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177 Fox Run Drive Lot 21Davie County, NO _. Tax Parcel Renort Thursday, December 29, 2016 0 All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 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 1�T 1� C or arising out of the use or Inability to use the GIS data provided by this website. WAKNING: '1'H N 151VU'1' A NUKVLI' Y Parcel Information Parcel Number: E6110A0021 Township: Farmington NCPIN Number: 5851736522 Municipality: Account Number: 8306846 Census Tract: 37059-802 Listed Owner 1: WALKER TIFFANY K Voting Precinct: SMITH GROVE Mailing Address 1: 177 FOX RUN DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028 Voluntary Ag. District: Legal Description: LOT 21 FOX RUN Fire Response District: SMITH GROVE Assessed Acreage: 0.47 Elementary School Zone: PINEBROOK Deed Date: 9/2016 Middle School Zone: NORTH DAVIE Deed Book / Page: 010280853 Soil Types: Pc82 Plat Book: 0005 Flood Zone: Plat Page: 182 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Building Value: Freatures Value: Land Value: Total Market Value: Total Assessed Value: 0 All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 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 1�T 1� C or arising out of the use or Inability to use the GIS data provided by this website. %�� .cam. P mitc`ee's DAVIE COUNTY HEALTH DEPARTMENT/ / f Na/nte: "' -;�', C�,!1 �t° �J� A, Environmental Health Section PROPERTY INFORMATION P.O. Box 848 'Directions to property: �6f / /` Mocksville; NC 27028 Subdivision Name: Phone #: 336-751-8760 Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# , SYSTEM CONSTRUCTION - - AUTHORIZATION NO: 2328 A Road Name: Zip: **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) `✓`f,�. I�/ ,�, ;. ` ' ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH S ECIALIST : DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE _ # BEDROOMS # BATHS # OCCUPANTS -4—/ GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY. DESIGN WASTEWATER FLOW (GPD) (/ NEW SITE REPAIR SITE I/" SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH -C-4, ROCK DEPTH �/ LINEAR FT. � OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT i ck "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 SY EM INST LEAY: G� r AUTHORIZATION NO. C�aOPERATION 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 NOWAY BETAKEN ASA GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 07/02 (Revised DAVIE COUNTY HEALTH DEPARTMENT- • �`� IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION m �, 3 `f (n' e i ` *NOTE:'Issued in Compliance With Article II of G.S. Chapter 130a 0 R e� Sanitary Sewage Systems / Permit Number Name f1%i, � �� i� r- ✓:: ", rte, ; Date �fa��� ND Location Subdivision Name Lot No.Sec. or Block No. Lot Size ` ' r %' ( Housed Mobile Home _ Business Speculation F 1 No. Bedrooms No. Baths. No. in Family _ Garbage Disposal YES ❑ NO p' Specifications for System: Auto Dish Washer YES NO ❑ �10A° � 1' 11 !r - Auto Wash Ma thine YES NO ❑ Type Water Supply�- *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. Improvements permit by *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 day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed by ^lir 14n I i I Certificate of Completion �� /� Date *The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION • y APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) ,,� C� NAME / � 1 e,1" Ott r PHONE NUMBER / 713 Z -- ADDRESS I �jrI SUBDIVISION NAME v -'N ac -K-5 d t' I /.t- . /✓ C. DIRECTIONS TO SITE LOT # a DATE SYSTEM INSTALLED Z-- NAME SYSTEM INSTALLED UNDER TYPE FACILITY NUMBER BEDROOMS �Z- NUMBER PEOPLE SERVED TYPE WATER SUPPLY C�,.,� SPECIFY PROBLEM OCCURRING l�Gc •-Lg DATE REQUESTED o INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1193 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION p t1n�:. 3 -.� s y rri "NOTE: Issued In Compliance With Article 11 of G.S. Chapter 130a \j�,0 R. peN Sanitary Sewage Systems Permit Number Name i'%/i:.✓."r �'C_ Date qA2 N2 Location Subdivision Name Name 1�4!%f%4Lot No.l Sec. or Block No. , Lot Size ?! y' i'( House _ Mobile Home _T Business Speculation No. Bedrooms � _=a2__.No. Baths No. in Family Garbage Disposal YES ❑ NO D- E] ' Specifications for System: Auto Dish Washer YES NO E]� �s„t }�'l Auto Wash Ma:hine YES j NO ❑ �� , �/^�+�j(} Type Water Supply "This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. L Improvements permit by '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 day of completion. Telephone Number 704-634-5985. , Final Installation Diagram: System Installed by.