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4283 Hwy 64EDAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT „� : + «•" ,+' **MOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewate system. AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of, a system or the issuance of a building permit. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) 'NAME PRDPFI�TY,ADDRE55 i �1 `I DATE LOCATION l7 "1'i C y rj ' td.jK ( , SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL.: Yes/No COMMERCIAL SPECIFICATION: FACILITY TYPE c # PEDRLE_ # PEOPLE/SHIFT _� # SEATS INDUSTRIAL WASTE: Ye LOT SIZE .SD ��?i TYPE WATER SUPPLY % DESIGN WASTEWATER FLOW (GPD) ,� 5` NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: yTANK SIIE /.r''.y'r GAL.'`PUMP -TANi GAL. TRENCH WIDTH ROCK DEPTH =( LIMEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS:. ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYS1 SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. d ler pq/ I6 � c M CONTRACTOR MUST IMPROVEMENT 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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY.�,�� UL), '"„'' Ae 4T 4 B Q' la ) N c, , AUTHORIZATION NO. •OPERATION PERMIT BY C.r? DATE 6 **T E ,ISSUANCE OFJHIS OPERATION PERMIT SHALL'INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE'11 OF G.S. CHAPT6 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. l '---DCHD 10/95 j.. 1. Application/Permit Requested By *Q I -A— Mailing Address �5 }c 3 �+�-� Home Phone 07 Business Phoneq lo 2. Name on Permit if Different than Above tC E iV tac -k Am 3. Application for: ❑ General Evaluation P(Septic Tank Installation Permit 4. System to Serve: ❑ House ❑ Mobile Home ❑ Place of Public Assembly Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision No. of People No. of Bedrooms No. of Bathrooms Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served _, No. of Commodes No. of Lavatories No. of Showers 7. Type of water supply: 8. Property Dimensions X Public No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures ❑ Private Sewage Disposal Contractor Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes X No If yes, what type? ❑ Community 'NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: This is to certify that the information provided is correct to the b my incurred from thi application. 15?4Li - - - - TE Tax Office PIN: # 5'797 -3K-33R / PROPERTY ADDRESS, as follows: Road Name: E City:Gam' SU13MIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. and I understand I am responsible for all charges SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 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 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. DCHD (1193) DATE SIGNATURE } E ► - - DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ` ADDRESS PROPOSED FACIILTY =�'4 — Water Supply: On -Site Well DATE EVALUATED CL2-& PROPERTY SIZE LOCATION OF SITE Community Public L�-' Evaluation By: I Auger Boring 1/ Pit Cut FACTORS 1 2 3 4 Landscape position ,C, -4- L Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy.�/ / HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATE , 1 SITE CLASSIFICATION: EVALUATED BY: An LONG-TERM ACCEPTANCE RATE: �% OTHER(S) PRESENT: REMARKS: DCHD(01-901 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 :lay loam• SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- Vu -y 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 ,3C --Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky SBK-Subangular blocky PL -Platy PR -Prismatic Mineraloey 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 1 ■��/��/�/��■ ��■ ■�■■��■��■��■��■��■��1�■��■��■��■ ■��■■■��■■��r��■��■�■ ■��■��■�■■��■�� ■��■��/��■��■ ■�■��■��■��■��■■��■��■ ■�i��■��■��■■�■��■��■ ■��■��■��■��■��■��■��■sa■ ...........................................