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110 Baltimore Downs Rd Lot 1 Davie County,NC Tax Parcel Report Wednesday, October 19, 2016 ------- 108 ;� 124 144 F1tG0 BRUSHY-fv1TN TRL 1148 - --------- _ _ - -------------, 11711 1169 1.181 122 110 '1205 Q 138-% C. } `L 170 ���© i D ' i 109 ;v 7 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G701OA0001 Township: Shady Grove NCPIN Number: 5860841815 Municipality: Account Number: 82516483 Census Tract: 37059-803 Listed Owner 1: WATTS DAVID P Voting Precinct: WEST SHADY GROVE Mailing Address 1: 110 BALTIMORE DOWNS ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag.District: No Legal Description: LOT 1 BALTIMORE DOWNS Fire Response District: CORNATZER-DULIN Assessed Acreage: 5.20 Elementary School Zone: SHADY GROVE Deed Date: 5/2007 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 007120623 Soil Types: MrB2,GnB2 Plat Book: 0008 Flood Zone: Plat Page: 150 Watershed Overlay: DAME COUNTY Building Value: 248050.00 Outbuilding&Extra 7070.00 Freatures Value: Land Value: 60950.00 Total Market Value: 316070.00 Total Assessed Value: 316070.00 All data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the NC County of Davie,North Carolina,its agents,consultants,contractors or employees from any and all claims or causes of action due to �06T1� NC or arising out of the use or Inability to use the GIS data provided by this website. ..~ DAVIE COUNTY ENVIRONMENTAL HEALTH P.O.Box 848/210 Hospital.Street Mocksville,NC 27628 (336)751-8760 Fax#(336)751-8786 OPERATION PERMIT Account #: 990000823 Tax PIN/EH#: 5860-84-1815 Billed To: Troy Warner Subdivision Info: Balitmore Downs Lot#1 Reference Name: Location/Address: Baltimore Downs Road-27006' Proposed Facility: Residence_ Property Size: 5.22 acres ATC Number: 4658 **NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC 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. —Iff System Type: S.T.Manufacturer ` Tank Date �-� Tank Size Pump Tank Size �J System Installed By:..'h � .H. Speci ist: te: V' N 'j 0 15 � I ARCA UZ DCHD 11/06(Revised) " �• DAVIE COUNTY ENVIRONMENTAL HEALTH P.O.Box 848/210 Hospital Street sj�ll Mocksville,NC 27028 (336)751-8760 Fax#(336)751-8786 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990000823 Tax PIN/EH M 5860-84-1815 Billed To: Troy Warner Subdivision Info: Balitmore Downs Lot# 1 Reference Name: Location/Address: Baltimore Downs Road-27006' Proposed Facility: Residence Property Size: 5.22 acres ATC Number: 4658 Site Type: ;;ieew ❑Repair ❑Expansion **NOTE**This Authorization to Construct(ATC)MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit.(s),(in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans,plat or the intended use change. r Residential Specifications: #Bedrooms, #Bathrooms/—'S #People X/ Basement❑ Basement plumbing❑ Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Lot Size J5-AC46--S Type of Water Supply:�unty/City ❑Well ❑Community Well System Specifications: Design Wastewater Flow(GPD) Tank Size/OOaAL.Pump Tank GAL. Trench Widthit ate" Max.Trench Depth Rock DepthJ2 Linear Ft. 7`1C.1 Site Modifications/Conditions/Other: KL"1 10' oG P12Dl' 0^4oS_ Contact the Davie County Environmental Health Section for final inspection of this system between 8:30—9:30a.m.on the day of installation. Telephone#(336)751-8760. ?>J�� �� t acetdytSNaysobeSd) accepted Ssemsme Mai I Ick X— Xi 2'' L-2U 1 lam` 3DO ilo� N >1 v Environmental Health Specialist Date: 0 DCHD 11/06(Revised) 'Apr X25 06 02: 57p • davie county envhealth 336 751 8786 p• 2 LKIT9 FOR SITE EVALUATIONAMPROVEMEN C PERMIT & ATC Davie County Health Department D 9 2001 Environmental Heakli Section APR P.O. Box 848/210 Hospital Street zp�H Mocksville,NC 2`.'028 1NV�Rp�ECOUN� (336)751-8760/Fax (336)751-8786 pplication For: Ei Site Evaluation/improvement Permit ❑ Authori?.ation To Construct(ATC) '(Both ***IMPORT,4N7***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLIiTIN for instructions. APPLICANT INFORMATION Togge Abu r Name to be I3ille _ 1�� �� .:intact Person Billing Address 0 Ll 1 tome Phone City/StaWZIP 