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5595 Hwy 801S, r y %� t �� DAVIE COUNTY HEALTH DEPARTMENT 1 IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE:;lssued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systems Permit Number Name .. Aa `v , !!eQyi r Date Location ,T_ T ,-r 7�1 n/ 1/ 4v Subdivision Name Lot No. v .,. Sec. or Block No, ~n - Lot Size House Mobile Home _I—' Business Speculation No. Bedrooms No. Baths No. in Family_ Garbage Disposal YES ❑ NO ❑ Specifications for System: Auto Dish Washer YES ❑ NO ❑ Auto Wash Ma.hine YES ❑ NO ❑ ,�/fiU ° ` `` f" '� `` Type Water Supply _ 3�✓��- *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. 11,;2 Irrjprovements permit by _— *Contact a representative of the Davie County Health Department forAinal 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 �o i ti J Certificate of Completion4 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. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department I- 1 ` Environmental Health Section 1. P. 0. Box 665 Mockoville, NC 27028 JUL 5 199, 1. Application/Permit Requested By (N. Mailing Address91D , Home Phone �9� - 9-3/o Business Phone 2. Name on Permit if Different than Above 3. Property Owner if Different than Above 4. Application/Permit For: General Ev luation S/Tank Installation 5. System to Serve: [) House Mobile Home 0 Business 0 Industry u Other 0 Unknown 6. If house, mobile home: Subdivision Sec. yy Lot, No. of People Dwelling Dimensions �4 Soli No. of Bedrooms .3 Basement/Plumbing XNo. of Bathrooms nZ ` Basement/No Plumbing ashing Machine dishwasher 0 Garbage Disposal 7. If business, industry, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers 8. Type of water supply: Public 0 Private 0 Community 9. Property Dimensions I' C51 fl�. 10. Sewage Disposal Contractor 11. Do you anticipate additions/expansions of the facility this system is intended to serve? (Yes 0 No If yes, what type? A-zt ble eaf- RagEa� *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 the best of my knowledge, and I understand I am responsible for all charges incurred from this application. Date 0 Signature Directions to Property: o I So Lk 4 wr w{ e + She P o ry + o 8 6 Iaw ur "� J DCHD (10-89) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ADDRESS I PROPOSED FACIILTY� Water Supply: On -Site Well Evaluation By: Auger Boring DATE EVALUATED 7 ir PROPERTY SIZE �nZ 016 LOCATION OF SITE Community Public Pit Cut FACTORS 1 2 3 4 Landscape position Slope % 19 HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texturegroup c. (f - Consistence Consistence Structure .s'/"e' Mineralogy - HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION �J f LONG-TERM ACCEPTANCE RATE v SITE CLASSIFICATION: eel EVALUATED BY: 14M 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-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(01-901 ■.■■■.■■.e■■■■■■■■■■■.e■ecce.e■e.■■.1e.■■■..■■■.■■■■/■■■.■■■..■■� ■■.■■.ee.■■e.■■.eee■.e■■■e■■■■.■�■■■ee...e■■■..■■■..■..■■te■■.■■■ ■■eee■■e■■■■■eee■■■■■.■■e■■■■■■e.e■■■■..■■■.■■■.■■■■/■■■..■■■.■/.■ ■■e..■■■■■■■■■eee.■■■.■■■■■■■■■■■e■■■eeeeee■■■..■■■..■■eee■■ee■.e� ■eee.■■.e■■■■■tee.■.■■■.■.■.■■e■■■■■■■■eee.ee.■■■■e■■■/..■...■...■ ■ee■■■■t.■■■■■.eee.■■■■■ee■■.■■ee■■....■■e■■■...■■■.■■■■.■■■..■■■■ ■...■■■■...■■■■te■■.■ecce.■■■■.■■■■■..■■■■.■■/■.■■■■■■■■/■■■■■!.