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611 Liberty Church Rd Lot 3 DAVIE COUNTY ENVIRONMENTAL HEALTH P.O.Box 848/210 Hospital Street 3 Mocksvillc,NC 27028 (336)751-8760 Fax#(336)751-8786 OPERATION PERMIT Account #: 990002706 Tax PIN/EH #: 5811-58-5512.03 Billed To: Jeff Hayes Subdivision Info: M�54_0 NV--ifAr LST 3 Reference Name: Location/Address: Liberty Ch Rd-27208 Proposed Facility: Residence Property Size: see map ATC Number: 4593 **NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC 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. �UQ-1 System Type: �� S.T.Manufacturer 5�iG'fi Tank Dater (G Tank Size Pump Tank Size �— System Installed By: Ecyl 31I 412- E.H. Specialist: a Date: Le (/Y 1 - � filed DCHD 11/06(Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH P.O.Box 848/210 Hospital Street Mocksville,NC 27028 r (336)751-8760 Fax#(336)751-8786 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account M 990002706 Tax PIN/EH#: 5811-58-5512.03 Billed To: Jeff Hayes Subdivision Info: N\41>1� M61W (JDT 3 Reference Name: Location/Address: Liberty Ch Rd-27208 Proposed Facility: Residence Property Size: see map ATC Number: 4593 Site TypeyXw ❑Repair OExpansion **NOTE**This Authorization to Construct(ATC)MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s),(in compliance with Article 11 of G.S.Chapter 130A Wastewater Systems, Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans,plat or the intended use change. Residential Specifications: #Bedrooms #Bathrooms Z #People Basement❑ Basement plumbing. Non-Residential Specifications: Facility Type #People #Seats ,^,nn,✓, Square Footage(or Dimensions of Facility) Lot SizeC. Type of Water Supply: E<ounty/City ❑Well ❑Community Well System Specifications: Design Wastewater Flow J,CTank SizeJrAL.Pump Tank GAL. Trench Width �� Max.Trench Depth Rock Depth Linear Ft. '�3U7 Site Modifications/Conditions/Othei-.,k ew 0" ,ti> 2sOo —9��»tc� 14 34tl�� rye Contact the Davie County Environmental Health Section for final inspection of this system between 8:30—9:30a.m.on the day of installation. Telephone#(336)751-8760. Com' �C7� ►z' � a— I�4 IDS o. L46-7' PjZoP L4 Environmental Health Specialist Date: 14 DCHD 11/06(Revised) E E WFFL TI OR SITE EVALUATION/IMPROVEMENT PERMIT & ATC FEB — 7 2007 Davie County Environmental Health P.O.Box 848/210 Hospital Street ` Mocksville,.NC 27028 ENVIROPIh^,ENTAL HEALTH' (336)751-8760/Fax(336)751-8786 Ogen}..COilf'ffY __ Application For: .EJ Site Evaluation/Improvement Permituthorization To Construct(ATC) ❑ Both Type of Application: ❑New System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility ***IMPORTANT***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed l Contact Person Billing Address / 1,`% C S Home Phone City/State/ZIP ? v } / Business Phone �A6 . Name on Permit/ATC if Different than Above Mailing Address * City/State/Zip PROPERTY INFORMATION *Date House/Facility Corners Flagged �� d, d* ) NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan ❑Plat(to scale) (Permit'is valid for 60 months with site plan,no expiration with complete plat.) Owner's Name Phone Number Owner's Address le,2 City/State/ Property Address 1 l�„� City Lot Size :faTax PIN# Subdivisidn