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1948 Angell RdDavie County, NC, , Tax Parcel Report Wednesday, October 12, 2016 WAKNllV(T: '1'H1515 iVU"1' A �UKVr:Y Parcel Information Parcel Number: E30000008005 Township: NCPIN Number: 5821529863 Municipality: Account Number: 16940000 Census Tract: Listed Owner 1: COOK WILLIAM RICHARD Voting Precinct: Mailing Address 1: 1948 ANGELL ROAD Planning Jurisdiction: City: MOCKSVILLE State: Zoning Class: NC Zoning Overlay: Zip Code: 27028-4605 Voluntary Ag. District: Legal Description: 5.086 AC ANGELL RD Fire Response District: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: °"�'�' Davie County, �o��,��' NC 4.83 Elementary School Zone: 5/2004 Middle School Zone: 005530740 Soil Types: Flood Zone: Watershed Overlay: 232370.00 Outbuilding & Extra Freatures Value: 43400.00 Total Market Value: 297240.00 Clarksville 37059-801 CLARKSVILLE Davie County DAVIE COUNTY R-20 WILLIAM R. DAVIE WILLIAM R DAVIE NORTH DAVIE PcC2,Ce62,MsD DAVIE COUNTY 2147p.00 297240.00 No . . . , ..,, •, , : ,•u . . �, 7 ".� � � .. , . . . _ , ,. AUTHnRI.�ATION NO: �� Q� DAVIE COUNTY HEALTH DEPARTMENT �' � Environmental Health Section Perrriittee`ti � � P.O. Box 848 ,. , , � i��(d PROPERTY INFORMATION Name: - ��-������ '. Mocksville, NC 27028 Subdivision Name: Phone # 336-751-8760 -� f �" ��"' ��" � �'�; �' Directions to property: �✓-� �%� :%`�- �`�''�� Section: L-vt'' AUTHORIZATION FOR ,�-� �,,, � � � / � f � WASTEWA'I'ER Tax Office PIN:# �6 � - �� SYSTF.M CONSTRUCTION Road Name: ./7 t'l L�� ���p: � �vSC1 **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts. This Forni/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (ln compliance with Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) af ' �`; -•--'"> �/' ;'' r ,,�., *NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION �` '� ';l�J'� .,i''�'r �{��✓•' p7, f ,%'�`.G� '� � IS VALID FOR A PERIOD OF FIVE YEARS. '1 ,•.� �; ENVIRONMENTAL HE LTH SPEC IST DATE ISSUED . , ._ r „- .-��._ ; .. .., �Y _ . r . . _ � � . . _ _ �'` • ` . � � � • � , � I�XO' _ ' � �;� � - -. _.� - � � � � DAVIE � OUNTY HEALTH DEPARTMENT • ...,�..---- f,�, �' •' ' " TMPRO EMENT AND OPERATION PERMITS PROPERTY INFORMATION _ � Pe;�fiifte�'�'"° . � " �Name =�; •�^',��1� ���diiCr�/��.. Subdivision Name: �, . Y. ,..� � i�� v. '�_-_,. „�=-� �., ,. DiFections to'property: r"�` � . � �" �'r'� Section: -�ot' _ _ .�,, IMPROVEMENT .`�� :�i� t.' •:) % ..,r ( f " : PERMTT Tax Of�ce PIN:# �_ �' ' � �`�,,C'"_ Y � �� Road Name: -�`��) "I � �.: �f� �`T`Zip; �'�-'� **NOTE** Tkis Improvement Pernut DOES NOT authorize the conshuction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCT'ION must be obtained frc�m this Department prior to the constniction/installation of a system or the issuance of a building pemut (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) , ;; � � �,� ;._;,,, 1, , ***NOTICE*** TIIIS PERNIIT IS SUBJECT TO REVOCATION IF SITE �;'; ; y �.... � j., � : . - ,: � w: f . ,- � + ,;J ;,�, i � %! PLANS OR TIIE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPE IdLIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THLS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE �# BEDROOMS # BATHS _�_ # OCCUPANTS GARBAGE DISPOSALi Yes or No COMMERCIAL SPECIFICATION: FACILII'Y TYPE # PEOPLE # PEOPLFJSHIFI' # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE 'L !J� TYPE WATER SUPPLY ���// DESIGN WASTEWATER FLOW (GPD) �D NEW SITET_ REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE l,n� GAL. PUMP TANK GAL. TRENCH WIDTH ��3G . ROCK DEPTH � LINEAR Ff. �L'rr REQUIRED SITE MODIFICATIONS/CONDITIONS: � IMPROVEMENT PERMIT LAYOUT i •*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: ��� (,C[� � AUTHORIZATION NO. /S�� OPERATION PERMIT BY: �f'YV/ r1LJ�0 DATE: �� �" T� 0 •'THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAP'TER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPUSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WII.L FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. � DCHD OS/'96 (Reviud) •, '' APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & Davie County Heaith Department Environmenia/ Hea/th Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 ***Il►�ORTANT*** THIS APPLICATION CANNOT BE PROC,ESSED UNLESS ALL Ti� REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. . %� 1. Name to be Billed �� Q►1 ►�Jr�t.11 S 1/1 G Q� Contact Person � �Gy�, ,�cp�,� S r n c.