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1949 Junction RdDav !016 WARNING: THIS IS NOT A SURVEY All data Is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie Countys GIS website shall hold harmless the 101 Parcel Information County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to Parcel Number: M413OA0005 Township: Jerusalem NCPIN Number: 5735555664 Municipality: Account Number: 69860000 Census Tract: 37059-807 Listed Owner 1: SPILLMAN CLARENCE LEE Voting Precinct: COOLEEMEE Mailing Address 1: 1949 JUNCTION ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-5332 Voluntary Ag. District: No Legal Description: LOT 15 ERWIN MILLS Fire Response District: COOLEEMEE Assessed Acreage: 0.55 Elementary School Zone: COOLEEMEE Deed Date: / Middle School Zone: SOUTH DAVIE Deed Book / Page: Soil Types: PCC2,CeB2 Plat Book: 0003 Flood Zone: Plat Page: 023 Watershed Overlay: DAVIE COUNTY Building Value: 45540.00 Outbuilding & Extra Freatures Valuer 0.00 Land Value: 16000.00 Total Market Value: 61540.00 Total Assessed Value: 61540.00 Davie County, All data Is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie Countys GIS website shall hold harmless the 101 County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to NCor arising out of the use or Inability to use the GIS data provided by this website. -�.. u°c .;...,s:-, :.FCV :....=.� },� '� � .fa=: :w -........:•a- ,.ti:-,. ':t n...-...rr.. w __tin 's,z :, , ._ ., — -:. _. y w �Xo DAVIE COUNTY HEALTH DEPARTMENT R� IMPROVEMENT PERMIT and OPERATION PERMIT ."k w IMPROVEMENT PERMIT 1 **NOTE** This improvement permit DOES NOT authorize the construction or installation 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 6.5. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and, Disposal Systems) NAME � jr/ r Jr , .� r,'i✓ PROPERTY ADDRESS Gr t" / 9 ?( 4 CL . DATE r LOCATI ���/ %l✓�/Y —i All SUBDIVISION NAME LOT NUMBER `SEC. /BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE r t BEDROOMS .? t BATHS IV 1 OCCUPANTS GARBAGE DISPOSAL: Yes(fy� COMMERCIAL SPECIFICATION: FACILITY TYPE (i PEOPLE if PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No 'LOT SIZE_ TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE t.'r REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE/t L!2 GAL. PUMP TAW GAL. TRENCH WIDTH ROCK DEPTH ,L%� LINEAR FT. OTHER REDUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PIANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR PAST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. IMPROVEMENT PERMIT BY f'�✓ **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 It IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY p } C-4 A iQ�ll l3 ,ra' FUCK Q AUTHORIZATION N0. OO 14 OPERATION PERMIT BY -: �j DATE '�1 i� ti f **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE-,} ,BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A; SEQTION .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 TIDE: DCHD 10/95 �'. Y. 7.d1 iY� !. ..lF,7N Y .vr >("A a'1 i. a�AYY' .r!'i'.4'A .y. ,.•1'iYui .. t^}ri .'... Iri. ,. .. i� v r> r it r .. _. r .`` Davie County Health Department 4 ENVIRONMENTAL HEALTH SECTION p. D. Box 665 Mocksville, N.C. 27028 AUMIZATIDN FOR WASTEWATER SYSTEM CONSTRUCTIa! (Issued in compliance with Article it 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 11ri°.� r' f ..-��. ��i>')Ari/ DATE NAME ON IMPROVElEaTT PERMIT (If different than above? SITE LOCATION . f Utif" 49A �1 dG COMMENTS/CONDITIONS ON AUMRIZATION TO CONSTRUCT WASTEWATER SYSTEM *iMOTICE*** THIS AUTHORIZATION FD WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.' ENVIRONMENTAL TH SPECIALIST ` DATE DCHD 10/95 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER Davie County Health Department ` Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address 2. Name on Permit if Different than Above 3. Application for: 4. System to Serve: ❑ House 7 ^,P 2 MAY 19 19JS I 1"� itl * L1 �/9�{ CNC E UMtgN Home Phoner27 `p20 ^ ��Io�/9 Business Phone ) o� �� o�•ssl f t}i General Evaluation ❑ Septic Tank Installation Permit ❑ Business ❑ Industry f/Mobile Home ❑ Other 5. If house, mobile home: Subdivision No. of People No. of Bedrooms