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1386 Hwy 801NAccount #: 990003269 Billed To: Charlie Doby Reference Name: Proposed Facility Residence 38� -o ATC Number: MM - DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Tax PIN/EH #: 5852-99-0205 Subdivision Info: Location/Address: 1386 Highway 801 N-27006 Property Size: 10 acres AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: 6&Date: CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit 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. r J' Septic System Installed By: Environmental Health Specialist's Signature:. Date: DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section • ` P. O. Boa 848/210 Hospital Street OL 0 Mocksville, NC 27028 (336)751-8760 ^ _I IMPROVEMENT/OPERATION PERMIT Account #: 990003269 Tax PIN/EH #: 5852-99-0205 Billed To: Charlie Doby Subdivision Info: Reference Name: Location/Address: 1386 Highway 801 N-27006 Proposed Facility Residence Property Size: 10 acres 3,910 ATC Number: OW **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction of a septic tank system or any wastewater 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type #People _ #Bedrooms #Baths Dishwasher: d Garbage Disposal: ❑ Washing Machine:` Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial,,, Specification: Facility Type #People #People/Shift #Seats Industrial Waste: 171A Lot Size VC— Type Water Supply Design Wastewater Flow (GPD) Cg�a Site: NewZ'Repair ❑ d System Specifications: Tank Siz %bio GAL. Pump Tank GAL. Trench WidthGcRock Dept ? _Linear Ft. //4 Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT - FINISHED GRADE. ****NOTICE: Contact- represer system between 8:30 a.m. to 9:30 a.m. or 1:00Ir t� D EFFLUENT FILTER RISER(S) IF 6 " BELOW dayAvie County Health Department for final inspection of this installation. Telephone # is (336)751-8760.**** l Environmental Health Specialist's Signature: Z,4 Date: w/ DCHD 05/99 (Revised) 4r i Jun E1 04 O3124p davie oounty onvhaalth 336 781 8766 p.2 AAPI!(A7M R7R OTC m4umneyfate7Mmmw rumff i ATC D&VIS Candy mosm Depo b"fil tntlrar>Irteorrdl hleo/th SioCdarcr P.O. Boas 619/210 Hospital 1 1 stookwille, NC 21029 (]361751-e�oo I •1 1 IMP01tS rt" =8 UPIdGTIMIALL O11 CAOT At PROCUSM MMS M OJIQVISSD IM0 ATION IS 11101►IDSI1. Hafer to the 211>romioL08 aIILLum lox instrurk-itmo ,/f. 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Ltva aamA toft AYTttaststd flapfntMIjvv at Ibb Darin CounlyllcAM Departomm to enter upon above described proport) located to Davin County and owlted byl is conducct/t all rdliaf prrocedares as aecmary• to dcicrudac the site suitability—O.'". DATE I.SeMATUIM a^ TMS ARKA MAY 98,1)S Y01tMkW1T)C YOUR SITZ PLAN (Include all of Iba fongivinSt 9xisdar a proposed property UM and dimensiM atructuree, setbacks„ and septic IecaUow} Resbcd KIM (OS103 SIN Aw46t Chemo Dale(s): Client Notification Dote: 1[11;1: Accoaat No. Invoice No.� T0'd Z4Qt 1966 3NIS13l1Q021ja00MN33N30Id Wd [0=S6 bOOZ-ZZ-Nflr JUN -23-2004 09:43 AN PIOENEERWOODPRODUCTSINC 9984572 P.01 a'd SSLS ISL SEE 41IQa4^ua ajunoo ol^wp DAVIE COUNTY a c (12.39A) 0205 APPLICANT INFORMATION Account #: 990003269 Billed To: Charlie Doby Reference Name: Proposed Facility: Residence Water Supply: Evaluation By: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation PROPERTY EWORMATION Tax PIN/EH #: 5852-99-0205 Subdivision Info: Location/Address: 1386 Highway 801 N- 700 Property Size: 10 acres Date Evaluated: v On -Site Well / Community Auger Boring r✓ Pit Public 1� Cut FACTORS 1 2 3. 