^ Mailing Acidress � � � p /t�L:�,e ( ( /.C� Home Phone -1 � 0 ^ %'t � � City/state/2IP __ � B � �5�1 � ��.� , N � a7�� � Business Phone 7J l — � �g l 2. Name on Permit/ATC if Different than Above Tiailing Address City/State/Zip 3. Application For: 0 Site Evaluation ❑ Improvement Permit/ATC 0 Both 4. system to sesvice: � House ❑ Mobile Home ❑ Business 0 Industry i�l" Other .�� 5. If Ftestaence: # People � Bedrooms # Bathrooms _L_ 0 Dishwasher ❑ Garbage Disposal ❑ Washing Machine ❑ Base�►ent/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: Specify type # Com�odes �_ i! Showers �_ � Urinals � Peaple � Sinks # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gaiions per aay) �. zype of .+ater supply: ❑ County/City �Well 0 Cosa�aunity a. Do vou anticipate additions or eapansions of t6e facility t6is system is intended to serve? 0 Yes ❑ No �jc.. 1 a i n��� f e.,5 , *'*IMFORTANT't** CLIENTS DfUST CO�1iPLETE THE REQUIRED PROPERTY WFORMATION REQUESTED BELOW. Eit6er a PLAT or SITE PLAN �tlUST BE SUB�1iITTED by the client with THIS APPLICATION. Propert�• Diroensions: 1�A��- Taa Office PIN: # S"$".�f � � .� ' f.3 � � Property Address: Road Name � � City/Zip If in a Subdivision pro��de intormation, as follows: Namc: Section: Block: Lot: R'RITE DIRECTIONS (from Mocks�111e) to PROPERTY: G o/,�1 J,-�h ,-�-u.r n� r i �al�-�- � r�. A-��a � I 1 R�i �, 2 Nt�s O�'t �-�, .� ! :2..� � This is to certif�� that the information provided is correct to t6e best of my knowledge. I understand that any permit(s) issued hcreafter are subject to suspension or re�•ocation, if the site pians or intended use change, or if the information submitted in this application is falsified or changed. I, also, under�7and that I am responsible jor all charges incurred jrom thu application. I, hereby, give consent to the Authorized Representative of the Da��e County Health Department to enter upon abo��e described propert3• Iceated in Da�•ie County and o���ned b�- to conduct all testing procedures as necessary to determine t6e site suitabitity. DATE 7 I�I � SIGNATURE �Q Q..� �,�,,,�cl.�u /J 1.2,, c��-- THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN: ac ��: �� .���lication No. Invoice No. �' Re�-ised DCHD (07/98) � ,; , ; , . , DAVIE COUNTY HEALTH DEPARTMENT • • Environmental Health Section SECTION LOT SoiUSite Evaluation APPLICANT'S NAME G %/Jl f''� DATE EVALUATED ��% /�d PROPOSED FACILITY �` • PROPERTY SIZE �/�L' SUBDIVISION ROAD NAME���� .� Water Supply: Evaluation By: On-Site Well �� Auger Boring t� Community Pit Public Cut SITE CLASSIFICATION: 1� EVALUATION BY: �� % �---� LONG-TERM ACCEPTANCE RATE: � 7 OTHER(S) PRESENT: REMARKS: 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 CONSISTENCE Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely frm 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 Mineraloev 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 - gaUday/ft2 DCHD (O1-90) ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■����■ ■�■■■■ ■�■■�■ ■�■■�■ ■■■�■■ ■����■ ■■■■�■ ■����■ ■■��■■ ■■���■ ■■��■�■ ■���■�■ ■■�■■�■ ■�����■ ■■■■■■■ ■��■��■ ■��■��■ ■�■■��■ ■�■��■■ ■���■�■ ■��������■�■■■�■■■���■ ■��■■■��■■�■�■��■■���■ ■��■■���■��■�■�����■■■ ■■��������■��■��■■■■�■ ■�■■■�■■■�■■�■�������■ ■�■����■■�■■�■�����■�■ ■�■�■�■■■�■■■��■��■■�■ ■■■�■��■��■■■■■■■■■■�■ ■���■■�■�■■■■��■���■�■ ■■■�■�■�����������■■■■ ■■����■■��■�■�■���■�■■ ■■■■■����■��■�■��■��■■ ■�■■����■ �■■�■��■ ■��■�■■ ■■■����■■ ■■■����■■ ■■����■■■ ■■��■��■■ ■■�■■�■�■ ■■■■■�■�■ ��■��■�■ ■■■���■ C ■■ ■�■�■ ■�■�■ ■�■�■ ■�■�■ ■■■�■ ■■��■ ■■�■■ ■■�■■ ■���■ ■���■ ■■�■■