No. of Bathrooms Dwelling Dimensions G 6. If business, industry, place of pu lic assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers 7. Type of water supply:ublic 8. Property Dimensions No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures ❑ Private Sewage Disposal Contractor ❑ Place of Public Assembly ❑ Unknown 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 ❑ No If yes, what type? ❑ Community '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. Directions to Property: or- - 9141tICT lai✓ 904,0 NEW R h) LOZPh D 1/W' AlvV P A T r' AIVV tNG' — FoLLe w VAe //V F01V T of- Two -R,411-6AS Gd /�8a� 1 �'� /►�►L� d� Q 79,4c 1 ON lY/L t+ This is to certify that the information provided is correct to the best of my knowledge, incurred from this application. -0/ DATE an mderstand I am responsible for all charges CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: [V 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 representat' a of the Davi County Health Department to enter upon above described property located in Davie County and owned by f-(�4 O&Q 164a �! f- 11 rn'A (% to conduct all testing procedures as necessary to de r me said site's suitabiI4lor a ground absorption sewage treatment and disposal system. S J DATE IGNATURE DCHD'(1193) DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section Soil/Site Evaluation NAME • ' DATE EVALUATED 'PROPERTY SIZE ADDRESS - PROPOSED FACIILTY LOCATION OF SITE Water Supply: On -Site Well _ Community Public ✓ Evaluation By: Auger Boring Y Pit Cut FACTORS 1 3 4 Landscape position Sloe Z HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH f (- Texture rou C Consistence Structure .0 S 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: i�-S EVALUATED BY: Ira LANG -TERM ACCEPTANCE RATE: 4 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-Vcry 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 Mineralog 1:1, 2:1, Mixed Notes Ilorizon 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 ■........■■..1.....■.■.0...........■■e.■■e.O....■ ■....■.■ ■■MHie■ ■■.......■■■=e..■■....N.ee..■■..O...e.e.■■...■■■ ...■.....nee.■■■ iiiiiiiiiiii■iiiiiiiiiiiiiiiiiii�iiiiiiiie�iiiisiiiiiiiiiiiiiiii .................................................................. iiiiiiiiiiiiiiii�iiiiiiiieiiii.■iiiiieiiiiiii iii=■iiii■iiiiii�ii ■.►\.■...■.■■....■■....■■.io�...■.■on.■■■■o■■■■■�M■■■ MEMO EVI■I.■ri■■ ■■/.■■■.■■■■■.■■■■...ae..Om.■■..■■■....■ ■■■ ■ own ■I/■■■1Mn t■■ ■■/.O..O■■e...■e.■..■.....■■.....■.■�.H■..�■.■.■■ ■/ori■�1■!a■■�'/■�� ■..��.■!.■.!l..e■■e■■■■■e■ee■e...eee.ae..��.�..■.■■■.■ ■■■■■■■. ■■■ ■..■I.e■HO..O.eO...■....e...O■■.�.....■rr ■.■.N..■E...eO...�■■■ EMEMEMMEMEM ...............................................■_ ■■■=.H......0 ■■.■11■■■M■■■■■■■■■■■■■.■■■■■■■■o.M■■si►t■�■■■■■■ ON ■■ ■.■.■■■ ■■■.IIH■■■■■■■■■■■■■■■■■■■■■■■■■■■►.%■%■■■ MMMM■ A mmmmm■ml ■m■o!■■ ■..ell....■......■....N.e.......�■/%.N.ON.N��N...ee. 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ME■ EM■ME ■■■Ms■.■■■...■■■omom■■t■■■H■.■■E■■■ .■■N. .N ■....i......■......■..���■e....■... .___! ■ ■ !!.■■.■eN.■■■ ■■■.ems■■..m■.■■.■..e.�.i.e...l... .. !.■.■■lE.. ■■ ■II■!■■.N■ ..■■■■111lM■■■■■■■m■■■■■ H■■■■.N■■■■ Mom III MAIME MERIMMIUMMUMMEM ■ EMEMMUMEMEMEM .■r,■ .. .......MOEN FM 0 OMEN C.I.11l.e.O... .nsilmosommommon�..�i ..ee..■■�■....em.N■ONE..... O■E■N....■.....NMEMME"WMAI■■■■■■�H■.�..■.....■.....■■e■■■■e■■e■■ OMEI ►1.....H...■.......1�\l.lee■. ■...�..M...■.O.Oe■e■..e..N■.�e MEN.O■ ■e...■■■.O..aee....o.■■N...e■ ■ o.m......■....0..■■.eee■ µ Dame County NealK (Department ' and Yore NeallI ffyency 210 HOSPITAL STREET I P.O. BOX 665 MOCKsvILLE. N,C. 27028 PHONE: (704) 634.5985 June 2, 1995 Fonso Farm Service c/o Clarence L. Spillman 1949 Junction Rd. Mocksville, NC 27028 Re: Site Evaluation Off Junction Road Dear Mr. Hester: As requested, a representative from this office visited the aforementioned site on May :,1, 1995. Based upon the information provided on the application fo-r, 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. If you have any questions, please feel free to contact this office. Sincerely, AUGwv1�,�� Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure