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148 Happy Trail`"s A, r"s w° N�u'tii l.t"..-.i'V, `" ;airW. ._ }j ,+ L+,� - ' �• . s . A*w ri-a. ' - f .,, t. f .:;.,.:. ORIZATION NO: 0828 DAVIE COUNTY HEALTH DEPARTMENT j. r .� Environmental Health Section PROPERTY INFORMATION bit- 1'erm;ttee's P.O. Box 848 Name, :(% Mocksville, NC 27028 Subdivision Name: WBp :?irfy Phone #:"704-634=8760 Directions to'property: �t%L�/� "',;•?/GY Section: Lot: ' AUTHORIZATION FOR WASTEWATER Tax Office PIN:# - 01 - SYSTEM CONSTRUCTION Road Name: (a+f�l r .' Zip: w **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. (Incompliance with Article P Y 11 of G.S. Cha ter 130A, Wastewater S stems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. , ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED i r$xt'�'"hk�r w •iT •` ay�� Yl�v;;r--'i •i -s b° .iir5y1".rv, 'TY +„y T"'"'a,y riiti: r ..r�,...f„..te ,iT>4,�S: f9v :A>r .u,Ly., r... *ar.x�,.,,..:,-.x: .'1Q„�t DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION r .y DTalrle -' Subdivision Name: �LyB Directions to property: r'.'&lAt Section: Lot: • .�• IlbiPROVEMENT ''ur �i Tax Office PIN:*� t _ bA: Road.Namet'I�'IL Zip: +''n �)7 1 **NOTE** This Improvement Permit DOES NOT authorize4he construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTE PATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building pemvt. (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 USF:;�HANGE. YOUR WASTEWATER . ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS +Z # BATHS # OCCUPANTS _ L_ GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE /I # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY J DESIGN WASTEWATER FLOW (GPD) NEW SITE �- REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE /DDII GAL. PUMP TANK /DQ(_ GAL. TRENCH WIDTH �� ROCK DEPTH l0 LINEAR FIA10 OTHER 14SSP/' Y� r� REQUIRED SITE MODIFICA "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 SYSTEM INSTALLED BY: 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 05/96 (Revised) J APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC �► Davie County Health Department Environmental Health Section 0 WE P.O. Box 848 D Mocksville, NC 27028 APR 2 1 199T (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed a S C (A I e V- Mailing Address (nn 1 \ City/State/Zip,iYl or irAy1 I Ie r- a1oa 9 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: [Y] -Site Evaluation orN,\ !ane Contact Person t --))j l n L - � � P� A+ --ss &4 Home Phone '10 4 - 110/a- 7 (a & Z_ Business Phone C1 /0 — S94 - 7 9" City/State/Zip [ ] Improvement Permit & ATC [ ] Both 4. System to Serve: [ ] House [\,],Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People # Bedrooms # Bathrooms [&TDishwasher [ ] Garbage Disposal [Q,Washing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing 6. If Business/Other: Specify type # People #Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: [Q<ounty/City [ ] Well [ ] Community' 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [ tkNo If yes, what type? LL-MbK A tl-AL cuc JILL MAIV PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** AAN)ACOF THE PROPERTY MUST BE SUBMITTED WITH TI APPLICATION. Property Dimensions: 1(O 6L or 85 WRITE DIRECTIONS (from ocksville) TO PROPERTY: Tax Office PIN: # B Z U - �_ - 1 1 3 1 ', `{ e kAuo".1 (S n' 1 K) r_U_f3F�_ Property Address: Road Name W y Lo 01 �S Gt (J COX. City/Zip M v CkSu,lle ►.i C ago zg ►�, T- y c) Vie. If in Subdivision provide information, as follows: too Name: Section: Lot #: 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 I am responsible for all charges incurred from this application. 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 I L I e r / o con tact all DATE 4 ` 11' q `1 SIGNATURE a Revised DCHD (06-96) THIS AREA AtAJ BE USED F01? DRAWINC7 JOUR SITE PLAN: (-V\ ou? F318.u-z as necessary to determine the site suitability. - , . I .,­'1'._,-.'�-_- :_-,% - ­�' . - , �. , I ".11 -7,( � - zi ,I � 1,��,'- '� , � ,- , I f. �: 1; -_-C� , _­.-��,� �,.