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333 McKnight Rd (2)Da A ' " ' ' I" ?016 VV,&X1Cl\11'4ls: 1111010lrV1 Ilk aUimVL` Y Parcel Information Parcel Number: 8600000024 Township: Farmington NCPIN Number: 5853849021 Municipality: Account Number: 82521811 Census Tract: 37059-802 Listed Owner 1: MCKNIGHT JUNE P Voting Precinct: FARMINGTON Mailing Address 1: 333 MCKNIGHT ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-6640 Voluntary Ag. District: No Legal 243.59 AC SPARKS RD (175.00 Fire Response District: FARMINGTON Description: AC) Assessed Acreage: 175.00 Elementary School Zone: PINEBROOK Deed Date: 1/2002 Middle School Zone: NORTH DAVIE Deed Book / Page: 2002EO252 Soil PaD,WeC,WeB,GnB2,PcB2,GnC2,PcC2,RnD,MsC,ChA,MsD,WATER Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 515230.00 Outbuilding & Extra 66620.00 Freatures Value: Land Value: 1051090.00 Total Market Value: 1632940.00 Total Assessed Value: 699360.00 AUTHC zI�eATION NO:7 O DAVIE COUNTY HEALTH DEPARTMENT • . 'Environmental Health Section PROPERTY INFORMATION Pefmittee's ,;,,� P.O. Box 848 Name: 4� If 'i'14 J 7 Mocksville, NC 27028 Subdivision Name: " - i Phone # 336-751-8760 Directions to property: Section: Lot: AUTHORIZATION FOR WASTEWATER /"'' '.A �► ' Tax Office PIN: # SYSTEM CONSTRUCTION Road Name: i✓ f�j� ",- �) P� **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) r ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. TAL HEALTH SPECIALIST DATE ISSUED "D �' (' AVIE OUNTY HEALTH DEPA,PERTMCNT IMPROVEMENT AND OPERATION RMI S PROPERTY INFORMATION P&rll ittee,S ...Name:�f ; ��/��/';� -14 Subdivision Name: Directions to property: J' Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:#< Road Name:t €'? 1p, **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 G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***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 TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS IINNDUSTRIAL WASTE: Yes or No LOT SIZE -2/ / TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)�) f^ NEW SITE v REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE LOPGAL PUMP TANK GAL. TRENCH WIDTH �l ( ROCK DEPTH 7 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 (336)751-8760. OPERATION PERMIT SYSTEM INSTALLED BY:Y-Dd n / AUTHORIZATION NO. 7©7 OPERATION PERMIT BY: DATE: Z **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE STEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 1 I 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) APPUCATION FOR SIZE EVALUAMON/IMPROVEMENT PERMIT & Davie County Health Department D ' Environmental Health SeWon OCT 15 1998 P.O. Box 848/210 Hospital Strefut; Mockaville, NC 27028 (336) 751-8760 ENVIRONMENTAL HEALTH Gl" ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. r 1. Name to be BilledYJj Contact Berson-t17� ■ Mailing Address 9 3F /a A / gome phone a l J�� city/state/zip pBusiness Phone 2 �1 2. Name on Permit/Aw if Different than Above Mailing Address City/state/Zip 3. Application For:Si Evaluation 0 Improvement Permit/ATC "oth 4. system to service: House 0 Mobile Home 11 Business 0 Industry ❑Other s. If Residence: People _ # Bedrooms # Bathrooms shxasher �# 8 Garbage Disposal 0,*aahing Machine sauen at/Plumbing 0 Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # sinks # Commodes # showers # urinals # Nater Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: 0 County/City ❑ well 0 Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve! ❑ Yes 0 No If yes, what type' ***IMPORTANT'** CLIENTS #tUST C011fPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions:�h ��''%��S WRI'T'E DIREC'T'IONS (from Mocksville) to PROPERTY: �ax Office PIN: # . 25 F%� " 0l ! ��%�1011) - �� � � eFe % Property Address: Road Name�� City/Zip _27da,�_ If in a Subdivision provide information, as follows: Name: Section: Block: Lot: Date Property Flagged: 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 l ani respomiblefor all charges incurredfrom this appHeatson. I, hereby, give consent to the Authorized Representative of the Payle County Health D partment to enter upon above described property located in Davie County and owned bIy Y? Yl i�c i a to conduct all testing procedures as necessary to determine the site suitabilih•. DATE �� 'I�'" SIGNATURE` THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). �^ �C2 �J Revised DCHD (07/98) Account No. Invoice No. xUll, AO P .44 jr f4 <<e .1 mpg T - DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME " �,• DATE EVALUATED A ` NJ PROPOSED FACILITY PROPERTY SIZE5�� SUBDIVISION ROAD NAME Water Supply: On -Site Well cl� Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence 40 Structure d l Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATE 3 SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: ` 31 5/ REMARKS: LEGEND EVALUATION BY: / ''�� OTHER(S) PRESENT: 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 (01-90) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■Iii■■■■■■■■Il■■■■■■■■■■ ■■■■■■■■■�ti■■�■::moi►■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■rv,�n■■■■■■tee■■■■■■■■■■■■■■■ ■E■■■E■■■■■■■■■■■ ■■■■■■■■■■■■■M■■■ ■■■EM■■■■E■■■■■■■ ■■■■■■■■■■■■M■■■■ ■■■■■■■■■■■■M■■■■ ■■■■■■■■■■■E■E■■■ ■■EEE■EEEEE■■■■S■ ■■■■■■■■■■■■■■■■■ ■■E■■■■E■■E■E■■E■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■E■ ■■■■■■■■■■■■■■■■■ ■■■■E■■E■■E■E■■E■ ■■■■■■■■■■■■■■■■■E■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■■■MEE■ ■■■SSM■ ■■■S■S■ ■■■■■■■ ■■■MEMS■■■ ■EMEMM■■■ ■■■■■■■■■ ■■■■■■■■■