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143 Baity Rd. �avie County, NC Tax Parcel Report Wednesday, October 12, 201 E WARNING: THIS IS NOT A SURVEY � � ��,� � ,�� Parcel Information � � ���� ��� ��,���„��� Parcel Number: C30000006801 Township: Clarksville NCPIN Number: 5823211244 Municipality: Account Number: 82513278 Census Tract: 37059-801 Listed Owner 1: BAITY JONATHAN LUKE Voting Precinct: CLARKSVILLE Mailing Address 1: PO BOX 1311 Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27028-1311 Voluntary Ag. District: No Legal Description: 3.81 AC BAITY RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 3.48 Elementary School Zone: WILLIAM R DAVIE Deed Date: 11/1999 Middle School Zone: NORTH DAVIE Deed Book / Page: 003190373 Soil Types: MrC2,MnC2,MdD,MsC Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 77260.00 Outbuilding & Extra 31320.00 Freatures Value: Land Value: 35300.00 Total Market Value: 143880.00 Total Assessed Value: 143880.00 °`18'F Davie County, `'�UN�'' NC _ . ;. , , . . . , : ., . . _. _ . . . , , .. . _ _ . . . . . _ . _ S �xo IPIPROVEP�NT PERMIT DAVIE COUNTY F�flLTH DEPARTMENT IMPROVEMENT PEAMIT and �ERATIDN PERMIT *�NDTE*+� This i�prove�ent per�it D�5 NOT authorize the �onstru�tion or installation of a septic tank syste� or any NasteNater syste�. AN RUTHORIZATION FOR IJRSTEWATER SYSTEM CDN5TRUCTION �ust be obtained fro� this Depart�ent prior to the construction/installation of a syste� or the issuance of a building per�it. (In co�pliance with Article il of 6.5. Chapter 13@R, NasteNater Syste�s, 5ection .1900 5ewage Treat�ent and Disposal 5yste�s) Mt�ME �1 �7��rx 1'�,�lJ �� � f�, PRDRERTY RDDRE55 �/ /� l�� ,� G� �d� g DATE � _... `S� LOCATION ��Cg: �.� ��(� 5UBDIUI5IDN NAME LDT MkIBER SEC. /BLDCK MJ�iBER RESIDENTAL SPECIFICATION: BUILDING :TYPE _1���!!rP � BEDROOMS ...t� # BATHS �% t OCCUF�ANTS �,,,,�J 6ARB{�E DISPOSAL: Yes(t� COMMERCIRL SPECIFICRTION: FACILITY TYPE � PEDRLE # pEOGLE/5HIFT # SERTS IFIDUSTRIRL NASTE: Yes/No LOT SIZE ��G?`(_'_ TYPE WATER SI�PLY �.�I DE5I6N {�STEWATER FLOW iGPD),�� � ri NEH SITE � REPAIR SITE 5Y5TEM 5PECIFICATI�IS: TANK SIZE�J�Y%Q 6AL. PUMR 7Rr6� 6AL. TRENCH NIDTH ��,� ��ROCK DEPTH �'1 �� LINEAR FT. '��d � OTHER REQUIRED 5ITE MODIFICATIDN5/CONDITIONS: *�+�TNI5 PERMIT IS SUBJECT TO REVOCATION IF 5ITE PlAN5 OR TF� INTENDED USE CHANSE. VDUR WASTERWATER SY5TEM CONTRACTOR hAIST SEE THIS PERMIT BffORE INSTALLING THE SYSTEM. � �, /-�'� �s� �g, ��, ��a IM�'RDVEMENT PERMIT BY ��� / / �*CONTACT A REPRESENTRTIVE � THE DAVIE C�JTY HEAITH DEPARTMENT FOR FIt�L INSPECTIDN DF THIS SYSTEM BETWEEN B:30-9:30 A.M. OR 1:�-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS 17041 634-87E0. �ERATION PERMIT SYSTEM INSTALLED BY � ^��� LA ��G''� 1��5� r-r�r �$� � 1��� °� - � 1 APP� 1.��' -�o � ���� . �� , � ; �Ep , . ���, Q r AUTHORIZATION N0. O33j TI `� (�1 E� 1� � u �*THE ISSURNCE � THI5 QPERATION PERPIIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALI.ED IN COb�LIFWCE NITH I ARTICLE 11 � G.S. CHAPTER 130A, SECTIOrI .19� "SE4IAGE TREATMENT AND �ISPOSAL SYSTEMS°, BUT SHALL IN NO WAY BE TAKEN AS A I (�.IARAMTEE THAT TF1E 5Y5TEM WILL FlINCTION SRTISFACTORILY FDR AFIY 6IVEN PEAIDD � TIM�. , DCHD 10/95 . . �.._ �_ �,.,r., ...:�1 � .�. . , � . . j.� 4..�w.f .'+ � . �� f � � ^�.�--"!