■■ ■■■■■.■■e■e.■ee.■■■■.■■■a.■ae■■■ee■■■.e.ee.■ee.■■eee■■...■.ee■eee■ ■■.■■■■■.■■■■e■■■■■■■■■■ee■.■■e■ ■■eee.seee■■.....■eee■■eeetee■■■ ■■■■ee■■■■■■■■■■■.■■■■■■■■e■■■■.�■■.■..■■■■eee■..■.■■.e■■■■i■■■■■ ■..■■■■..■■eee■■■ee■■.■a..ee■■■■e■■■../■.■■.■.■■■■.■■■/ee■■■e■■■■■ ■■■■e■■e.■■e■■e■■■■■■e■.e■■■■.■■■ecce■■e.ee■.ee■e■e.eeeeeeeeeeee■ ■..■ee■t.■eeee■■■.ee■■.ee.t■eeee■■ ■■■■■■..■■■■..■■■...■■■..e■■ee■ ■.■.■ee■■e...■■■.■■■■■.■.■■.■■■■■e.e■■ee.eteeeeee■teee■.eeee■■ ■■■ ■..■■■■■.■.■■■■..■■.■■...■.■■■■■ ■■■■.ee.■.eee....eee.■■ee.■.�■■■ ■■t■.eeeeeeee■■eee..■e■eee.■■■e■■■■e.e...eee■■tueee■■eeeeeeee.■.■ ■.eee■■..a■e■eeee■■■eee■.■■■■■■ee.■e■■■■.■■■tee■eet■eeeee■■ee■■■ ■ .................................................................. .................................................................. ■■■eeeeeeee■■ee■eee■■.■eee.ee■■■�.eeeee■ecce■■■■t■eeeee■■eeee■t.■ ■■■■■■ue.e.eeee■.■■eee■■e■eet.■ ■■■■■eeeee■■...■■■■■■■.tee■■..■■ ■■■.■■ ■■■■■■ ■■■■■■ ■■■■■■ ■■■■■■ ■■■■■■ ■■■■e■ ■■■■■■ ■■■■■.■.■■eeeeeee■e■■■ee�i..eeeee.■■■■■/..�■■■■■■.■■■■■■■■■.■■■■■■■ ■■■■■.■■.■■.■■■■.ee■■■■.�i■■■■■e■..■■eeee■ .■eee■■■ueeeee■■e■e..e■ ■■■.■■■■■.e■ecce■i■■eeeee��eeeeeeee■■■/eee■■��■t■ee■ ■■ ■■.■ ■■■■..■ .■..............■.......ue■■■ee. .eeeAee.■.eeeee■■C■■..C.■...■.� ■eee■■■..■■■e.■eeeeeeeeen■■■■■.w ■■.ttr..ee....■■■■■....■.■■ ■e■■ ■■.■■■.■■■■■■..e■e■■■.■■Its:■■e■eee■ee.t■■.■eeeeee/■eeeeee.e■e.�eeee MEN C ::::::::::::O::::: .■■■■■■M■■■ ...............1■■■■■■............................... ■eee■■■■■■■■■■■■■■■■.■■■■■■■■■.s■■■■■■■■■.■C■■■■■■■■■■■.■■/■■■■■■■ ■■■.■■■■■■■■■■■e.■■■■■■■.■■■■■■■�■■■■Sic■e..■.L'■eeeeee■■■■■■■■■■■ ■■e.■■.■■■■■■■■■e■■..■.■■■..■..■eee■c�■■e■■eeee■■■.■■■.eeeee..■.e■ ■■■.■■ee.eeeee■■tees■e■■.ecce.■■■e■■..recce■■■■e■■■■■■■■.eeeeeeeee ■eee■■■■■■■■e■ecce■■ecce■■e■er■r■.■■■ecce■■■■■■■■■■■■■■■reree.■rr■ ■■■■■■■eee■■■■■.■■■■ ■e■eee■■.■■.eer.■■eeeee.■eee■re.rreeeeeerere■ ■.eeeee■r■eee■tee■■■r■■■■■■■■ree�eeee■■e■■■■■■■■t■er/a■r■t■rrr■■■ ■■eeeee■■eeeee■■.■■rr■■.■■re.r■see.■■eereeer■eee■■■■■■■eeere■ree■■ ■■■erereer■■ecce.■.■■■er■eee■■e■■■■■■■■■■■/■■■/■■■■■■■■■■■■■■■■■■■ ■■eeeee■■e■■■■■■s■■.■■■■.■■.■■■e■■■■■■■■■■■■■.■■■■■■e■..■■■.■■■■.■ ■■ee■eet■.■ecce■■■■.■■.■ee■ecce■■■■■.rr.r■■■■■■■■■■■■■eerrr■■■■■■■ Parcel #: L70000001207 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bili Search Sales Search View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Parcel #:L70000001207 Account #:45192000 Owner Information Property Buildin : Tax Codes BXF• LEE EDWARD CLINTON Land: ADVLTAX - COUNTYTA Market: 595 NC HIGHWAY 801 SOUTH ssessed: FIREADVLTAX - FIRE TAX eferred: MOCKSVILLE NC 27028 00196 0557 08 1997 WD Unqualified Property Information Township land (Units/Type): 0.000 JERUSALEM ddress: 5595 S NC HWY 801 Deed Information Local Zoning Date: 08/1997 Book: 00196 Page: 0557 771 Plat Book: Page: Le al Description PIN 1.51 AC HWY 801 45192000 5766 -18 -8048 - 766-18-8048- Proa Values Buildin : 49,42 BXF• 2,55 Land: 21,36 Market: 73 33 ssessed: 73 33 eferred: 3 Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 1 00125 0675 02 1985 WD Unqualified Vacant 0 2 00180 0566 05 1995 WD Unqualified Improved 0 3 00196 0557 08 1997 WD Unqualified Improved 62,500 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Return to Basic Search Page 1 of 1 oP.IF `'°u 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=765230 8/30/2016