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2365 Hwy 601SDAVIE COUNTY HEALTH DEPARTMENT ►Y/ a'a� `111PROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION �.. ".MOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a ' Sanitary Sewage Systems ge�/'!/„Yrt,b;.fC2.✓. f'" Permit N- tuber Name 1 C / r f�?,G,' Date 1, —.� =`.>/� N° 6226 f . Location S F ;%Y✓ -`'�'� �r'��rr r^,� /`' �% :F>i�r _f �lif, .fir�%f^ f.� Subdivision Name Lot No. _ . Sec. or Block No. Lot Size %rfi House Mobile Home _ Business Speculation No. Bedrooms No. Baths X No. in Family Garbage Disposal YES ❑ NO ❑ Specifications for System: Auto Dish Washer YES ❑ NO ❑� (//✓ , Auto Wash Machine YES ❑ NO E] �h 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. 9�'- Q Improvements 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. Final Installation Diagram: System Installed by Certificate of Completion Date A? *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. f APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT ' Davie County Health Department kmJ� s kC%' -J 1 Environmental Health Section P. 0. Box 665 .f�7�S'/✓�.�.(- Mockaville, NC 27028 PEd�Noy,-2 �_�%11REQ' 9 1990 11. Application/Permit Requested By .finhN T h-cy'IU Mailing Address X191.p 4w4 (c5 W (�ermon�nni A1. C. 9 701 4 Home Phone 0 l g) 947-(, 382 Business Phone 2. Name on Permit if Different than Above 3. Property Owner if Different than Above 4. Appl'ication/Permit For: C) General Evaluation 5. System to Serve: (] House �l�obile Home L Industry. u Other 6.. -If house, mobile home: Subdivision Tank Installation 0 Business 0 Unknown Sec. Lot# No.' ofPeople 3 Dwelling Dimensions No. of Bedrooms a Basement/Plumbing ZJ No. of Bathrooms. 7 Basement/No'Plumbing 0 Washing Machine J Dishwasher 0 Garbage Dasposai 7. If business, industry, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers 8. Type of water supply: C Public' (4rivate Q Communi...ty 9. Property Dimensions �2 ac -r 10 Sewage Disposal Contractor 11. Do you anticipate additions/expansions of the facility this system is intended to serve? 0 Yes.. B-190 If yes, what type? *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. This is to certify that the information provided is correct to thce best of my knowledge, and I understand I am responsible for all charges incurred from .this application. 96 Date 9'ignaeure Uireyt ionj to roperty: DCHD (10-89) .. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ADDRESS PROPOSED FACIILTY I a, DATE EVALUATED PROPERTY SIZE LOCATION OF SITE _4'4 l S Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position Z .0 .G Sloe % Z HORIZON I DEPTH G Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group ei Consistence i r �- Structure 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 SITE CLASSIFICATION: Z_S: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-901 EVALUATED BY: ,_ZZ OTHER(S) PRESENT: LEGEND 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 To..*nr1. 