�� Certificate of Completion �i,c` / Date 'The signing of this certificate shall indicate that the system described above has been installed In compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function cAticfactnrily fnr am, n;, c n 9. A ^# •;..... ,y r " Ss� h • % DAVIE COUNTY .HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION ou" *NOTE: Issued in Compliance With Article I I of G.S. Chapter 130aI,O Sanitary Sewage Systems Permit Number Name /�'i . r- �. r7 r/J L"-'�C_r Date N0 6816' 816. Location /77 T Subdivision Name Z % 210� Lot No. -:!2Z Sec. or Block No. Lot Size 'i i%,� `�� ( House _ Mobile Home _ Business Speculation 1 No. Bedrooms No. Baths a.,No. in Family Garbage Disposal YES ❑ NO [y 9 ~Specifications for System: Auto Dish Washer. YES NO ❑ Auto Wash Ma shine YES NO ❑�`�` `y �� Type Water Supply /"� ,/ � `6 *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. 11 r r ` t Improvements permit by *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 day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed by ��4ZZ.- Certificate of Completion 14 Date *The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. _r• VVI �� APPLICATION FOR SITE EVALUATIOWIMPROVEMENTS PERMIT g Davie County Health Department RECEIVES Environmental Health Section P. O. Box 665 , O N 1 91992 Y Mocksville, NC 27028 1. Application/Permit Requested By ME Mailing Address A I LI CS . /v , C -Ifinp�e CONS -r- TaA l LFg- O j q of q g -3�X 1 Business Phone . 2. Name on Permit if Different than Above 3. Application/Permit for: eGeneral Evaluation ❑ Septic Tank Installation 4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision FOX R Li >j Section I— Lot #_ No. of People No. of Bedrooms 3 No. of Bathrooms Y2 Dwelling Dimensions g X 3q., 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: P Public ❑ Private ❑ Community 8. Property Dimensions 10c) , X goo Sewage Disposal Contractor 6k I'm as 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes A"N0 ❑ Basement/Plumbing ❑ Basement/No Plumbing 2-�W­ashing Machine Dishwasher ❑ Garbage Disposal If yes, what type? *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: H)&4 1.c l 1,5-8 C—A,5T 3 M)LES 0A-� I -Cr— P96T rAPm/0G 7-010 R -b. j Tvlzu L SFT ON Pox IZOA) D!, ivF . 013 s ITE o)q L E-A-, This is to certify that the information provided is correct to the best of incurred from this appli ation. C ATE knowledge, and 1 understand I am responsible for all charges SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1. 1 OWN the property. ❑ 2. I 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 representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. DATE DCHD (12-90) SIGNATURE Y vJ V . • . , •' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME � Y, 5� DATE EVALUATED ADDRESS j PROPERTY SIZE PROPOSED FACIILTY �%`✓121L�+ LOCATION OF SITE 1 G� Water Supply: On -Site Well Community Public Evaluation By: Auger Boring f Pit Cut v� FACTORS 1 2 3 4 Landscape position Sloe 7. HORIZON I DEPTH Texture groupc 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:y`� EVALUATED BY: 1� LONG-TERM ACCEPTANCE RATE: i OTHER(S) PRESENT: REMARKS: DCHD(01-901 LEGEND Landscave 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 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 watet' 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 ■■.■■■■.■■■■■■■■■■r■■■■■.■■N■1�11Y■.■■■I/■■t■■\1\:�■■.■..■■■■■■■■■■MEMO ■OE■■EEM■■■■..■■■I■.■..■■■■�\■llOi■■■■![16.■■■■..itC�■■■.■■■■■■■■■.■■■■■ ■■■EE.E■EEE■■■■■r/■■.■■■G■■�\■■■■■R!�'tii■■.■■■.■NII.N■■■■■.■.■■■■■■■■■■■ ■■■■■■■■■■■■■■■/■■■■■■■!%1!!>■■■.rZ�lii■■EEMEEE■■/SEE■\■■■■OEOEEO■■■■EO■ ■■■■■■.■.■■■■■.■■■■......■■■■■■ceeee■■Mee■Mee■e■■■ ■■■■t■■■■■■■■■ ■■■.■..■.■■.■.I■■■■..■■■■■■■■■■■■■.�■■■.■■■■■■■■■.■..■■■■■■■■■■MONO ■ecce■■■■■■.■/I■■■■.■■■■■■■■■■■■■■■■■■■■■■■■■■■■t■■t■.■■■■■■■■■=■t■ ■■■■■■■N■■■■i■■■■■■■■■!11/■.■■■■■�■■■■■■.■■■■■■■■■r�■■■■■.■■■■N ■■■ ■■■■.ecce■.■■■■►�■■■■.■...■■■■■■■■■■■■■■■■.■e.eeer�e■ee■■.■N■..■■■ ■ moomm ■■..■..■■■■■■■■■■1■■■■■■■■■■■■■■■.t■.■t.t■t■■■E■■■MME■EM■■t■■■O.■■ ■E■■■■■■.■■■■■■■■■■■■■Yui■■■■■.■�■..■./_i■E■■■■...■■■.■■■■■■■■M■■■ ■�ii�i�■�iEE ME iiiiii■■ii■eiiiii.■iiiiii■�■�iiiiii■��■iiiiiiiiiiii■�=iiiiiii■��i ■■■■■■■■■■■■■■■■■.■Mee■■u■■■■.■■.■■.■■■.�■ ■■■■N■■■■■■■■■. ■■■■■..■ ■■■■■■■■■■■.■EEE■.■■■■■.�■■■■■■■��:::■ ��■■■■■■■■■ ■■CME■. ■■■■.■■ ..................................EEE■t■ttN■■EEO ■■■■Mtet....■■■■ ................................ ................................ ...............................................■.................. 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