Name(if applicable) Section/L Directions To Site: b If the answer to any of the following questions is"yes",supporting documentation must be attached. Are there any existing wastewater systems on the site? ❑Yes [� No Does the site contain jurisdictional wetlands? ❑Yes ®No Are there any easements or right-of-ways on the site? �Ples ❑No Is the site subject to approval by another public agency? ❑Yes &JN6 Will wastewater other than domestic sewage be generated? ❑Yes lallo IF RESIDENCE FILL OUT THE BOX BELOW #People #Bedrooms '5 #Bathrooms _ Garden Tub/WhirlpoolYes-6 ❑No Basement: ❑Yes ❑No Basement Plumbing: ,21'fles ❑No IF NON-RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building #People #Sinks #Commodes. #Showers #Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: #Seats Type system requested:. iWonventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: L County/City Water ❑ New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes �-No If yes,what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permits)or ATC(s)issued hereafter are subject to suspension or revocation if the site is altered,the intended use changes, or if the information submitted in this application is falsified or changed. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am responsible for the proper identification and labeling of property lines and corners and locating and flagging or staking�thes, cility location roposed well location and the location of any other amenities. Site Revisit Charge Prop�r er's?Owner's legal rep sentative signature Date(s): D� 97 Client Notification Date: Date EHS: X7(3 Sign given ❑Yes ❑No Account# Revised 11/06 Invoice# if Oct 09 06 11:58a davie county envhealth 336 751 8786 p.2 ATION FORSITE EVALUATION/IMPROVEMENT PERMIT&ATC Davie County Health Department Vv Environmental Health Section P.O.Box 848/210 Hospital Street Moc (330 8760/IFax(336)7f1- 8786 R ior: Si luation/Imptovement Permit ❑Authorization To Construct(ATC) ❑Both V1V1-NNORTANr*'+THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION 15 PROVIDED. Ref_r to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed i Contact Person Billing Address A. Home Phone City/State/ZIP � � Business Phone Name on Permit/ATC ifDii erent than Above Mailing Address City/Stat::/Zip PROPERTY INFORMATION NOTE: A survey'plat or site plan must-,..company this application. (Permit is valid for 60mthh siten pirationwith complete plat LStreM Ce. PlmSOM etAddresF ty ' i Subdivisiog Name n/Lot# y- o Size � - Directions o Site:_ —.Jr/ � Yl /-O� t:K Date House/Facility Corners Flagged- - - If the answer to any of the following questions is"yes',supporting documentation must be attached. Are there any existing wastewater systems on the site? ❑Yes Imo Does the site contain jurisdiction,wetlands? ❑Yes rTNo Are there any easements or right-af--ways on the site? ❑Yes Mo Is the site subject to approval by smother public agency? ❑Yes t1No Will wastewater othet than dotnc:i tic sewage be generated? Oyes EiNO IF RESIDE CE FILL OUT THE E OX B LOW #People _ � Bedrooms #Bathrooms Garden Tub/Whirlpool es No Basement: JYesflAdo BasententPlumbing: ❑Yes o IF NON-RESIDENCE FILL OUT':TIE BOX BELOW Type of Facility/Business Total Square Footage of Building #People #Sinks #Commodes _ #Showers #Urinals_ Estimated Water Usage(gallons per d.,y) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: #Seats Type system requested: onventional [IAcceptcd Olnnovative ❑Altemat.ve ❑Other Water Supply Type: County/City Water ❑New Well ❑Existingg Well ❑Community Well Do you anticipate additions or expansions of the facility this system is intended 10 serve?O Yes ce. If yes,what type? _ This is to certify that the information provi-ied on this application is true and correct to the best of my knowledge. I understand that any permit(s)or ATC(s)issued hereafter ate subject to suspension or revocation if the site is altered,the intended use changes,or if the information submitted in this application is falsified or changed /understand that lam responsible for all charges incurred from this application. I hereby grant right:if entry to the Authorized Representative of the Davie Cotutty Health Department to conduct necessary inspections to jrmLnnee Zliiapce with applicable]Aps and s on the above described property located in Davie County and owned by / !1 r ./l �f3 �/aAl'� /ItPNt Gw _ Site Revisit Charge Prop.fty owner's or owner's legal representative signature Date(s): _1,Z-0 Client Notification Date: Date EHS: ` Sign given ❑Yes 0N Account# ! � Revised 2/06 Invoice# `�� CZA r Yt g Y 1T�y t AT, � x he Ol F ` t =s �,�, kit �� y� tia. _ i = •. t a a am A v x ',as t4a8) k IM3 bm 5512 122 a 1301 84 � € 3 g s r T t F Mn B2 FREN Afn cg: KVIIA� 13214 000a o 1361 S' C� 2334 �'Q�5 rooks 4385 587 e R c^o o Fl7� F M o (408) 00 CO o Mn B2 5512 co 122 130 184 Cn nB2 1321 0 W W 1 . 000A W � 1 . 361A w3-27 �5 D- 0 -�N 2334 r— 4385 LO C r o r 5872--- -98- 00 140 • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990001933 Tax PIN/EH#: 5811-58-5512 Billed To: Martha Rollins Subdivision Info: Reference Name: Location/Address: Liberty Ch Rd-27028 Proposed Facility: Residence Property Size: see map Date Evaluated: 11 Water Supply: On-Site Well Community Public Evaluation By: Auger Boring ✓ Pit 12 Cut FACTORS l 2 3 4 5 6 7 Landscape position L L_ Slope% 3 HORIZON I DEPTH rj -49p g p Texture grow Consistence 5 Structure C_ L Mineralogy7 HORIZON II DEPTH (p. Texture group, L 5 •C Consistence .C, Structure Mineralogy Ste. i HORIZON III DEPTH z- l Texture group 5;U•S S;C Consistence ' S ^r5 Structure V L03 K, Att Mineralogy5XW Y HORIZON IV DEPTH + Texture group Consistence Structure Mineralogy SOIL WETNESS -- RESTRICTIVE HORIZON (1110 yo SAPROLITE -- CLASSIFICATION LONG-TERM ACCEPTANCE RATE O• �� ,3 0. , SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: �•7i7y OTHER(S)PRESENT: cu`F" �`1� 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 MOW VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm 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 Elvia 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 05105(Revised) � i1 ■■■■■■■■■■.■■■■■■■■■■■■til■■■■■■■■■e■■■■■■I■■■■■■■.■..■.t■■■■■tt■■■■ ■■■■■■■■■■■■.■e■■■■■■■■t11■■/■■■■■■■■■■■■■III■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■/■■■■■■■■■t■■■11■■■■■e■�I.■■■■■■111■■.■■.t■t■■■■ttt■■tt■■■.■ ■■■■■■■■■■■t■■■■■ett■■■■11■■t■!!■INTIJ�..w■■.■I■■■.t■■■■■//■■t■■■■■■■■■■ ■■■■■■■■■■■■.■.t■■e■t■■■Iltlu■■■■■.t■.■■■tl■■■/■■t■■.■■■■t■■ttt.■■■■ ■■t■■.■t■■■■■t■■t■■t■t■■11■■tf►�t■■..■■■■t.■I■■■t..■■tt■.■.■■■.■..■■.■ ■■■■■■ttt■■■■■■■■■■■■■■■11■■■■r■■■■■■■■■t■I■■■■■■■■■ett■■■■tt■t■■tt■ ■■tt■/t■■t■t■■■t■■■■/■t■11■■■t■\�t�1■■■t■■■I■■■.■tttt■■■■■■■■t■■■■/■■ ■■■■t/tt■■■■■■.■.■.■■■.til■■■.■.►� ■■..■■■I■■■■■■.■■■■■.■■■■■■■■■■■■ ■ttttttttt■t.ttt.ttttt■til.■...■■��..■■■tttl■tttttttt..ttttttttttttt■ ■■/■■■■■■■■tttttt■■■e■t■11■■■■■■t■1r]■■■■■■I■■■t■■■■tt■■t■■■■■t■■■t■■ U:::::: Emmons ::::::I ::::ON EMMONS M::::: MENNEN :::::: ■■■tt■■■■■■■■■■■tttttt■■11■■■■■■■■I■■■■■■■■I■■EfA1.'1■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■//■t■■■■■11■■■■■■■■it■■tt■/!'milt■■■■■■■■■■■t■■tt■■■t■ ■■■■■■.■■■t■t■■■t■■■t■t■11■■■t■■■■1'1■t!�!t■tl■■./■■■■tt■■■■t■■■t■t■t/■ ■■■■■t.t■■■■■■■■e■■■■■.til■.■ttl�/!ri�r.Z��■l!11■t■/■■■■■.■■■■■■■■■■■■■t■ ■■t■t■■■■■■t■■■■■■■t/t■til■.■■■■■ttt■■■■ttl■■■.■■■1t■■t■■ttt■■te■■t■ ■■■■■t■■■■.■■■.■■■■■t■■til■■■te■t■t■■■■t■■I.t■tt■■.■■■t.t■■.t■■t■■t■ ■tt■■t.tt■■■■.t■tt■■■■.tilt■■t■■t■■■■t■tt■{■tttt■.t■.t/■■t■ttttttt■■ ■■t■■■ttt■■t■■tttttt■.■■11■■■■■■■■■■■■■tt■I■■■e■■■.■■■■■■■■■■■■■■■■■ ■■■t■■.t■tt■■■■et■■■■■till■■■■■■■ ■■■■t■■I.■■t■■■■ttt■■■t■■■■■■■..■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■t■■■■■t■■■■■■■■■■t■■■■■■■■■■■■■■■■.■■■■■■■■■tttttt■tt.tttt■■■ ■■tt..■■t■■tttt■■■t■■t■■tttt■■/■�■■■■■■■■■■■■■■■■ttt■■ttt■■t■■■■■ Davie County Environmental Health P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760/Fax(336)751-8786 IMPROVEMENT PERMIT Account #: 990001933 Tax PIN/EH #: 5811-58-5512 Billed To: Martha Rollins Subdivision Info: Address: 1201 Wagner Road Location/Address: Liberty Ch Rd-27028 City: Mocksville Property Size: see map Reference Name: Proposed Facility: Residence **NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S. Chapter 130A,Wastewater Systems). This Improvement Permit is subject to revocation if site plans,plat or the intended use change. Permit Type: gRew ❑Repair ❑Expansion Permit Valid for: .® Years ❑No Expiration Residential Specifications: #Bedrooms .2> #Bathrooms 2 #People Basement❑Basement plumbing❑ Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) Design Flow(GPD): 7 Type of Water Supply: 26unty/City ❑Well ❑Community Well Site Modifications/Permit Conditions: , �n��P ST�hjiQ:� ')`iBu yl � 5�1� r' System e LTAR Initial L_�t-94urN-isC»+k Repair Site Plan -v5 70 1 S5 s 1 Fav' ZZ' 1 LlU � ZS' } IZ v- Environmental Health Speciali t Date�Z C i.u.11-06 , CHURCH RD W LIBERTY p02 CL- S.R• N 3 ,9 2,90.00 S LE'£OZ 3 .9Z 90.00 S le,00, 0+ .o OD N N D a N a w 3 ?79Z.00 S—. 7 c_ cn w Z pQ S9 c N•O K~�� m O M < M M,o w C :>'" U d < mtwi1w w� 5 Z rz���o ("a a zaa aol w5�zFyoN ui LL C �No No 2(,)(nz c �F�� 'O C SCOW N 3Qin 00 �ml� �NN �}}CC�•Fa N NONI�Q=O- �J tS[[NJJ pr r O i:)z1U/1 _I zooa�Uo3 W 'I � � O N OO'S9 — CO CO h•.9Z,9,O_O0 N .. � w Z� J U) `Y r F- M CD N r--- I Cl) I I a+ SOS°?2 I I CD 32,00 3 I I 1d' T \r I t ,0 1 I C56'SS) I � I M I I X a Z (9£'S£) o I I F-3 .tS'91.�c0 N LZ'ZTZ ai I 1 c*> 1 I v I I rE o M I oo �o ..- N U) ' - n� .+ I ZZ "ro U•) I rV O N ''� N 1 �6 NNNW CD I W p� K o I "a a 499 'fid L fig A I g �N r r N I ID vroz�� �� Wma �W � �IHddnN 0 'Q I � 1 min U - I z I :3 ,9L I� I 15 l y N I rn I0 in I mo i 9 ;E I Cl M OT I z I a N0 Z 1 1 5i._ t I I 09 d `899 8 'S I 1 � Morsygodgo,a .LNgKgoVn 1 N CP in 1 I OD OD I y_J OD z Lo ' ------ b - 00'001 _—(a 11.) S9'06 3 ,LE,CO.20 N �-- M .LE,E0.Z0 S02 m o do x. �000 m G✓V C a C.9 �?� 000— a— TC T0 T D ���•' _ _ Cr•�n f� .Q,t I 7'".0 IF existing iron to r, � " NANCY M. JONES D.B. 86, PG. 86 N c y I , coo Placed I iron SITEEd O#¢ 00 ra t� S 85.55'21' E (433,0 � in 407,19 ttl!4l) I Z O CYj•' r--------------------------- _ existing BEAR CREEK CHUR L _ _ nail CH RD. A 30' MINIMUM BUILDING SETBACK - ----------------- p ►+•1 UNC __ 25.8 E A W I -Oka -- DRIVEWAY FOR INGRESS/EORESS "ti n i 1 TO LOT 03 SHALL BE L I OCATED rw ^ o o i IGT 3 SOUTH OF NORTHERN LOT LINE D — v1 AREA��0,BY 998 AC. _ s esy3B• E NO SCALE z I (INCLUDES SEPTIC EASEMENT B) I 30' 63.00 W NO APPROVAL REQUIRED BY THE i (SUBJECT TO S.R. 1002 R/W) JIBE COUNTY PLANNING DEPT. M ; EXISTING LOT, TAX MAP, E-2, PARCEL 32 ; , -� N VICINITY MAP NEW SEPTIC EASEMENT I t"1 1 SEE D.B. 059 , PG. 933 (tract 1) I I (B) TO SERVE FUTURE W ZONED R-20 LOT 2 SEPTIC REPAIR ., q L'------ ----- MINIMUM BUILDING S j r�up AREA. EASEMENT AREA existing - E79ACK LINES --- I 618 REQUIRED BY THE DAME g) y CAVIE COUNTY PLANNING DIRECTOR iron 99.89 9 - - ------ extattnCOUNTY iron N 22,38 a --46....;..,_ I gl�° DEPARTMENTFORONSITE 20 PAVED I N 85 57 24 W ----J' z1 WASTEWATER SUITABILITY. Iy i-"- N 95.53'38• gltiattng 130,44 I Filed for registration of _. _o'clock M. I I iron N 85, 5.3'38- W 89.63 REVIEW OFFICER'S CERTIFICATE I control ejiisstning 65.00 • eiront 29.48 TOTAL,• 184,11 , 7 area recorded in 1„ Review officer of Davie County, I S 85653'38,38' E� ng c erti that the map or plat to which this certification ---___- . Is a xad meets all statutory requirements for recording. Plot. BOOR Page s FIling fee # paid. M. BRENT SHOW - DAVIE Co. Register of deeds REVIEW OFFICER DATE by I CERTIFICATE OF OWNERSHIP AND DEDICATION i O L__4 DEPUTY-ASSISTANT I herebycertify that I am the owner of the roe shown I --- - Y property ttY I - NEW SEPTIC EASEMENT end described hereon, which located M the County of Davie (A) TO SERVE EXISTING that I hereby adopt this plan of subdivision with -my free bonaent, - -- - I ENCROACHMENT OF ,1 establish minimum building setback lines and dedicate all ktreets, I SEPTIC LINES FROM H 7Si clleys, walks, parks and other sites and-easements to public-or— I MURPHY PROPERTY private use as noted. Furthermore, I hereby dedicate all sanitary sewer and water lines to the County of Davis. I O I g' � LOT 2 1 2ST: DATE I p co I AREA= 0.898 AC. M " ''� AREA BY DMD c !n 13 (INCLUDES SEPTIC EASEMENT A) Cu $ C� LO ROLLINS ( ) I ,� "� I W TAKEN FROM TAX(SUBJECT TO SMAP E-2.1002 RPARCEL 31 y V ^t M� av TOLLINS -- -- I w I Z ZONED R-20 y OCz N �+ X i UNMARKED POINT CERTIFICATE OF APPROVAL OF PRIVATE SEWAGE DISPOSAL SYSTEMS I . I d• ? NOTES: I, hereby certify that the Davie County Health Department has evaluated the subdivision y' 1. 