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 CONSISTENCE Moist VFR-Very friable FR -Friable FI -Firm VFI-Very firm EFI-Extremely firm Wet 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 ■■■■■■■■■■.■..■■■■■■.■■■■■■■■■.■■■..■.■ee■■■e■■e■eee■ee■■■ ■�e�o■■ ■■eeeeee■■ee■■■ee■eee■■e■■eee■e■ ■■■■■■w■■■■■.■■■■.■■■.■■■.■■.e■■ ■■■ecce.■■ee■■■■■.e.■■■ecce..■■.■■■....■e.e■■.■e■■e■■■ees.ee.e■..■ ■■■■■■■■■e■■■■■■■■■e■.■■ee■■■ee■■■■■■.■eeee■■■ee■■eee■e■e■■■e■ee■■ ■■■■■.■.■..■■e..■■■..■..■n......■■.■.■■■..eek■■.e....e►�w.....■_.■■ ■■■■■■■■.■■■■■w■■■■■■■■■■1!■■■■■■ ■■■■■■■■■■�■.■■...■■��.■■..■ ■■■ ■■....■■■eee■..■■■■.■e■■ei�■...■■■■..■■e.■■e■.■n■..e.e■..■e..eee■ ■.sse■■■.■■■■.■■■■■■■ee■■■■■■■.■■■■■e■e■■eee■eeeee■■■e■■e■■■eeee.■ ■....■■■eee■■■...■■e.........■■.......■....■....e■■■......■...■..■ ■.■......■.■■.....ee........■ecce■....e_.;e■■■■ee■■■■eeee�■■e■■e■■■ ■....■.....■■■■....■wee....e�=====::w.e..■■i.■.■..■.■■■.■■ .■.■■■■■ ■.■■■■...■....■..e....■■■.■■■ee...e.■■e...■■■■lase■■e■.eee■■e■.ee■ ■■■■■■ ■■.■■■ ■■■■I■■ ■.■..■ ' ■e..■■ ■II..e■ ■..■■■ mom ME ■■■■■......ee■eee....el■■■■■■■■....■eee■■e.e�lee■.■■■■ee■■■...■■■..■ ■.■■■■■■■■■e......■■e.l■■■■.......e■eee■e■.e■\..e.eNe■■■e■■eee■..■ ■■■■■■■■■■■.■.■■■■■■.■■■■...■..■ ■..N.■.......e.■■■.......■ ■■e■ ■■■■■■■■■■■■■ee■■■■■e■eeeeee■■■ee■■■■e■■ee..■ee■e■■e■■■eeeeee■�■■■■ ii=iiiiiiiiisiiii�i ■■■■..■■e■■eeeee■■eee.e■ecce■■■ee■■■■■■■eeeee■■■eee■e■■■ ■■e■e■.■ viiiiiiiiiiiiiieiiii■�iiiiiiii■iiia■iiiiiiiiieiiiii■�iiiiiii�iiii�.ii= ■■■■e■■■■■■■eeeee■...■.■■■.ee.ee■■.e■e■■■ee■e■ee■■■■.■■■■.■.eee■■■ ■■..■■■■ .■■ ■■.................■.■.■■■e....eeee■e..........■...■■ ...........................................C.e............... .■. .........e........................................................ .................................................................. ■ecce■■■e■■e■■e■■■■e■■■ecce■ecce■■■eeeeeeeeeeeeeee■■eeeeee■■■■■■■■ ■■eeeee■eee■■■e■■■eeeeeee■■■■■■■■■■■eeeew■■■e■ew■e■eeeee■e■■e■■ee■ 1 E 1 I . Parcel #: L500000031 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bill Search Page 1 of 1 o�`.f� wrjo-,�' Davie County Web Site Sales Search Q View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Parcel #:L500000031 Account #:8303063 Owner Information BXF• Tax Codes Land: BYERLY JOHN T & BYERLY BRENDA P Market: ADVLTAX - COUNTY T assessed: 1095 BYERLY DRIVE Deferred: FIREADVLTAX - FIRE TAX 0 ALNUT COVE NC 27052 0015 12 Property Information Unqualified Township nd (Units/Type): 5.350 AC 3 2013E JERUSALEM ddress: 2365 S US HWY 601 2013 DC Unqualified Deed Information 0 Local Zoning �ie�:1/2013 Book: 2013E Page: 1120 Pa e: Le al Description PIN 5.17 AC HWY 601 5746336528 Property Values Buildin : Month BXF• 9,00 Land: 31,51 Market: 40 51 assessed: 40,51 Deferred: Vacant Sales Information No. Book Page Month Year Instrument Qua[/UnQual Improved Price L 00126 0760 05 1985 WD Unqualified Vacant 0 ! 2005E 0015 12 2004 WL Unqualified Vacant 0 3 2013E 1120 11 2013 DC Unqualified Vacant 0 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search 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=1483020 7/14/2016