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3374 Hwy 158Subdivision Name Lot No. Sec. or Block No. Lot Size House / Mobile Home Business Speculation L No. -Bedrooms —_ No. Baths _ _ No. in Family Garbage Disposal YES p NO per' Specifications for System: �1 . Auto Dish Washer YES ❑ N0 / �,y12 Auto Wash Machine YES Q1 NO p ���� Type Water Supply /dn, ;2 00 *This permit Void if sewage sy described below is not installed within 36 months from date of issue. I Improvements permit by I_Z *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. Final Installation Diagram: stalled by _',� Certificate of Completion / Date 1 *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. DAVIE COUNTY HEALTH DEPARTMENT 7 �� IMPROVEMENTS PERMIT AND CERTIFICATE, OF COMPLETION *NOTE: Issued"in Compliance with G.S. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968 Permit Number f Name _ Date ; N2~ r-' % -j,?`"' ~ Locatio - P ./ ; �,- `�� Ort/ Lk .cam/.�1�_�✓ + i" �/r/��ir� Subdivision Name Lot No. Sec. or Block No. Lot Size House / Mobile Home Business Speculation L No. -Bedrooms —_ No. Baths _ _ No. in Family Garbage Disposal YES p NO per' Specifications for System: �1 . Auto Dish Washer YES ❑ N0 / �,y12 Auto Wash Machine YES Q1 NO p ���� Type Water Supply /dn, ;2 00 *This permit Void if sewage sy described below is not installed within 36 months from date of issue. I Improvements permit by I_Z *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. Final Installation Diagram: stalled by _',� Certificate of Completion / Date 1 *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/ IMPROV_ EMENTS PERMIT Davie County Health Department Environmental Health Section - - �� . _._ _.. P. O. Box 665 RECEIVED J U R 2 11989 Mocksville, N.C. 27028 ,t CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone ? Z E -C �el 6 1. Permit Request e By /��� �, ? /S _IVGc iY ?4 Business Phone ZF % - A o a o 2. Address gerA 4 q r1/ . 2,, 3. Property Owner if Different than Above Address 4. Permit To: a) Install Alter Repair b) Privy Conventional Other Type Ground Absorption c) Sub -Division Sec. Lot No. 5. System used to serve what type facility: House Mobile Home_.G usiness IndustryOther b) Number of people Z 6. ay If house or mobile home, state size of home and number of rooms. House Dimensions Z4 A ?0 Bed Rooms_ Bath Rooms Den w/Closet____ b) If Business, Industry or Other, State: Number of persons served What type business, etc. Estimate amount of waste daily (24 hours) 7. Number and type of water -using fixtures: commodes urinals garbage disposal lavatoty showers washing machine dishwasher sinks 8. a) Type water supply: Public L— Private Community ��� / -- b) Has the water supply system been approved? Yeses No �,,�'7�i",�//( 9. a) Property Dimensions ,,3 � ( m �ar �/0 yam- 01'•• b) Land area designated to building site c) Sewage Disposal Contractor 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?�_ What type? This is to certify that the information is correct to the best of my knowledge. Date Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: y� ©� r- DCHD (6-82) D2 f. -/L i Name— Address C FA rTn RC DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section. P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION ARFA 1 ARFA 9 Date �/--rle� Lot Size `S-Ife ARFA 3 ARFA A I) Topography/ Landscape Position S S ?) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) K_ U U U U I) Soil Structure (12-36 in.) Clayey Soils S �0 S g Soil Depth (inches) p PS PS Ai) ) Soil Drainage: Internal P S "'"UUU U External.� ap _Lam" U U U 1) Restrictive Horizons Available Space PS PS Q PS S U U U U Other (Specify) S PS S PS S PS S PS U U i) Site Classification U—UNSUITABLE S—SUITABLE PS Provisionally Suitable C)vi.nmmnnli�finn�/i`nmmnn4c• __ _ ___ Described by 6C/�`l / Title SITE DIAGRAM �yy DCHD (6-82) Date Parcel #: F600000064 A Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bill Search Sales Search 0 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Parcel #:F600000064 A Account #:77860000 Owner Information BXF• Tax Codes Land: HISENHUNT ROY W& WHISENHUNT LINDA S Market: ADVLTAX -COUNTY T ssessed: 374 US HIGHWAY 158 Deferred READVLTAX - FIRE TAX MOCKSVILLE NC 27028 Property Information Township Land (Units/Type): 5.210 AC FARMINGTON [Address: 3374 US HWY 158 Deed Information Local Zoning Pate: 03/1977 Book: 00101 Page: 0255 Plat Book: Page: Le al Description PIN 5.32 AC HWY 158 5850583606 Property Values Building- 43,61 BXF• 14,08 Land: 65,54 Market: 123 23 ssessed: 123,23 Deferred Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 1 00101 0255 03 1977 WD Unqualified Improved 0 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information << Return to Basic Search Page 1 of 1 0vt CIOUR- 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=1473134 6/8/2016