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179 Lera LnDay. !016 All data lsprovided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 9 ins Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY 7`77- 7777' Information_ 7-77 7 Parcel Number: F60000009805 Township: Farmington NCPIN Number: 5860179028 Municipality: Account Number: 47304000 Census Tract: 37059-803 Listed Owner 1: MARSHALL JOHN C Voting Precinct: SMITH GROVE Mailing Address 1: 149 LERA LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A,1-1 State: NC Zoning Overlay: DAVIE COUNTY OD Zip Code: 27028-7854 Voluntary Ag. District: No Legal Description: 3.808 AC OFF HOWARDTOWN LIFE ESTATE Fire Response District: SMITH GROVE Assessed Acreage: 3.89 Elementary School Zone: PINEBROOK Deed Date: 5/1993 Middle School Zone: NORTH DAVIE Deed Book I Page: 001680482 Soil Types: MrC2,MrB2,PcB2 Plat Book: 0004 Flood Zone:. Plat Page: 027 Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra 4500.00 Freatures Value: Land Value: 34390.00 Total Market Value: 38890.00 Total Assessed Value: 38890.00 All data lsprovided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 9 ins Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. y5T 5 S. 3 , !- 'v�" +,.w 5 7 ... '•. 5' , „-C; i .�'•'s, as . aZ7 -w' OJT 4 t a'+'9?mt -#"^:�t" 3J. ;�5 r�,.,lei �t x :' t a � 3 .. .f ice: 3 ,.a. i .%� .r. AUTHORIZATION NO: 0909- DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION _ _-Perth tee's P.O. Box 848 Name:/��'�Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property: (4 /_fifi' Section:" Lot: AUTHORIZATION FOR ¢ WASTEWATER Tax Office PIN:#d_ - (� SYSTEM CONSTRUCTION , 1 Road Name:ip: **NOTE** 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. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPEMALIST" . DATE ISSUED � ,i v�'��;, 4""w ti,+ i ruu r+` � T rn.1 • •s,.r �., ,p-... +-�,� ri ire f '» - i,. q�y.4;y 1 �ti� rr a. "�'n `fi J SL ` . tj 1.;r. ; c.v� �,..rn •�,� •.y...�.,;.,� y..,.t.,�,.f{' ;�,,�(� w• / v DAVIE COUNTY HEALTH DEPA NT IMPROVEMENT: AND OPERATION P " S PROPERTY INFORMATION hfiame; 0 ` Subdivision Name: -Dir`ections to�property: Jr' "> Section: Lot: EWPROVEMENT c / r PERMIT Tax Office PIN:# t� fe" ;rRoad Name•' Q1.4 M i � _—,p Zip: i **NOTE** This Improvement Permit DOES NOT authorize the constriction 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 G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) 1 ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT -BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE41f r # BEDROOMS,.—? # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE '� iL TYPE WATER SUPPLY �t/i// DESIGN WASTEWATER FLOW, (GPD) �&y NEW SITE -,' REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE e1 GAL. PUMP TANK GAL. TRENCH WIDTH `��V ROCK DEPTH, LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: **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) 6348760. AUTHORIZATION NO. OPERATION PERMIT BY: DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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. DCHD 05/96 (Revised) APPLI,CATION FOR SITE EVALUATIONAMPROVEMENT PE7771 V Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE RE�Q1UIRED INFORMATION IS PROVIDED. 1. Name to be BilledcM `/ R/ G f / /f/��f% ��i Contact Person Mailing Address y a 0 A /,L. E H 3'W /.SJ' Home Phone 2 7 6 �� o City/State/Zip4& G /I.sUJ LL -G Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC A Both 4. System to Serve: [ ] House [1J 5. If Residence: # People .obile Home [ ] Business [ ] Industry [ ] Other # Bedrooms-_ # Bathrooms,_ [ ] Dishwasher [ ] Garbage Disposal [vpWashing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing 6. If Business/Other: Specify type # People #Sinks # Commodes - # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: [ ] County/City [f] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes H No If yes, what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A'OF THE PROPERTY MUST BE SUBMITTED WITHAPPLICATION. Property Dimensions: ',WRITE DIRECTIONS (from ocksville) TO PROPERTY: Tax Office PIN: #5X � - W /.1-, Q" 1,70 DGZG i / Ifo'yd ,Zn i Property Address: Road Name/l/6 401f J %1�0 cv,y Ro/ To Gv n/ Cr / City/Zip 2 D If in Subdivision provide information, as follows: Name: ; Section: Lot #• This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. 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 C �GP to conduct all testing procedures as ne essary to determine the site suitability. of Revised DCHD (06-96) THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN: t ea28 l •. anv aaa " 8420 • a..av san ooas e a,W L� A� e0 00" ro eeeo I PA" 490 - 8700 mze 8 .. a g h �^ i 3402 e.w p,.l6y 0145 Scale:l' _ "' • •' • • •' June 02,1997 3:41 PM DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT- Soil/Site Evaluation APPLICANT'S NAME gmy'kzl PROPOSED FACILITY SUBDIVISION A 4 Water Supply: On -Site Well ✓ Evaluation By: Auger Boring Community Pit DATE EVALUATED PROPERTY SIZEL ROAD NAME 7l�GJ Wy' Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position 2, 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 LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: , : ) EVALUATION BY: 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 I 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 (01-90) ii ■■■■E■ ■EMEM■ ■E■N■■ ■EN■■■ ■■MN■■ ■■■N■■ ■■NNE■ ■EMNON ■E■■■■ ■■MN■■ ■■■NS■ ME ■■ No ■■ no No ■ an NEI ■■EEM■ESEM■■ ■EEEME■■■ME■ ■■E■M■■■EEE■ ■■■■O■■n■M■■ ■■MMEME■■M■■ ■■■EM■E■■M■■ ■E IMMEMEOS■■ ■■■■O■■S■■■■ ■■■■o■■■■M■■ ■■■OMMM■OMM■ ■E■■OM■■E■E■ ■■■■o■■SMEE■ ■OSEOE■EMO■■ ■■■■o■EE■■nm ■■MMMESEEM&M ■■■■o■■E■O■A ■OSENUMMO■E ■EEE■ ■ESS■ MEMO■■■■■■■ ■■Eo■■S■■■■ ■■■o■■ :aR■■ ■■M■■MS■MM■ mono NONE 0 no t i i ■MEM■■■■ ob■mm■■■ ■O■■E■M■ ■■ ■■■■O■ milummomm ■E■E■ ■E■E■ ■ i i ■■■■M■EM■■■ ■■■EME■■■E■ MEM■■M■■■■■ ■■M■M■M■MM■ ■M■E■■■E■■■ ■■MM■ME■■S■ ■n■OM■■■M■■ ■■■EMME■ES■ ■O■NMM■E■■■ ■■EEMEEMEE■ ■■■E■■EEE■■