414Z,SI/1'GL Business Phone 4Z7 Name on Permit/ATC if Different than Above Mailing Address City/srate/Zip PROPERTY INFORMATION_ NOTE: A survey plat or site plan must accompany this application. (Permit is valid for 60 month: with site plan,no expiration with complete plat.) Street Address '94-%r P611-A City Tax PIN#l���Pd-g�• Subdivision NameC c-pok s Section/Lot# _Lot Size Directions To Site: ( t E1�ST rd li.BL TZ'hX3�`_ RQ 'ZCf/�/l TARE 69172AVIld 70_ &gj7Zl Fd � C04,,0 'R D Tcr // /? '�ux T ea 7: p2 CyT _ Date House/Facility Comers F1aE;ged - - P If the answer to any of the following questions is"yes",supporting documentation must be attached. Are there any existing wastewater systems on the site? ❑yos 19NO i Does the site contain jurisdic•ional wetlands? ❑Yus Wo Are there any easements or riE;ht-of ways on the site? LIYt:s KNo Is the site subject to approval ay another public agency? ❑Ycs 1KN0 Will wastewater other than domestic sewage be generated? L7Yi s PNo IF RESIDENCE FILL OUT TIII BOX BELOW #People #Bedrooms , #Bathrooms 2 , Garden Tub/Whirlpool XYcs ONo Basement: ❑Yes %No Basement Plumbing: ❑Yes 0No IF NON-RESIDENCE FILL OU_T THE BOX BELOW Type of Facility/Business _ Total Square Foot;.ge of Building #People #Sinks #Commodes #Showers _ #Urinals_ Estimated Water Usage (gallons per day) (Attach docs mentation of similar facility water consumption) FOODSERVICE ONLY: #Seats Type system requested: gConventiona' ❑Accepted ❑Innovative 7Altcrtntive ❑Other Water Supply Type: County/City Wader ❑ New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intendo:d to serve'? ❑ Yes %No If yes,what type? This is to certify that the information liirvided on this application is true and :oiTect to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereaite:are subject to suspension or revocation if the site is altered,the intended use changes,or if the information submitted in this applict.tion is falsified or changed. I undersand that I am responsible for all charges incurred from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws;md rules on the above described property located in Davie County and ommed by Site Revisit Charge Property owner's or owner's legal representative signature Datc(s): Client Notification Date: Date EHS: Sign given ❑Yes ONo Account# Revised 2/06 Invoice# NOTICEI m BUILT RIGHT CUSTOM HONES NAS VERIFIED TO ALLIED LAND A I SURVEYING CGNPANTY,P.A. THE EXTERIOR HOUSE DDIENSIONS FOR THIS C0 1 1 EXISTING HOUSE/STRUCTURE. HOUSE POINTS AND POSITD]N SHOWN ENul ' THIS NAP REPRESENT THE POINTS TO BE PLACED ON THE PROPERTY. Ij 1 THE OWNER/CONTRACTOR HAS REVIEVED ALL HOUSE/STRUCTURE m I DD(ENSIONS. SETIACKS FROM PROPERTY LINES, AND CCWLIANCE WITH CD N RESTRICTIVE COVENANTS AND/OR LOCAL GOVERNNENTAL v REQUIREMENTS ON THIS BRAVING AND IT THEIR SIGNATURE AUTHORIZES ALLIED LAND SURVEYING COMPANY,PA TO PLACE THE POINTS AS ACCURATELY AS IS REASONABLE CTYPICALLY 0.021x) OWNER/CONTRACTOR TO VERIFY THE PLACEMENT OF POINTS SET IM F+ I e�rtw ' FIELD PRIOR TO AU7HORIIAT113N IIF FOOTBVGS/BRICK MASONS/ GO CONSTRUCTION TO AROCEE70. DY SIGNING THI3 STATEMENT OWNER/ �y CONTRACTOR FILLY ACCEPTS THEIR RCSPONSIBDLITY TO VERIFY POINTS 1N FIELD. THE HOUSE POINTS DEIaTED eY 3DLTD FILLjED CIRCLES ARE THE ONLY POINTS TO DE LOCATED IN THE FIELD. ALL w —I R l OTHER BUILODR6 CORNER LaCATIOWS ARE; TO IE TIRE RESPONSIBILITY W \Z i OF THE UNDERSIGNED CONTRACTEWEEVELOPER. ( ` oo m m �s • LOT I 1 } ACKNOVLEDGHENi,_J_ -�1 OJ v_ D] 3aa I RACTDT - DATE, �l i1 �• e \ 1 1 FIELD REVISION —__ _ _ _ _ _ OWNER/CONTRACTOR/ALLIED STAFF SBOT 2 ` i �1* PRS 06FA ` � y PRELIMINARY LAYOUT ��----, LOT 1 f Battincre Downs' PB 8, PG 150 NOT TO SCALE ,\N �ioe.���---� 6 m Plat fors Troy Warner /f TTr BID• �--} l ALS PROJECT ND 10—E63 r NOTE: r l THIS PLAT ODES MDT REPRESENT A CURRENT FIELD SURVEY. ALL LOT OiMEASONS HAVE BEER TAXEM FROM THE PLAT OF 8ALTIMORE DOHS. 1 I LDCATEO IN PLAT BOOK 8 PAGE 150. NO 117LE AESCAR:CN MAS BEEN GRAPHIC SCALE PENOiMED OR REQUESTED FOR THE HENE nT OF THIS PLAT. � '°° '°° NOTE Allied Land Surveying Co., P.A. SURVEYOR HAS MADE NO INVESTIGATION OR PAXPENDCNT SEARCH FOR • EASENDITS OF RECEROL ENCUMBRANCES,RESTRICTIVECOvEI4aNT5, 4720YMTER;613.LROAD Surveyed by OVNCRSKP, TITLE EV1LEhl:E, OR ANY OTHER FACTS RIAT AN 3.T,- Phoac(]�76x.7777 p WINST iJSAFEM,MpRTHCAf(OLO4A271W 2—°p xN t DT AND CURRENT TITLE SEARCH NAY BISCL66E, THIS StRVEY IS P[3GOeaCe Fac(]]�760IFF6 pjgcs, o-z� I tach• 1p0oo R VIThCLR THE BENEFIT OF A TITLE SEARCMI ce ziL lafaQAlliat[nt�urso® . lbew 41 5J2007 ' D . i ,\ t i - . :. 7 77 1 own 4 il 56 N - Moto rm �4t T '"g�? .'.'P; Ste_ - �A ,-s-� ..a r`�"E.�, - =tom, .,z 2 _�„ R'. <' <._. .. ay. `n% x ;fit �4, z MrB2 - 71 Wig iM Z ?` AR cl axv- . - w +a€ Im Ln W ow" -Mv- Ni t, 5 217A ,e, t A a DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990000823 Tax PIN/EH#: 5860-84-1815 Billed To: Troy Warner Subdivision Info: Balitmore Downs Lot# 1 Reference'Name: Location/Address: Baltimore Downs R ad-27006' Proposed Facility: Residence Property Size: 5.22 acres Date Evaluated: P Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position L, Slope% ' HORIZON I DEPTH Texture group L_._ Consistence Structure Mineralo HORIZON II DEPTH Texture group (� Consistence Structure 3 Mineralogy HORIZON III DEPTH Texture groupGk Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure . Mineralogy F SOIL WETNESS ,71c027. RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATEp.?-7Y0.L SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: REMARKS: 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 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 ` CONSISTENCE VFR-Very friable FR-Friable FI Firm VFI-Very firm EFI-Extremely firm 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 LYQt� . 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) . Davie County Environmental Health P.O.Box 848/210 Hospital Street Y Mocksville,NC 27028 (336)751-8760/Fax(336)751-8786 IMPROVEMENT PERMIT Account #: 990000823 Tax PIN/EH M 5860-84-1815 Billed To: Troy Warner Subdivision Info: Balitmore Downs Lot# 1 Address: 201 Toggenburg Lane Location/Address: Baltimore Downs Road-27006' City: Mocksville Property Size: 5.22 acres Reference Name: Prop(s*e��',��.�"Y hills Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S. Chapter 130A,Wastewater Systems). This Improvement Permit is subject to revocation if site plans,plat or the intended use change. Permit Type: w ❑Repair ❑Expansion Permit Valid for: 05 Years,;Ko Expiration Residential Specifications: #Bedrooms #Bathrooms�5#People Basement❑ Basement plumbing❑ Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Design Flow(GPD): Type of Water Supply: 215ounty/City ❑Well ❑Community Well Site Modifications/Permit Conditions: S stem Type LTAR Initial C9171J Repair TWZY, I a-Z!'l Site Plan 1 100 40 ell- Environmental Health Specialist Date i.p.1 l-06 r D• PJ � r APPLICATION 1:011 SITE l VALUATtav/lAIP l:clvt 11M PERMITs(Jr. JUN Y6 .2005 Davie County Health Department Environmenta/Hea/thSoction MONMENTAL HEALTH P.O. Box 818/210 Hospital Street DAVIECOUTM Mockaville, NC 27028 (336)751-8760 ***XblPORTANT*** TRIS APPLICATION CANNOT LCL PROCESSED UNLESS ALL THE REQUIRED -INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for in-sLructions. • 1. llama to be Dilled lf? lrt ��,,��//SI� ConL•acL' Person_•.•__••., r — �/— Mailing Address 7� D Ilanc Phone City/State/ZIP d�l�l✓i//C Ale a2��o2(� Duuineus Phone ....... 2. Name on Pexmit/ATC if Different than Above SCzrY,e_ ______...._. ...._.. i Mailing Address .SLll11P City/State/Zip 3. Application For: Site Evaluation ❑ Improvement Penni t/ATC Ll iso Llh 4. system to service: �ff House ❑ Mobile Home ❑ Ausinebs ❑ Industry ❑ OLilel 5. Type system requested: X Conventional ❑ conventional modified ❑ innovative G. IL Residence. It People # Bedrooms _ 11 Bathroolius 3 )ZDishwasher Rparbaga Disposal 911ashing Machine ❑Basement•/Plumbing ❑Basement/No Pluiubing 7. If Business/Induatry /Other: verily type It People It sinks # Commodes # Showers II Urinals 11 WaLer Coolers IF FOODSERVICE: 0 Seats Estimated Water Usage (gallons par day) � �__i•' S. Type of water supply: L9 County/City ❑ Well ❑ Conuuunity 9. Do you anticipate additions or CSpall5lolls Or the facility this sys teill is ill(ell(I e(I to serve? ❑ Yes A NO lfycs,,vllat type? ***Ihll20RTi1NY***CLIL:NTS 1)IUST COd11'.I:LiTL TILE RE-QUIRLiD PROPERTY 1NFORNIATION KGQIIIsS•Cl,D BELOW. I:ItI(er a PLAT orSITE PLAN AIUSTBESUBIWI7TLD by the clicut ivith'1'IIIS AIII'I,1CA'I'ION. PropG•O'Dimensions: 45'22- ACiez,5 WivrL DIRLCTIOINS(11-om 11•ludisville) to PROVEUTY: Tax Office PIN: /I 6_1,x7 � ��8 � �s A 's��.zc� o� Pro pert Address: Road Namc Cl tylzip i'A^� .S LTiC,�r1 S If ill a Subdivision provide information,as follows: Name: Ba Section: Block: Lot: Date !ionic comers flagged: This is to ccrlify that the information provided is correct to the best of my Iulowleage. I understand 111.11 any perwit(s) issued licreaftcr are subject to suspension or revocation,if tllc site plans or intended use cifhtlige,or if the m ornhatiaN submitted ill this application is falsified or changed. I,also,undersfuud that I uui responsible for till climWes iuclll•red i•uai !Iris application. I,licreby,give consent to the Authorized Representative of tilt Davie CuuNty IIealtll Delmriluull to cuter•upoM above described propertylocated in Davie County and owned by_04;6 to conduct all lestiug proccdures is necessary to deteriuiile[lie site suitabiolity. / DATE �j'/3 "C}� SIGNATURE THIS AREA.MAYBE USED FORDRAWING YOUR SITE PLAN(Include all of(lie following: Exisihigand proposed property lines and dimensions, structures, SetbacI(s, and septic locations). r Site Revisit Charge Datc(s): _ Clicnl Notification Datc: • EIIS: Si;a given Account No. . ReviscdDCIID ro51n.1 Y DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section ' Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990003275 Tax PIN/EH#: 5860-74-5687.01 CC Billed To: Childress Construction Subdivision Info: Baltimore Downs Lot#01 Reference Name: Location/Address: Baltimore Road-27006 Proposed Facility: Residence Property Size: 5.22 acres Date Evaluated: leo Water Supply: On-Site Well Community Public f Evaluation By: Auger Boring Pit "� Cut FACTORS 1 2 3 4 5. 6 7 Landscape R2sition Slope% t HORIZON I DEPTH ©^12 Texture group Consistence F1 SCIV Ff 1% Structure Mineralogy HORIZON II DEPTH t2-`w Texture group Consistence Structure 3 S� Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S t_ LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: f EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: REMARKS: 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 Tectum 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 11141St VFR-Very friable FR-Friable ,10-Fin VF'-Very firm EFI-Extremely firm 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 Note 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) ■■■■■■■■■■■■tom■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■�■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■t■■■■■■■■■■OWN■■■s■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ or 346 4. 116 . LOT '� M A;R A 5.22 &wA M-NNW ft�rM no*�/���1r WW-ft �� rM rr ww��r� �r r I a Cl DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section. PO Box 848/210 Hospital Street Mocksville, NC 27028 Phone: (336)751-8760 /Fax: (336)751-8786 June 17, 2005 Charles Childress 712 Duke Whitaker Rd Mocksville,NC 27028 Re: Site Evaluation- Baltimore Downs/Lot 1 5.22 Acre Tract/Baltimore Road Tax PINM 5860745687 Dear Client(s): As requested, a representative from this office visited the above site June 16, 2005 to perform a"site evaluation. Based on the information provided on the Application for Site Evaluation and after the evaluation was completed,the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. Before a representative of this office will revisit the site to issue an Improvement Permit/Authorization to Construct,the appropriate application must be completed and submitted to this office. The location of the facility the system is to serve must be staked off. If you have any questions, feel free to contact this office at 751-8760. Sincerely, Jeff G. Beauc amp, R.S. Environmental Health Section Enc(s)