-t-', �,, � , �,�'I , v,_;�'.4 12,-, , ,�.. � ; - , A ;- � I �;,! f �.o �, w -.',,'-.�, ., � � _,�­,,­, 1- ...„�i,,vl­ � , � ,� , � ­ ...... I I - 111. � - - I ”. _1­1�11, < "I , , �,i, - i- - ,­ " �, � I . I I , '��" '�2,t- ,­­-, : - � -'��,-�-­;-;�_ v�­_�,�'�,'�":�­/,: -, , .. ., , 'I'�l-"�"-l�,�-���-.-,',��.",,� -.�: ­�'�.�­,�­ ... _ - -,­�Ii,­, .".1--i- -1 I ­". r11-� I -1.1 - � � � � ,� . , .", ,,­:�i�-,�-- , 4�, �'-��V-��, �,',�­, 1 �� isl�-,, , " ,,, !,_.. Z;l �,,!,� - �Z:, ,� , - � . 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DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME �Gv��G`'/ DATE EVALUATED, r% PROPOSED FACILITY 1tT PROPERTY SIZE SUBDIVISION ROAD NAME �O yGV Water Supply: Evaluation By: On -Site Well Community, Auger Boring Pit Public Gl_­� Cut FACTORS 1 2 3 4 5 6 7 Landscape position L 4 Sloe % / f HORIZON I DEPTH 6 �i Texture group Consistence Structure Mineralogy HORIZON II DEPTH D e 36 Texture group G Consistence Structure J Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION. rJ1` LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01.90) EVALUATION 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 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 ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■E■■■■■■■e■■eee■■OEO■■■■■■■■■■■eeeesee■e■e■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■s■e■■■ee■■s■■■M■■e■■■■eeO■■eees■ee■■■■■es■EO■e■■■E■■EEEM■ EMEMOMMENNENiiiiid iMEMEMEMOMMEM�i ■■■■■■■■■■■■■■■■■es■■■Ee■e■■■■■■■■■EMM■■■■E■■■i ■■■■■■■■■■■■■■■■■■■■EE■■■■■■■■■■■■■■■■■■■■■■Mei see■OOM■■■■■■M■■■■■■■■■■■■■■■■■■�■■■■■■■■■■e■i ■■■■■■■■■e■■■■■■■■■E■E■■Ee■■M■■■Mei■■■■■■we■■■i ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■Mee■■■■■■■■■i ■■■■■■e■E■■■■e■■■■■■Mee■■■■i:�==--=======.�■M■■i ■■MEMME■■M■■■M■■■MEN ■■mom ■NNE ■■mom ■■■■■■Ee■■■■L ■ ■■O■■■■ ■■■■■■■ ■■■■E■■ ■■■■■e■ ■■MEMM■ ■■EMEM■ ■E■■■■■ ■■MEMO■ ■E■■■■■ MEMO■■■ ■■ ■■■■■■■■■■Ee■■■■e■■■■■■■■■■■■■Mee■■■■■■iiisiiiiiiiiiiiiiii ■■■■■■ecce■■■■■ee■E■■■■■e■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■■Oee■eee■e■O■■Mee■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ee■e■■Mee■■M■eOMM■e■■■Eee■■ ■MMM■■■■■■ecce■■■■■■O■■■■e■■■■■se■Me■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■E■■■■Mee■■■■■■■■■■Mee■■■■■■■■■■■■ ■■eee■■■■■■■■■■■■■■■■E■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Parcel #: F30000007802 Davie County, NC - Basic Estate Search ,Basic Search Real Estate Search Tax Bill Search Sales Search View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Parcel #:F30000007802 Account #: 19298550 Owner Information Tax Codes ULLER BARBRA JEAN ADVLTAX - COUNTY T 48 HAPPY TRAIL FIREADVLTAX - FI RE TAX IMIOCKSVILLE,NC 27028 Property Information Township Land (Units/Type): 2.540 AC ddress: 2914 N US HWY 601 CLARKSVILLE Land: 3167 Deed Information �— Local Zoning Pate: 02/1996 Book: 00185 Page: 0649 Plat Book: 11 Page: 324 121 89 Deferred: 3 00185 0649 02 1996 QC Le al Description PIN 60 AC OFF HWY 601 2.540 AC 5820291131 Propertv Values ulldin : 66,46 BXF• 23,76 01 Land: 3167 Market: 12189 ssessed: 121 89 Deferred: 3 00185 0649 02 1996 QC Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price L 00139 0806 09 1987 WD Unqualified Vacant 5,000 >_ 00162 0272 01 1992 WD Unqualified Vacant 0 3 00185 0649 02 1996 QC Unqualified Vacant 0 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search Page 1 of 1 Davie County Web Site All information on this site is prepared for the inventory of real property found within Davie County. All data Is compiled from recorded deeds, plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be consulted for verification of the information. All Information contained herein was created for the Davie County's internal use. Davie County, its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or Implied, in fact or in law, including without limitation the Implied warranties of merchantability and fitness for a particular use. If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120. 1.5.9 http://maps.daviecountync.gov/itsneWiew.aspx?prid=1490657 8/10/2016