3 LOTS TOTALING 2.766 ACRES AVERAGE LOT SIZE 0.922 AC. entitled : PLAT MAP FOR MARLO CORP. I b ( ) with respect to criteria and conditions established b,y state law or promulgated thereunder and the 0 • 2. NO NCGS MONUMENT WITHIN 2000' OF THIS PROJECT. I is found to comply with such criteria and conditions EXCEPT as set forth in such evaluation. i I A ( 192.52 totnt ) 3. LOT 1 HAS EXISTING DWELLING AND SEPTIC SYSTEM, WITH PUBLIC WATER For details of this evaluation and for limitations, I 'Q, 155.69 E- N 88 40 30 K eironing 4. WATER IS SUPPLIED BY DAVIE CO. WATER SYSTEMS. a-De the written report on file at said department. I I 36.83 existing 5. LOT 2 & 3 WILL HAVE PRIVATE SEPTIC SYSTEMS. IMPORTANT NOTICE: THIS CERTIFICATE DOES NOT I iron CONSTITUTE A PERMIT OR APPROVAL OF INDIVIDUAL I k'ELl W 6. THIS PROPERTY AND ADJOINING PROPERTIES ARE ZONED R-20 LOTS IN SAID SUBDIVISION FOR INSTALLATION OF I I f'�SSE SEWAGE FACILITIES. 7. LOT 3 IS AN EXISTING TAX MAP PARCEL. 1 I o, 0 TE DA ER y R R SPIKE I 2.5' EAST PLAT MAP FOR. . IZYEYOR'S CERTIFICATION OF C L RD. 1, Grady L Tutterow, certify that this plat was drawn I MARLO MANAGEMENT CORPORATION under my supervision from an actual survey made I '" under my supervision deed description recorded in z 1 DN�n,- OWNER --------------- -- DEVELOPER Book 659 ; Page ,�,'�,3 , etc.) (other);that the je11 r 11e r,, ( „ � - boundaries not suryeclare clea indicated as drown ��� CA ��� ' from information found in PL Book , Page ,�`¢ ,,,,,,,Rp''• � 20 PAVED , MARLO MANAGEMENT CORPORATION that the ratio of precision is calculated as 1: +20 00 Q.,0 eESS/ ''•�� in that this plot was prepared in accordance with G.S. . OF O 'tiy 47-30 as amended. Witness my original signature, �,:�QQ' ti I g 1201 WAGNER RD. It-ones number and seal this .(� day of SEAL �i — — LOT y MOCKSVILLE, NC 27028 �A A D. 20 7 - L-2527 _ `'_�' existing AREA= 0.870 AC. 336-492-7505 %^- Iron ;('t -:< '� ` `. control v SUN Or _ corner AREA BY DMD Q A p (SUBJECT TO S.R. 1002 do 1320 R/W) C LA R K S V I L L E TOWNSHIP (Seal or tamp License Number �9O sURV,,.•�!!'Q.,�• R s 7�,Ct�P� g TAKEN FROM TAX MAP E-2, PARCEL 3, DAV I E COUNTY, N 0 RT H CA R O LI N A 032 ZONED R-20 � 71 �a THIS IS A MINOR SUBDIVISION W TAX MAP PARCEL.: E-2, PARCELS 31 & 32 Surveyor Certification for SubdMslon - Davie County. North Carolina v >n DATE: JANUARY 10, 2007 I, Grady L Tutterow, Professional Land_-Surveyor, Number L-2527 RO p0 cyi 1 certify to one or more of the following as indicated by an X: c SURVEYED BY: ,..X _a. That this is a pias of a survey that creates a subdivision of C•e�, ' y TUTTEROW SURVEYING COMPANY land�int aunt area of a county or rnuniciooaty that has an S C 107 NORTH SALISBURY STREET ordir'g"10� f °r I0"d' '�. ' ,�! N �'3c?9 MOCKSVILLE, NC 27028 b. That tt+ts plot b of a 3� C� c,3, (336) 751-5616 tav" Mat is located in such a 649 S or i�of t � or npe all@ of liar is unregulated as to an t` �., � 39, � W rsada�t+u O'a'oMs � "' •o SCALE: 1 " = 4b' c. That tMs pot is d tawX. et err srdrtfnQ pr rcel or d Parcels of "IF4 L - d. That this stat ie eel recombination of arlIM erftsti+a '° ;,� Ouch as the ; . 40 20 0 40 80 ---120 - other e>eWiI� N �M ll rw ., svrvsy, or . - _ _. _ _ t .N_. _--- --- - - - ---- __. _. ( that I em unable to snake a determinatlon to the b4st of my °it prof lona) ability • o provlslone oantalned In a. through d. above. SCALE I N FEET 00 COORD NAME: FILE NAME: DRAWING NUMBER: - �- ,l ; BUCKJONE-68 MARLO 23506=3 Irmo Llcenile Number