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2992 Hwy 801Na ..rr,,.,ir„�,i��"lY-k ��Jy v,�G-;..�G t��;:�r'ltv.�1;'4..',.t.,TM1.e,Y'v``;�"!;"L'34vq. ::}Y..i .Y. a�tie:t: yw., .rt.✓:v.aF .,,-;_f w_,�.-,� .a.. ,. - � ,. r ' _-.-•° r ,,,r 4 DAVIE COUNTY HEALTH DEPARTMENT 60, IMPROVEMENT PERMIT and OPERATION PERMIT � IMPROVEMEN PERMIT **NOTE** This improyement permit DOES NOT authorize the constructio :d t llation oma septic tank system or any wastewater system. AN AUTHORIZATION FOR WASTEWATER SYSTEM CON5 I�1 must be obtained from this Department prior to the construction/installation of a system or the ' ance of a building permit. (In compliance with Article 11 of G.S. Chapter 1 , Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) NAME/!� <`f/Il `, fl /�C PROPERTY ADDRESS C) G l /Y DATE r LOCATION!% SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes/No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No -rri LOT SIZE TYPE WATER SUPPLY Ar,1111 DESIGN WASTEWATER FLOW (GRD) NEW SITE !% REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE ,fG!% 6AL. PUMP TRM( GAL. TRENCH WIDTH (/, ROCK DEPTH '/ LINEAR FT. -,,-Z) OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. y SF's ✓��� r`Ap 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. DCHD 10/95 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER 0 �% Davie County Health Department Environmental Health Section - P. O. Box 665 JAN 9 j996 Mocksville, NC 27028 1 i P..,dra 1. Application/Permit Requested B Mailing Address 4t4y !f l f�L� �•� LA), Home Phone 9/0 sl4GC.N /VC ,?.7105 Business Phone9'/40 —7a6 S6S� 2. Name on Permit if Different toan Above 3. Application for: ❑ General Evaluation lZr5eptic Tank Installation Permit 4. System to Serve: ❑ House ❑ Mobile Home ❑ Place of Public Assembly `r O/Business ❑ Industry ❑ Other ❑ Unknown 5. ` If house, mobile home: Subdivision Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms ❑ Washing Machine No. of Bathrooms ❑ Dishwasher t Dwelling Dimensions ❑ Garbage Disposal t 6. If business, industry, place of public assembly, other: Specify type "DA -46 40-1,06 )C;4611,17- ' No. of People Served /00 —45 �O a- (1,44 °M W&I?K No. of Sinks �. No. of Commodes No. of Urinals f No. of Lavatories &4SI.AS No. of Water Coolers No. of Showers Water Usage Figures �Ob GAL• [�(/��1� l 7. Type of water supply: ❑ Public------- - Il0rivate ❑ Community 8. Property Dimensions Sewage Disposal Contractor/,pi Ri 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes Q' No s. If yes, what type? `NOTE: Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: F,4 R.U/.UG-'o z) f�4AG W,4 X 14 6 y IS10 / /V PROPERTY INFORMATION REQUIRED: Tax Office PIN # G Road Name 'Ala y Box # (if vailable) City Wee44C_ R L 20 u. I LC.A 20 To 6a1.x) Adce- Tao Peo eery This is to certify that the information provided is correct to the best of my incurred from this application. 1-3-96 _ y I W� DATE I understand I am SIGNATURE for all charges CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: Cf 1. I OWN the property. ❑ 2. I DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner ora 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 absorpti n sewage treatment and disposal system. /-3 -C16 DATE SIGNATURE DCHD (1/93) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME'jt_ ADDRESS PROPOSED FACIILTY DATE EVALUATED PROPERTY SIZE fAC �i LOCATION OF SITE Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS I 2 3 4 Landscape position L Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 71111r Texture groupC Consistence Structure i i( Mineralogy0 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 s SITE CLASSIFICATION: EVALUATED 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 Moist VFR- Vc.