4 5 6 7 Landscape position �. Sloe % HORIZON I DEPTH '• Texture group, Consistence Structure Mineralogy HORIZON II DEPTH c� Texture group/ Consistence r Structure JEi (4 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: �Vro LONG-TERM ACCEPTAXE RATFe) REMARKS: Grp_ EVALUATION BY: 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 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 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 DCHD 05/99 (Revised) ME No ME No on No ■ No ■■■■N■■M■■ ■■■■MMME■■ ■■■■■■■■■■ ■■■■■■■E■■ ■■■■■■M■■■ ■■■■■■■■■■ ■N■■■■■■■■ ■N■■ME■E■E ■E■■■■■■■■ ■■MON■■■■■ ■■■■■■■M■■ ■MEM■■Me■■ ■MEMO■■■■■ ■OO■■■■■■■ ■EEM■■M■■■ ■■ME■■M■■■ ■rA■mm■ O■M■■M ■NOON■ ■EN■E■ ■■■■E■■meNMM■O■■■■NEM■■■■E■■■■■E■■e■■s■EEN■■■N■■N■■MO■■■■e ■■■■■■■■■t■■rye■■■■■■■ONNE■eO■�■EE■■■■■s■e■eeeee■N■ON■■■■■ ■see■■s■■■r:���■■■■■■■■■■■■■■■■■■■■■■■MEs■MO■■■■■e■eOOs■■e■ sNM■■ME■■eN■MEe■eO■■■N■eee■■N■■■a■■e■■■■MONEE■eE■■ee■■Ee■■ ■■■■■■■■■■■Nee■ooO■O■s■■Oo■■■ ■■■■■■■■■■Oo■■■■■■eO■■■■■■■ ■■e■■e■e■■■N■■N■eee■N■E■e■s■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■O■O■■■E■■N■■■■■a■NO■■■■■■■■■■■■■■■■■NNE■■■ ■■■■■■■■■■■■■■s■sOe■O■ONO■■■■■■�■■■■■_��.ms■■■■■■eNOOONNEN■ MENEM MEEMEMUE'EMEME SEMMES MEN ■sONN■N■■■N■■o■■■■■Oji■■e■■■■■■■o■■■■■■■■�■■■■■■■■■■■■■■■■■ ■■■■■sO■■■■■■■■s■■Ee�NM■E■■a■■■■■■■■■■■Mie■■■■■■■■■■■■■Nee■ eam■■eeeMe■■■■e■■■■NN■e■■■■■M■e■■■e■e■■E■ESM■■MEM■■■■■■■■■ Imo■■■■■■e■■■■■■■■■■■■■■■■■Nee■■■■■■■■■ i■oOO■e■■■■■Nee■■■■■■Nee■■■■■■■■■■■■■■■ iM■■see■■■N■■O■■■■■■■■■■■■■■■■■Me■■e■■■ iOt■e■■■■■■■Nee■■■■■■■■■OONON■O■■■■e■■o i■N■■■■■■■■■■■■eee■■■■mm■■■■■■�■■■■■■■ i■■■■■■■■■■■■Nee■■■■■■eee■■■■■ ■■■■■■■ i■■■■■■Nee■e■■e■e■■■a■■ee■■■■eee■■■■■■s i■■eee■■■■■■■■NN■■■■■■■O■■■■■■■■■■■■■■■ iM■■NN■■■■■N■Nes■■■■M■e■■■Ee■■■eE■■e■E■ iN■■e■■■■■■■■e■■■■■■sae■■■■■e■■■■■■■eO■ ■■Se■NNS■■■■■■■■■■■■ems■■■■■■ SOMEONE iss■■■■■eeeNMNe■■■e■O■NNN■■s■■■O■■■eee■ i■■eN■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■Nee■ ie■■N■■■Nese■■■■e■■■■■■■■■■■■■■■■■■■■■■ L ■ ME ■■■MEM■■■■■O■ N■■■■■■E■■■e■ ■■■■NN■■N■■■■ ■■■M■E■N■■■■■ ■■■■■■■■N■■■■ ■■■■■■■■■■■■■M ■■■■■■■■■■■■■■ ■■E■■■■ONNN■■■ ■■■■■■■■■■■■■■ ■■■■■■■■■N■■■■ ■■■O■■■■N■■■■■ ■MEMO■■■■■■■■■ ■E■■■■NN■■■■■■ ■■■■■■■■■■■■E■ ■■■■■N■■NNO■M■ ■■M■■■■E■NO■■■ ■■■■■■■■E■■M■■ a� e a� Parcel #: C600000073 Davie County,- NC - Basic Estate Search Basic Search Real Estate Search Tax Bili Search Sales Search View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information Parcel #:C600000073 Account #:82533099 Owner Information uildin Tax Codes BXF: ILL EDWARD O & HILL YULONDA J nd: ADVLTAX - COUNTY T �READVLTAX Market: O BOX 11281 essed: - FIRE TAX eferred• INSTON SALEM NC 27116 Property Information Township nd (Units/Type): 1.750 AC Edress: FARMINGTON 1386 N NC HWY 801 Deed Information Local Zoning ate: 11/2011 Book: 00874 Page: 0915 lat Book: 10 Page: 385 Le al Description PIN 1.75 AC HWY 801 lot 1 5852990205 Property Values uildin 3717 BXF: nd: 46,79 Market: 83 96 essed: 83,96 eferred• Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price L 00042 0588 04 1944 WD Unqualified Improved 0 t 00874 0915 it 2011 WD Qualified Improved 75,000 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search Page 1 of 1 oP�f� ooU�,� 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=1477943 8/31/2016