7;�'`.a;?�� �_ . : ----_______ L�r.. ` � ��`�ll/�.v�-J� /o/��S'��a� 1. Application/Permit Requested By �v� L' L1! �, ���� `�n�2� i��Fo � : . Mailing Address �0.7 �i��� �1^,�/1� ��.�Qr'�./�S' j�/�. _ l G� Z 7 � �':.��T � Home Phone � �`I � 7 Business Phone 2. Name on Permit if Different than Above 3. Application/Permit for: General Evaluation ❑ Septic Tank Installation 4. System to Serve: p House �Mobile Home � ❑ Place of Public Assembly ❑ Business ❑ Industry p Other - ❑. Unknown 5. If house, mobile home: Subdivision Section Lot# ❑ BasemenUPlumbing No. of People ❑ BasemenUNo Plumbing No. of Bedrooms � ❑ Washing Machine No. of Bathrooms � p Dishwasher Dwelling Dimensions p Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers ' No.�of Showers Water Usage Figures 7. Type of water supply: p�Public ❑ Private ❑ Communiry 8. Property Dimensions �� ' a'� Sewage Disposal Contractor ' 9. Do you anticipate additions/expansion of the faciliry this sytem is intended to serve? ❑ Yes ❑ No If yes,what rype7 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. ' _ . _ Directions to Property: (�-(j� .�p R, p� 80� .• �7r,S S J f,o US es � �1! 1'D(l�l p�j �,•�}.Hd �b< <� . M�'o�e .. � ro ��tld 6� d��VP�� a� �.'� - 5, Z75'g ,�cres This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. �d� ��.� ' DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY . MUST CHECK ONE: Lid'1. I OWN the property. O 2. I DO NOT OWN the property. If you checked Box#2, the rest of this form MUST be compteted by the owner or a person authorized by the owner: 1 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 to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD(12-90) MOCKSVIL 601 �� EUGENE BENNETT and wife, ,�HN LOVING WILLIE BESS BENNETT . and ASSOCIATES DB 142 PG 291 S�TE so� SUBDn/ISION I �°' PB 5 PG 92 IRON FOUND COQLEEMEE � _� �� I LOCATION MAP � � S 40°50'10"E 1123.64' I _— . I � lR pN FOU�o _ � revised 1S E SPR'� I `� 57 5 i �_ —_ -- �B �4g p G I � ,� � . z � � � N IRON SET N 40°50'10"W 263.61' rRo _ N N ser I = _ 0 6.0000 ACRES � � �� �' cn N N I 0 Q $ o �� N o H B�RpEFtS .� I V � 1 2�0 � Q 3� �9"`W >>� �U�gN1�3 PG 216 O I O � � �` --- 43' 8z, � . � „ 123• � � � � N 54°57'00 W �� � I \ MARVIN S. SI�IPSON and wife, l, ,P. �ti�o � � � � � O g�� � �., � cn��R�N� Gtia — �� � � ELSIE J. SIMPSON �, � j o�v � DB 148 PG 659 ��`° 123.00'� � 'P� ° I IRON FOUND 123.00' -' 5.2759 ACRES � ..�� �- N 48°46'20'�W 246.00� o W ���N FOUN� `�/? IRON 3ET Z � � (TOTAL) o cn �so• N W �- 60' PRIVATE ROAD N 'f N � M �� U � IRON SET � Q � rn �� `�� 5 6�5,\9" E � a . . , . � ` ��9 5 v a �RpN SET No�g cn � • ` � J I � N O w O = ` � �/�'4i•• � � RANDY M. WHITMAN I \ � . ` DB 89 PG 450 . �q�9�• �opo S°s36� DB 133 PG 80 , I � DB 89 PG 388 ; . � MIGUEL A. FRANCO, JR. s��3 Q�RF , � � � DB145PG611 � � ` IRpN SET ` � ` Iv � ` IRON FOUND �� _ • ` 20�� ` y � A� ` / �� S �--s, 'Oc9 / ���S `� 100 0 100 200 300 � `s� � GRAPHIC SCALE — FEET I JOHN RICHARD HOWARD certlfy that th I a map was dr awn t r om an ac tua I �N��O t �e �d aurvey under �Q•�T•�o,, FOR BENNETT & ELLIS and supervlslon that�hedretlo �of �, � � t MAP preclsion is I : SEAL o � L•Zg9O � SCALE TOWNSHIP COUNTY STATE DATE, s � �t?�ra..� v��4,y���r�.= 1" s 100' JERUSAI.EM DAVIE N• C• 10-2:f-� . .� y� REQ I STERED LAND SURVEYOR L2890 �9�CHAR�`r� , 4- -9 5 HN RICHARD HOWARD JOB N0. SURVEYING P. O. Box 276 ADVANCE, N. C. 919-998 5396 94062 L - L•.' ' DAVIE COUNTY HEALTH DEPARTMENT "�' ` Environmental Health Section ' � Soil/Site Evaluation ` � sJ���� � . NAME DATE EVALUATED I b '�l - � �..ADDRESS S @�'�^�' PROPERTY SIZE i�_��Z �t� PROPOSED FACIILTY �` �� d ��Q LOCATION OF SITE � h���()R 1� 1/^ ' Water Supply: On-Site Well _ Community Public Evaluation By:C�-�-- AugerBoring � Pit Cut FACTORS 1 2 3 4 Landsca e osition Slo e x o'' g'"' o g HORIZON I DEPTH ' �� Texture rou C L L. Consistence �'S. Structure Mineralo ' ' ' HORIZON II DEPTH Texture rou � L°.. Consistence Structure K Mineralo ' � HORIZON III DEPTH . Texture rou - Consistence � Structure Mineralo HORIZON IV DEPTH Texture rou - _ Consistence - Structure - - Mineralo -- SOIL WETNESS 5 RESTRICTIVE HORIZON -� -- SAPROLITE . CLaSSIFICATION ." LONG-TERM ACCEPTANCE RATE ,3 SITE CLASSIFICATION: Q 'S EVALUATED BY: C� ����-� LDNG-TERM ACCEPT NCE RATE: � OTHER(S) PRESENT: ��'N� REMARKS: �'`�''' ��'� � � � LEGEND C� Landscape Position R-Ridge S-Shouldec 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 �;lay loam• SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE - Moist VFR-V�..-y friable FR-Friable FI-Firm VFI=Very fiirn EFI-Extremely fism Wet NS-Non sticky SS-Slightly sticky S-Sticky VS-Very Sticky NP-Non plastic SP-Slightly plastic P-Plastic VP-Very plastic � Structure ,iC--$ingle grain M-Massive CR-Crumb GR-Granular ABK-AnQular blocky SBK-Subangular blocky PL-Platy PR-Prismatic MineralaocY 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 watec' 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(01-901 ■������������������������0�����������������������������A�■ ■�����■ ■�■��■■����������v■������■a��������■����������o�■ ��������■�■����■ ■������������������■■��■�������■ ■�������������������■��s��■��■■■ ■■�����������■■���������■�■�������������������■����■�■�■�■����■�■ ■���■��������������������������������■�����■ ■�����������■������■a ■■�������s���������■����������������������■■��■���■a�������������■ ■■���■��������■��������■■����■���������■�����■�����■�������������■ ...........................................�........�............. .......................................... ........ ............. ■�������t��ee��■�■��������■����o�■����������e������■ ������t����■■ ■�■�s��■�����������������■����������������������������������■���■ iiiiiiiiiiiiiiiiii�iiiiiiii�iiii�i�iiiiiiiiiii�i�iii=�iiiiiii��i��i ...........................C...................�...._..■.......... ........................................�.._���_..��......:�.. .......o.................■.■.........■■.. .■■ ■ ■ ... ...... .. ........................................ ... . � ■��■■■�����■���s������■�������������������������■ ■����e���������■ ■�����■����������������■��■�������������������������������■����■ ■�������������■����■■���������■ �����������������■������������v■ ■����o�����������������������■�������������o��t��=������■��������■ ■���������������������������������������������� ■ _��������������� iiiiiiiiiiiiiiiiiiiiiiiiiiii��iiii�i�iiiiii=iiiuiiiiiii=s��ii�i� ■����■���������■��������������■���_����������n�����C■■��■_�����_■ ■������������■■���■��������������■���������■��n���� ��������� ��■ ■�■■�����������������o�����������������u�■�����■����������_��� ■��������■��■�o■���������������■ �������■ �� ��■��������������■ ■����������s����������a������������N���������� �s�� �e��������e ■����������■����e�����■����������������■�������� ���=��■C■�����,� ■�����■�u���������■�����������■����������������■ ���� ������ ■��������������v������������■������������■��■���_ �u�u����■�� iiiiiiiiiiiiiiiiiiiiii�■iiiiiiiiiiiiiaiii�iiii�■i� �i�iiii�i�iisii ■������■�������������u■�������������u����uuu��■���_�������■ �i�i iiii�iiiiiii�iiiiiiiiiiiii��iiiiiiiiiiii�i�i�iiiaii�C�iiiei� ■�■����■�����������■�����■��■������������������ ■ ��� �n = iiiiiiiiiioia�i■iiiiiii=iiiiiiiii=�=i i��■��� ■ � �ii���iii:■ ii��i��iiii:::iiiii�■i�uiiiiiii��i��� �� o��� ■ �i'i"i-■=iiii� �■����� ������ :::==:�...���� ���� �u� � �����■�a���a��i������ ���i:�■��� ■ � ■ iii� iiiiii ' ■�������������■���■�������i����p������ ■ ������s�� ■■�����������u�._=== --- --- _ _ . � . , , M � . . � � � . ' t:- • • .. ., . �ii.'.. ' y- � ` rDavie County �fealtFl (Dep artment � � f:; . n .�fome ..7�ealtfr� .�" en . ��� a d y cy , s,,. � � 210 HOSPITAL STREET I P,O.BOX 665 R��`� E,.:: � MOCKSVILLE.N.C. 27028 '!'� PHONE:(704)634-5985 � !� .. 2;• _ • � r V t', October 31, 1995 �; �..:. ... ,., t ;t, .. . � .: c-: Eugene Bennett r',, ,. . 107 Nail Ln. <: � . 2.... Ptocksville, NC 270�:0 ;; E�. � . q���p ;.: Re: 5ite Evaluation ��`.. .�s. Lane/5.27 Acres ��'9 �;,; ���� �` Dear Mr,. Rennett: �,��:�. . , : .;. � As requested, a represent�tive from this office visited the aforementioned ;: . site on OctoSer 31, 199�. P�sed upon the infarm�tion provided on the � ;: application for site ev�lt�ation and after the evaluation was completed, the ��: site was found to be provisionally s�aitable for the inst�llation of �n on—site i�. , sewage dispasal systen. : If yo�i have any questions, please feel free to contact this office. ;,. ; �.: � �., Sincerely, � . \��� � �""'""' . ; .. Charles E. Little, R.S. 4. Envit�onmental Health 5ection CL/wd + 5' Enclosure(s) �. . , � ;' . . ; �;.