-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 5C --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/f(2 DCHD(01-901 ■■■■■■.■■MEMO■■.■AO■.■.■■■■.■...A.■■A■■■ ■■■■■■■1■■■■■■mM ■NEEM■■ ■■.■■■..■■■.....■..■.■...■...■■■...u..■ ■.■■■.■■ ■■■■■■.■■■.■■M.■ ■■■■■.■■■■■■■■..■■■.■■.■■.■■.■.■■■■...■■.■■.■■■■.■■■■■■■■..■■■■NON ■■..■■■.■■■■.■■■.■......■...e.■■■.■■.■.■■.■..■■■.■■■■■■■■■■.■■■.■. ■■.■■■.■■...■..■■■■■■■.■■..■■■■...■.■■..■■.■■■.■■■■ ■■■■■E■■■O■■■ ■■■■..■■.■.■■..■■■..■■■■■■■.■■■. ■■■■■■■..■..■■■■■ .■■■..■■■■■■■. ■■.■■■.■■.■...■■■■■■■■..■....■.■ ■■■■■■■■O.■■■■M.■■■■■■■■■■.■■■■■ ........................... ..■..............■■■..■■�■■■■..■.■.■■■ ■■■■.■.■■■■■■.■■.....■■■....■■■■.■.■■■■.■■■.■■ ■.■■■■H ■■■■■■■■■■ ■■A■■■AAA■■■AA■..■■OOM■■N.■.A.■■E■■A■■AM�MA■��.�■I■■■I�■EAMEMO �M■ ■■■■..■■■..■■...■■.........■...■....■■■/ ■N■ 111 mom ■.■MENS■ ■■ ■M■A■.■■M■.■■■■■■..■.■■.■..■■.■ ■■■■■■.u.■■■■.■...■.■.■■■■..■.■ ■■■■■■■■■■■MM■■■■■■AEN■M■MM■■.■■■R=■ MUSEUM ■■■A.■A■■■■■ ■_■■■■■_ ■..■.■■■.■..■■..■■■..■■■.■.■■..■�.■■■.HH�■■■■■.■.■..■.■..■. ■■■ ■■■■.■O■■■.■■.■■■■■.NM.■■..M■■■. ■■DONNE AO■ I�H■■■■■■■M..■.■■NO ■.■M.■M■■■■■■■■■■■EM■■uE■■■■.E■MEM■■NO.■■■■■■■■A No ..■o■■M■■■®1� ................................................ .... .......... ■OHM..■..NMA■■O■.OEMM.O.M.■■■.■ ■..■u.EM.A■MI■A■O■■■■■OMEMON■■■ ■■■�HM■AO■0...■H■..M■■■■O.E■M.■■■AA■A■■■AMA■ �AH■H ■■A■■A■■ SEEM ■■■■■■A■.■■■■M...■AAA■M■■AMM■AA.■�■■■■M■■■ ■H ■■ ■EN■M III .■M.= ■.■..■■■■■■.■■.■...■■■■■■■■■..■HUH■■ SEEM ■ MONSOON ■■■■■M■MM.■N■■■■■■■■■AN■.■■■■M■A MA �■ MION ■A OEM �■■.■■ ■■■■■■.M.■■.■■■MN■..■■AHH■.■.■ ■■� MI i■ ■ ■ ■O� ■UH ■.■.■■.■.■■■■■■■■■!EI■■■OMA■■■■.■M.■■ ■■ ■■ H■■■■MEM�■ ■■■■■A■ ■M■■.N ■■N■■.�ri'.N■■.� ■.■O■ .M■■ �■��p ■ ■■■ ■■■■■■ ■.■.■M.■■N■..■■.■■■■■■.■■■CE■■A■ieA■.A. 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DOOR RAIL C ARCOAI GVrtFR IVORY EVERGREEN cORNM TRIm INTERIOR U -M • ALSO AVAILABLE IN TAW, SILVER a BEIGE Custnmer's Flame )ob No. Overhca3 Door Opening Information Door Height ^ 0XILread Vrifrts..iriew i-) (See Floor Plan) • Set Door-" Above Grade." Headroom Required A KJ ILI i. L F I as •ie �, rt► OVERHANGS ILI , iY1 'rj 10>C 10 to TOP, OF ca zvj Lt21oCi ornol" c: FLOONa �OFIAM CMAIA c: ventitatora, tnautatton, snd "-or barriers will reduce Gut not slip 1. .-. rondertWion. Stldinp, dorn)+enhym wilt be A 112• to 7 1I2' team In wtd'h (except andtnfl donee located In aldewwl con. rs may be 10' less in width) than door pane Is and opsring halght win be rwdviced by thkknema of conerets floor N oonoreb Itoorm are Poured. Visqueen vapor bwrrisr In Energy Pertom%" ti Buildings CANNOT be remoyedt Ali dI ensiono am MRNnat. nrT 66 6192 Orw 501JAre Eottai; -- Frva Dale' _ _— __ Custor+xr't S:grtaturr __��_ i 7R1M SrC6CK COLORS ' %ECQFY SP£CIIY % -,r.A d LOCATION !STOCK r.OLOA ! CAAAGE COLOF -- --r-- +nrtE I v✓rrw.g;a;c 1 � i BROWN i IVORY i C•+D MAAS f KADER I suaNG ODOR J" SGASE Ta WA) WW vAif:E OA wAuc (1f1. i WwUDw � BROWN jay TF V STOCK COLORS I SPECIFY { SPECIFY E '+RA ' d LOCATION 1 .STOCK COLOR CHARGE CALOR RED R;OGE CAP WHM 'GREEN cAetE tRAr NAW TPACX COWA.�..{.�._..- ' efKNltr � OLUX SL JING DOOR PA&S aAACCA` cvr*EA MOM EIKMREEN CORNEA TRIM INTER10N UNER • ALSO AVMA&-£ 114 TAN. $AVER A 50GE Custumer's •,a:ne _ ___—_-�_�._� _ ___�.—. }oh No. ---- r r ` Overgead Door/Opening, Information r Door Height � A (See Floor Plan) ow— or -+•s ww CI...,c. Set Door _' Above Grade. Headroom Required . —i wai 6. r L� n� a.