�........ ............. .......................................... ........�............. .............................o...................... ............. ................................�...............................� ................................ ................................ ...........................�...................�...._............. ........................... ................... ..■. ............. ■��e�� H ��■ ■��■��■��■��_��=iii=iiiiiiii�ii ■■■■��■��■��■��■ �� ■ � ■�■■��■��■��■��o��o■ ��■��■ ■��■��o��o��o��■��■��■��u��■ ■�■■��■■��■�■■��■■■�■■■■■■�■■■ ■■■■��N�■■�■■��■�■��■��■��■ ■��a�■��e��v■■��==��o��■��■ ■��■�� _�� ■■��■��■��■��■��_��■�■�_��■ ��_��_� ■■��■�■■��■��■ ■ ■��■ ��u�� ■ ■��a�■■��■��■��■��■�■ ��n��C��■�� ■ ■��■��■■�� ■�� ■�� ■��n��■��M��H■��■��Mu��■��■ ■��■�■■i��■��■��■��■■ ■�■�N■■ ��N��■��e��■ ■��N��l��/��/��/�� /�� ■■�■��■�■��h��■��■��■�■��N��■��■ ■�� .................................................■�.=....C......1. .e.....o......................`................■ . . . .......... ...............................►:�.........�......C�....:�.......... ...............................�......... ....... ....... ........ ................................�.......................C........ ��v��%��H��■�� h�� ■��■��■��■��■�� ■��■�■��■�� ■��i�■��■��■�� ■�■ ■ ■ ��■�■�� .................�......■.■.....��'�='�'�C�"��C�� ... �..... ■��■��■■��■ ��■��Hn�� ■ ■ ■ �� ■ ��ii ��■s= ■��■��■��■■.....:�:�� ■ ��■v■■ �� iiiii��-i�� u�ii ��i�i �� . ��s�s�ia�■��i�■��■��i ' �� ■ ��■o■��i ■��■��a��u�� ■��■�� i�� e��■ ■��■��■��n�r��■��■�� i �NH�■C��■ ■��■��o�u��■�� ■■ ■��■��■ ■�■��o��se��e�s��■��i�=■s=�=�e■ a ■ � ■�C��o■�� ■��n��i� u� ■ u� �� ■■ :::::::C:C::::::C:::::��::`..:::" _: ► :C::�=:::::�� ................................ . . ...... . ... .......................�:::_::: .. 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F � / / o o J� . �oo� ,�� / , � '� o� `�� / / , , . � - ,.�,... . �. � . - - o..� , , , � ,. .� �.� , . , �� . , . ,, , . � � / , . � o � ; - ; o, � � 4 \ `�� . ' m� � � � sc� R�w �� 9��, � -� ��os�' �� 9p p.�s,, �� pG . �9,p F � �� / . , . / y.1 , ,• 'L , c�o � ��. � o �� REVISED: VMG C'1 -23-96 �, o��p, �P� �, . � �6 , s''�s- � F��` PRELIMINARY SITE PLAN 3 F f � � ?o � � , � .�`� � . ,..�--�` �' , �,,.. - ,., .,. ,,,,, .. � w �5, � .. �.,-,� i � n �.ry�i�� , .. . ' , ^ ' �' ' � • 'THE FOUNDA�ION OF QUAUIY' t 6 , , / ��6 e� p .. � � U �� ti // GONSTRUCTION INC. `��. � A DRAWING FOR: ADVANCE� NC \ ��•o� , . �.,._. .._ � �s�.>�. � � . � � 6 & R AUTOMOTIVE MACHINE � � � , � . � � SCALE : �� = 3O� DRAWN BY : �G ,r•^•. . MR DATE : o�-2s-ss 14114 CONTRACTOR: MYRICK CONSTRUCTION, INC. BISCOE & GREENSBORO NORTH CAROLINA � , . DRAWING KEY : SP1 . , . ,., .,� � . Davie County Health Department ENVIRONMENTAL HEALTH SECTION' P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***This Authorization For Wastewater System Construction must be issued by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits.*** ,6j w e j // AUTHORIIATION NUMBER.4_. NAME i' -� S� DATE //3 heel U 1 5 J W NATE ON, IMPROVEMENT PERMIT (If different than above) SITE LOCATION COMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM **WICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR R PERJQD OF FIVE (5) YEARS. Parcel #: K900000001 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bill Search Sales Search Ig View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Parcel #: K900000001 Owner Information INGHAM KEN CARTER& BINGHAM ELIZABETH CROWELL 00 NC HIGHWAY 801 SOUTH DVANCE NC 27006 Property Information nd (Units/Type): 132.850 AC ddress: 4283 E US HWY 64 Account #:6660500 Tax Codes ADVLTAX - COUNTY TA FIREADVLTAX - FIRE TAX Townshi FULTON Deed Information Local Zonin Pate: 04/2008 Book: 00752 Page: 0838 Plat Book: Page: Le al Description PIN 132.850 AC HWY 64 06660500 Property Values uildin : 664,70 000111 BXF• 18,02 nd: 870,14 Market: 1,552,86 ssessed: 735,59 Deferred: 817,27 Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 1 00166 0593 12 1992 WD Unqualified Vacant 121,000 2 00181 0581 07 1995 WD Unqualified Vacant 150,000 �3 00752 0838 04 2008 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 o swf� 0oD U �,i , 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=1469415 6/16/2016 Appraisal Card GHAN KEN CARTER BINGHAM ELVASETH CROWELL Netwn/Apyeel Nu3a: Pe eeN KPM0�60 01 283 E US 1DVY 61 660500 MT: / UNIQ ID 21299 SR AVfON071VE/1)399-F28 ID NO: 06660500 COUNTYTAX (100), FIRE TAX (100) CARD NO. 3 of S 6v,1Ywr:2013 TeX Yeer: 2016 132.850 AC HWYM 132.850 AC N16 '100 11 01001 FULTON TW -0 S0.C_Inw tlon _.4 EX• AT- ACTON 20130319 CONSTRUCTION DETAIL MARKET VALUE CORRELATION OF VALUE Fleur SYlWn•3 ER.BASEO M00 AnM MTE 0.c. .DENCE TO MARKET 2] 06 11]20 159 63.60 36192 996 994R. BUILDING VALUE -CARD 6617WalU-21 Oan Grab► 6. 7__, TYPE: Auto S.M. and S-1. R. OB/%►VALUE- 18,02KIT STYLE: 1-1A Rry LAN. VALUE -CARD AL MARKET VALUE -CARD 670,1SUOCan- 1,552, SO Cover • 12 AL APPRASSEDVALUE-CARD ALAPPRAISEDVAUMI PARCEL 1,552, 1,532, nWor W.0 C9MbuObn-S II tleetnlIX 10.00 I C A N I B S I I AL PRESENT IISl YALYE-PARCEL AL AWEDERRRED-PRCEL AL TAXABLE VALUE -PA[CEL VAL VALUE BXF XF VALUE DVUE NTT USE VALUE TTAMAL VALUE 733,5 735,591 756,2 27,2 859,97 102, 16151 ntWor r ver -03 FlnU6e6 ]. nMbr Floc Cour-1/ tlni FUN . 01 Perp rya. 10 CMaRbn9p type -03 1 I Hat SAV -2 IUST._____S•______-___I Z 3 +•--•--If-------+•20--+ I I nlFnmP-06 Nn9 Blnwlotlon-0] t SuspMMa6 - CNM9 Pb Wt1 7.1 IRA $ I f IPE I 1 I I I I I I I I I I I I I 7 7 I f f I I I 1 I I B MIT NLIS DATA FF. ECORD A1[ DE[D INDICA-[ F., N-BPtllrvan! -0NS•OLL-0 um n9 Fb0urs 1 _ _ L POS VALUE 33.00 WY 0 -St6 Wall 0.9 1 I • 752 838 1 WD II ♦ A VG 1.1 I I I I I I I I 381 581 7 99 WD V 15 FaP131 Sim 1.120 I I I +....... I OTAL A.IUSTNENT FACIO0. 1.1 KgUALIT/INDEX IS IGOP I 2 I f I BUILDING AREA 8,000 I i GS lSCRI►RON MIC! COM0 DG h Rj A"ATE COM. VALU AAEA% P BDG 1,8 15. 1 _ 996 1 135 2,03 1 1 55 5.1 1 _ 3616 PAVING 0 07 3. 996 a 1 996 5 1 1 A 0 f 6 la FiL 11,6 36,19 IM• DIMENSIONS BIS. 60576E60N76f5]6W6052/ERONIOOSN206N256. NATION MER MAITHe'm GMEST D BEST USE LOCAL MON DERV / I CON. D NOTES LAND TOTAL BF AC LC TO UNIT LAND UNT TOTAL ADIUSTED LAND JOVERSID LAND X COD[ EMIR• TAC! ! SIZE MOD FACT OT M MIC! UNITS TYP ADIST UNiTPRICE VALUE VALUENOTES WR R 0313 3000 0.67 0 / 1.1800 0]+20+ •10 PW ,200. 1273 AC 0.7 ,752. 73261 ]0 ND USE D600 600 0 1.0000 0 1.0000 PW 2 ,000. 5 I.00c 25,oIo.m 13M 0 OTAL MARKET LAND DATA 132.R $70.140 RI U 5210 0 0 3.0000 5 1A000 590. OA AC 1. 590. 1 -0 1.0000 1A000 6.432 HOMSIIE 5000 0 0 SA000 5 25000 ],200. 1 AC 2 18,000. ISON OTLL MESlMT US! DATA 13 .R 52 Page 1 of 1 Owner: BINGHAM KEN CARTER Parcel: K9-000-00-001 http://maps.daviecountync.govlitsnetlAppraisalCard.aspx?idP=1469415&Action=Auto 6/16/2016