207 Fox Run Drive Lot 15Davie Countv. NC I Tax Parcel Report Tbursday. December 29. 2016
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Parcel Information
Parcel Number:
E611OA0015
Township:
Farmington
NCPIN Number:
5851730741
Municipality:
Account Number:
82517282
Census Tract:
37059-802
Listed Owner 1:
BEATTY JOHN E
Voting Precinct:
SMITH GROVE
Mailing Address 1:
207 FOX RUN DRIVE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAME COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27028-9502
Voluntary Ag. District:
No
Legal Description:
LOT 15 FOX RUN
Fire Response District:
SMITH GROVE
Assessed Acreage:
0.46
Elementary School Zone:
PINEBROOK
Deed Date:
7/2001
Middle School Zone:
NORTH DAME
Deed Book / Page:
003800658
Soil Types:
PcB2,EnB,EnC
Plat Book:
0005
Flood Zone:
Plat Page:
182
Watershed Overlay:
DAVIE COUNTY
uildin& Extra
Building Value:
FOreatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
F(7*
Davie County,
NC
Davie County Health Department
ENVIRONMENTAL HEALTH SECTION
P.D. Box 665
Mocksville, N.C. 27028
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems)
***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.***
NAME DATE/9�AUTH)RIZATIONNUMBER..
19 7
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION r--419 /
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
**WICE*** THIS AUTHORIZATION r'4WATER SISTIE14 CONSTRUCTION I:PD FOR A PERIOD OF FIVE (5) YEARS. ,
A/
ENVIRONMENTAL WAN SPECIALIST DATE
DCHD 10/95
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y DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT D
IMPROVEMENT PERMIT
**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)
a 117 n _ -nr AA
NAME ,Q n F%l�/%
PROPERTY ADDRESS �o y ��h �K• /
DATE
LOCATION01
r c
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
i
RESIDENTAL SPECIFICATION: BUILDING TYPE NSe # BEDROOMS V� # BATHS # OCCUPANTS ::C—GARBAGE DISPOSAL: Yes/,6
COMMERCIAL SPECIFICATION: FACILITY TYPE# PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE -� TYPE WATER SUPPLY a1 f1' DESIGN WASTEWATER FLOW (GPD) To/ d NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE &�a GAL. PUMP TANK GAL. TRENCH WIDTH 3&' ~ ROCK DEPTH'' LINEAR FT. -4
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PIANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
did NS 1r
;11Sf C / el PeppQ 011
r —t 17
j
IMPROVEMENT PERMIT BY
AgWA1,4p'er
Ae-�j y?s
**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) 634-8760.
OPERATION PERMIT
AUTHORIZATION NO.
SYSTEM INSTALLED BY
x .11% v -] f
DATE c2 0
**THE ISSUANCE OF THIS OPERATIONI 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 AS A
GUARANTEE THAT THE SYSTEM WILL FINJCTIO)N SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 10/95
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N--, DAVIE COUNTY HEALTH DEPARTMENT Q �>
IMPROVEMENT PERMIT and OPERATION PERMIT
..' � elf•
R. AMPROVEMENT PERMIT
**NOTE** -This improyement permit DOES NOT authorize the construct'i'on or installation of a''septic tank system or any wastewater
�. system. AN!AUTHORIZATION FOR WASTEWATft SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the iss`D'ance of a building permit.
(In compliance with Article'il of 6.5. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
PROPERTY ADDRESS x ��7�� . "3
ME, DATE
NA
' LOCATION
SUBDIVISION NAME tu 1 LOT NUMBER /S SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS C2/� # OCCUPANTS --f-- GARBAGE DISPOSAL: Yes/
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE' # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE , VTr TYPE WATER SUPPLY /'^ DESIGN WASTEWATER FLOW (6PD) 1 NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE !�a GAL. PUMP TANK GAL. TRENCH WIDTH 34< ~ RDCK DEPTH Vii',, LINEAR FT, fL �
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
d�
1
cC
��� Cdco do1v
1f -i iId
AQP 7`
`ye I i y
IMPROVEMENT PERMIT BY Y;r
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN
8:30-9:30 A.M. OR 1:80-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERRTION PERMIT
6Y
0Y)j
�01
"t�_.:
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 10/95
1;.
DAviIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND . CERTIFICATE OF COMPLETION
*NOTE:•Issued in Compliance With Article II of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
Date 0
Location
Subdivision Name t .� %�,u1 . Lot No: %S Sec. or Block No.
Lot Size /LL t"err% House 1 / Mobile Home Business Speculation
No. Bedrooms No. Baths c2,&_ No. in Family--
Garbage
amily _Garbage Disposal YES ❑ NO Cjy' Specifications for System:
Auto Dish Washer YES NO ❑
Auto Wash Ma shine 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 -'J
Improvements permit by _ Z
*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, 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.
s' APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT l
ZS UIl
S o x Davie County Health Department
Environmental Health Section �� 3
b"/ �s P. 0. Box 665 �,f/J�•
/ Mockoville, NC 27028
/J
1. Application/ Permit Requested By N,�%/ 16k7'__,5 /7�M2_5JD
Mailing Address T� �8X �IJ S /A/.7-
T/11-
Home Phone q0 -432 1 Business Phone
2. Name on Permit if Different than Above1
3. Property Owner if Different th n Above
4. Application/Permit For: eneral Evaluation
0 S/Tank Installation
5. System to Serve: use u Mobile Home 0 Business
Industry Other 0 Unknown
6. If house, mobile home: Subdivision Sec. Lot#
No. of People Dwelling Dimensions
No. of Bedrooms sement/Plumbing
No. Df Bathrooms. asement/No Plumbing
ashing Machine ishwasher 0 Garbage Disposai
7. If business, industry, other: Specify type
No. of People Served No. of Sinks
No. of Commodes No. of Urinals
No. of Lavatories No. of Water Coolers
No. of Showers
8. Type of water supply: Public' .0 Private Community
9. Property Dimensions 16D, X2eD' X loo X 240
10. Sewage Disposal ContractorI �Pf L rYa4/d2 �Y
11. Do you anticipate additions/expansions of the facility this system is
intended to serve? 0 Yes_. No
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.
This is to certify that the information provided is correct to the
best of my knowledge, and I understand a rF:sponsible for all
charges incurred from .this application
Date Signature
87 f) 4;-7/1 7 Te X 641A'®R o b
Dire^t-J,onj to Property:
DCHD (10-89)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME
ADDRESS
PROPOSED FACIILTY /,l,t7us L
DATE EVALUATED '? /,V/,16
PROPERTY SIZE .49d44O
LOCATION OF SITE 'CDC AX/
Water Supply:
On -Site Well
Community
Public
Evaluation By:
Auger Boring
Pit ✓/
Cut
FACTORS 1
2 3
4
Landscape position
C Cl -
-SloeZ
Slope Z
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
�jD
tel(
Texture groupG
Consistence
Structure
S6&
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: L')
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD(O1-901
EVALUATED BY:
OTHER(S) PRESENT:
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
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
Mineraloity
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
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