— wwN Gutters Drain 4.51 rrer.,I1 Owerhe09 -t W,ddr Z z, New-V.rasd (,0,& oso e--V-d1 6x4 OVEAHANGS � I > /- I� rill, OP OF TwOK i VertltatoM Insulation, and vapor berriOrs pill rwd�mce but not ellminate cordensat". St]W.n door openings wrl be a 112' to T 112" less In wld,h s1'.d1ng doors Iocsted In sidewall corners may be 10" less In width) than Goof panels and opening Might w+11 be reduced by tMckness of concrete floor H concrete floors are poured. Visqueen veyor ber.ier in Cnergy Pertonner TU fl-Aki!rps CANNOT M re^.. r dt All dlmenslons ere nominal. Forn 86 6192 One Squire Equals +_ feet Date: Custonlcr's 5igrut�-e r.4S-fir(• 3' - � .,�, y�� n. -... ...1+,... '' 1 _,F.. r r 14.�� ?a, -•t ; .-w^ f '-,v `i =is -•s�.. ` Davie County Health Department ENVIRONMENTAL HEALTH SECTION r, P.O. Box 665 3 ; 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.*** AUTHORIZATION NUMBER NAME (�� �N DATE N2 0 1 4 8 NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION r%9iH ✓0 7Oi, COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM ***NOTICE*** THIS AUTHORIZATION FOR WA TE TER SYSTEM CONSTRUCTION IS VALID;FOR A PERIOD OF FIVE (5) YEARS. ENVIRONOWAL HEALTH SPECIALIST DATE DCHD 10/95 !A_„t._':1�..__._��_ IE COUNTY HEALTH DEPARTMENT �'©D IMPROVEMENTS ERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Articl 11 of G.S. Chapter 130a Sanitary Sewage Systems Permit Number Name �, ;r� ���✓ ��� /a S ; n Date N2 5834 Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home _ Business Speculation No. BedroomsAli fv -4No. Baths _ �.- No. in Family _ Garbage Disposal YES ❑ NO Specifications for System: Auto Dish Washer YES ❑ NO n ,� / Auto Wash Machine YES ❑ NO/����<!�� f �'v> 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. 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 Certificate of Completion Date ` *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. VIE COUNTY HEALTH DEPARTMENT'pf.� IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Articl II of G.S. Chapter 130a Sanitary Sewage Systems- Permit Number Name Date' 4/�� N° 5834 i Location Subdivision. Name Lot No. Sec. or Block No. Lot Size House Mobile Home _ Business .kf.� Speculation No. Bedrooms No. Baths No. in Family _. Garbage Disposal YES ❑ NO Specifications for System: Auto Dish Washer YES ❑ NO 2-"', Auto Wash Machine YES ❑ NO.Q�x�� 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. r' .;ate Improvements permit by�4`-- *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 bye&61 l�� Certificate of Completion - Date/ ' sv l.. '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. Parcel #: C400000062 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bill Search Sales Search Q View Property Record for this Parcel View Mao for this parcel View Tax Bill Information Parcel #: C400000062 Account #:82520084 Owner Information ulidin Tax Codes BXF• GH PERFORMANCE HOLDINGS V0`NCORD, Land: ADVLTAX - COUNTY T Market: 13 REPUBLIC DRIVE ssessed: READVLTAX - FIRE TAX Deferred: NC 28027 0 3 00129 0365 12 Property Information Qualified Township nd (Units/Type):-134.430 AC";' " 4 00161 0388 11 FARMINGTON ddressr 29�I�NE'rIVF1'8Qr"'' '. Vacant 106,000 Deed Information 2002 WD Local Zoning ate: 01/2003 Book: 00462 Page: 0656 1,600,000 Plat Book: Page: Legal Description PIN 129.900 AC HWY 801 5832882982 Property Values ulidin cl BXF• 594,13 Land: 1,523,06 Market: 2 117 19 ssessed: 2 117 19 Deferred: Vacant Sales Information No. Book Page Month Year Instrument Quai/UnQual Improved Price 1 00181 0277 06 1995 WD Unqualified Vacant 0 2 00462 0656 01 2003 WD Unqualified Vacant 0 3 00129 0365 12 1985 WD Qualified Vacant 240,000 4 00161 0388 11 1991 WD Qualified Vacant 106,000 5 00439 0697 09 2002 WD Qualified Vacant 1,600,000 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Page 1 of 1 o01.7rN oull-,- 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=1474796 9/21/2016