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992 Daniel Road Lot 3— t Davie County, NC ; Tax Parcel Report Wednesday, December 14, 2016 ------- i ------ f 550 , le , r r r pAN!EL RD x'•`1013 ,r 964 j .-1031 I 974— % j 992 a` I I 982 994 1006.11 t �, , 1014 1024.1 582 O 592 I�. U 612 i 1071 WARNING: THIS IS NOT A SURVEY All dm is provided as is elthout"manty or guarantee of any kind adherexpressed or Implied Including butnot limited to the ImpliedmmntiesofinehantabiftyerDthessforapanticularuse.AllusersofDavieCounty'sGISembedsshallholdharmlessthe mDavie Parcel Information County a Davie, North Carodna, ds agents, consultands, contractors oremployeestrom my and all claims or causes of action clue to Inability Me GIS data by Parcel Number: L40000OD4803 Township: Jerusalem NCPIN Number.. 5736622748 Municipality: Account Number: 82531368 Census Tract: 37059-807 Listed Owner 1: ROCHAARMANDO DOMIQUEZ Voting Precinct: COOLEEMEE Mailing Address 1: 992 DANIEL ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code:. 27028-0000 Voluntary Ag. District: No Legal Description: LOT 3 DANIEL WEST 0.824AC Fire Response District JERUSALEM Assessed Acreage: 0.79 Elementary School Zone: COOLEEMEE Deed Date: 3/1997 Middle School Zone: SOUTH DAVIE Deed Book / Page: 1997E0009 Soil Types: WeB,EnB,MsC Plat Book: 0005 Flood Zone: Plat Page: 139 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value:, Total Market Value: Total Assessed Value: 1071 County, All dm is provided as is elthout"manty or guarantee of any kind adherexpressed or Implied Including butnot limited to the ImpliedmmntiesofinehantabiftyerDthessforapanticularuse.AllusersofDavieCounty'sGISembedsshallholdharmlessthe mDavie NC - County a Davie, North Carodna, ds agents, consultands, contractors oremployeestrom my and all claims or causes of action clue to Inability Me GIS data by or arising out of the use or to use provided this website. OPERATION PERMIT ♦�Q t� Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Phone: 336-753-6780 Fax: 336-753-1680 ror umce use uni 'CDP File Number 138714-1 County ID Number: Evaluated For. EXPANSION township: Applicant: Armando Dominquez Rocha Property owner. Armando Dominquez Rocha Address: 992 Daniel Road Address: 992 Daniel Road City: Mocksville City: Mocksville State/Zip: NC 27028 State/Zip: NC 27028 Phone #: (336) 917-9563 Phone #: (336) 917-9563 Property Location & Site Information Address/Road #: Subdivision: Daniel West Phase: Lot: 3 992 Daniel Road Mocksville NC 27028 Directions Structure: SINGLE FAMILY Hwy 601 South right on Gladstone Rd. right on Daniel Rd 6th on right # of Bedrooms: 3 # of People: er Supply: PUBLIC sued by. 2140 -Nations, Robert *System Classification/Description: TYPE II A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) issued by- 2140 -Nations, Robert rDesign SaproliteSystem? QYes ®No Flow: 2 4 0 Distribution Type: GRAVF Y -SERIAL Pump Required? QYes QNo Application Rate: - 0 2 7 5 'Pre Treatment: Drain field Nitrification Field 8 7 3 Sq. ft. `System Type: INFILTRATOR QUICK 4 STANDARD W No. Drain Lines a Installer. Joe Stafford Total Trench Length: a 1 0 ft. Certification#: Trench Spacing: 9 Olnches O.C. — a Feet O.C. EHS: 2140 -Nations, Robert Trench Width: 3 Inches @Feet — Date: 0 8/ 2 1/ 2 0 1 4 Aggregate Depth: inches Minimum Trench Depth: 3 6 Inches Minimum Soil Cover. a 4 Inches Approval Status Maximum Trench Depth: 3 6 Inches R1 Approved ❑ Disapproved Maximum Soil Cover: a 4 Inches CDP File Number 138714 - 1 Manufacturer. Shoaf STB: 760 Gallons: 1000 Dato: 0 5/ 1 4 / 2 0 1 4 'Filter Brand: ST Marker. ❑ Yes E No nforced Tank: ❑ Yes ® No 1 Piece Tank: ❑ Yes [i] No County ID Number: Lat_ Q Long: Installer. Joe Stafford Certification #: THS: 2140 - Nation. Robert Date: 0 8/ a 1/ a 0 1 4 Approval Status 91 Approved ❑ Disapproved Pump Tank Manufacturer. Installer. PT: 'Cham: Gallons: ❑ Yes Adjustment Valve ❑ Yes Date: ❑ Yes PVC Unions ❑ Yes RiserSealed ❑ Yes ❑ No Riser Height: ❑ Yes ❑ No (Min.6 in.) nforced Tank: ❑ Yes ❑ NO 1 Piece Tank: ❑ Yes ❑ No Pipe Size: inch diameter Pipe Length: feet 'Schedule: Pressure Rated ❑ Yes ❑ No kpproved fittings ❑ Yes ❑ NO Pump Type: Dosing Volume: Draw Down: 'Cham: Valves Accessible ❑ Yes Adjustment Valve ❑ Yes Check -valve ❑ Yes PVC Unions ❑ Yes Vent Hole ❑ Yes Anti -siphon Hole 0 Yes Inches ❑ No ❑ No ❑ No ❑ No ❑ No 0 No Certification #: 'EHS: Date: Approval Status ❑ Approved ❑ Disapproved Installer. Certification #: `EHS: Date: / / Approval Status ❑' Approved ❑ Disapproved. Installer: Gal Certification #: `EHS: Date: Approval Status ❑ Approved ❑ Disapproved CDP File Number 138714 - 1 County ID Number. Electric Eauioment N EMA 4X Box or Equivalent ❑ Yes ❑ No Installer. Box 12 inches Above Grade ❑ Yes ❑ No Certification #: Box Adj.To Pump Tank ❑ Yes ❑ No Conduit Sealed ❑ Yes ❑ No *EHS: Pump Manually Operable ❑ Yes ❑ No *Activation Method: Date: Alarm Audible El Yes 11 No Approval Status ❑ Approved❑ Disapproved Alarm Visible ❑ Yes ❑ No 2140 - Nations, Robert *Operation Permit completed by: Authorized State Agent: e42 Date of Issue: 0 8/ 2 1/ x 0 1 4 This system has been installed in compliance wth applicable NC General Statutes: Article 11, Chapter 130A, Rules for Sewage Treatment and Disposal, 15A NCAC 18A .1900 et Seq., and all conditions of the Improvement Penn it and Construction Authorization. This property is served by a TYPE II A. sewage septic system. Rule .1961 requires that a Type TYPE II A. septic system meet the following criteria: Minimum System Review ByThe local Health Department: NIA Management Entity: OWNER Minimum System Inspection/Maintenance Frequency By Certified Operator. WA Reporting Frequency By Certified Operator: NIA Rule .1961 requires that a Type IV and V septic systems designed fora homelbusiness owner must maintain a valid contract with a public management entitywth a certified operatoror a private certified operator forthe life of the septic system. Rule .1961 requires that Type VI septic systems designed fora homelbusiness owner must maintain a valid contract with a public management entitywith a certified operator forthe life of the septic system. Rule. 1961 (2) (e) requires a contract shall be executed between the system ownerand a management entity priorto the issuance of an Operation Permit for a system required to be maintained bya public or private management entity, unless the system ownerand certified operator are the same. The contract shall require specific requirements formamtenance and operation, responsibilities of the ownerand systems operator, provisions that the contract shall be in effect foras long as the system is in use, and other requirements for the continued proper performance of the system. It shall also be a condition of the Operation Penn it that subsequent owners of the systems execute such a contract. @Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** OPERATION PERMIT Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC Drawing Drawing Type: Operation Permit CDP File Number: 138714 -1 County File Number: 27028 Date: W W O Inch Scale: , . , OBlock ON/A iM ■■■OM■■■■ 4MEN■■ EMMM■M■ MENEM EE EEM M■IMMM ■■ .■ MENOMONEE MENEM EE MM EIM MENNEN IMMEMEM MENNEN MENNEN MENEM MENEM MENEM MENEM EMMEME MEMMEME MMMM■■MEM MEMM■EIMEE ■ .0 ■ 0 MEN MEN ■E' EE EE EE 0 ■ MENNEN MEN MEN IM■ IMMOMMEMEME MEMEMEMOMME MMEMEME 1 EE ■ _MEMNON MEMEEE MENNEN MENEM OMEN ■■■.MIME MEMEMME MEOMEN EM l 1 1 ■ E M MEMEMIMM MEMEM MENEM MMMME EMEMEME■EM ■MEM■■ME■ ■ MEEEMEME MEMEMEME ■■IMIMMEMME ONE ■EEMEMEMEMEM Drawing Type: HEALTH DEPARTMENT RELEASE 'Davie County Health Department 210 Hospital Street .:. :,: Mocksville NC 27028 Health Department Release CDP File Number: 138714 - 1 County File Number: Date: 06 /a7/2014 O Inch Scale:. OBlock .ft. O N/A OL ii Ar -c 7 OC, j4 JS i CONSTRUCTION AUTHORIZATION 138714-1 • Davie County Health Department CDP File Number: 210 Hospital Street P.O. Box 848 County File Number: Page 3 of 3 P1 P2