�", z , � ' ►, , ,. . i�." .. . � � Davie County Nealth �epartient ENVIADNPIENTRL HEALTH 5ECTIDN P.O. Aox 665 Mocksville, N.C. 27028 AUT}IDRIZATION FOR WASTEHRTER SYSTD� CON5Ti�lCTI�1 tIssued in co�pliance with Articie 11 of G.S, Ghapter 13►dA, Wastewater Systeis) i . . y �xa /� � �� +�+�+�This Ruthorization For Wastewater �ysta� Construction �ust be issued by the Davie County Environ�ental Health 5ection prior to issuance of any Building Per�its. This For�/Authorizatian Nu�ber should be presented to the Davie County Building Inspections Dffice when applying for Building Per�its.+�+� � �/ AllTF�RIZATION FI1t9ER 6� , o '' NAIE ��l? /� ✓,��i � i T l.� DATE <'i � � �� � � _ � � v �: NRME ON IMPRDUEMENT PERMIT (If different than above) � ` /�CN SITE LOCATION _ Q,"��.r COMEENT5/(XINDITIaV5 ON fll1T}IORITATION TO CONSTRIICT NRSTEWATER SYSTEM �ft�'TICE� THIS AUTHDRIZRTID R WflSTEWflTER 5Y5TEM CONSTRIICTIDN IS VALID FD A GERIOD OF FIUE 15) YEARS. ' �./� � .� i�l�� ENVI AL �f.Al. CIALIST DATE DCHD 10/95 ' . . . . . ., , ,, ,. , w . • , � r APPLICATION FOR SITE EVALUATION/IMPROVEMENTS ' Davie County Heaith Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 � 41 App�ication/Permi2 Requested B -..� /� Cx C.t, r r Mailing Address %S (� � � Cv- ome Phone ��� ^7 �S- � � �d pC�S (�� i�, !'l� � e� c�?b �[� Business Phoneq��'�%33-"s�� � 2. Name on Permit if Different than Above 3. Application for: �General Evaluation 4. System to Serve: [� House ❑ Business ❑ Indus4ry 5. If houso, mobole home: Subdivisian No. of People a Ne. of Bedrooms 3 f�Septic Tank Installation Permit , ❑ Mobile Home ❑ Place of Public Assembly ❑ Other No. of Bathrooms � Dwelling Dimensions �0 � �� 6. If business, industry, p�ace of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers 7. Type of water supply: ❑ Public No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures l�Private ❑ Unknown Section Lot # B sement/Plumbing f� Ba menUNo Plumbing ashing Machine ishwasher ❑ Garbage Disposal 8. Property Dimensions e� R �p-� Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes o If yes, what type? ❑ Community `NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to revocation, if site pfans or the intended use change. Effective October 1, 1989. Directions to Property: � � mtit`�Y� �.� �' a � � . � � -.� ���. �.�.� �� � np��� 'u" � � �� � �v� �� ����� �,�� �„ �L,-�. �-,. �: � a � � ��� �� � a�c� � .;��,�.�, Tax Of,fice PIN: # S8a3-ai��c��� PnOPE1tTJ Abb1ZESS, as follows: noad Name: � _� �� (L cit�: %y�,� c�s�� 1Je,rv�C SU$MZT A PL,0.T WZTH THZS tIPPLICATZON. $evisions effective October 1� 1995. �'z�. �`.� ��- ��.�� � ,�� �`�.�—�� 7a �/� � � �y�9 This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. 1�'� a - �6 �' �. :'>�-f`��-� � � DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I OWN the property. � 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 representativ of th avie Count Health epartment to enter upon above described property located in Davie County and owned by e t N S o%� to conduct all testing procedures as necessary to determine s id site's suitability for a ground absorption sewage treatment and disposal system. ' �1-aa-9� �' DATE � SIGNATURE DCHD (7/93) i_ _ _ _ _ __ __________________ 1 ��\ � •� 1 � _3 � �\ 1 j� \l �;� �� �' � . ��� S� �� ^ �i � �t � p Z - <� � Z � D _ •t - �?, � �� r � m � �� � « N � � ���._ � , �� � � � � �� �, � . / , � � , .` N- � F r,- ? _ �� � _ �� i �= L 7�.. i � 4 . � - \ � � ( / � l- .! _ � , / � __ � _ � \ � .. ��/ �� - �> !' /� i` �.�� 1`�' 1 G} � � - ��� �� - i '��� /� � ' _-O - ` � � � `C` ; _,- � _ __ J � ^`' � ,., �, , '� ' : +✓ , �'' I ' �r,i �.G _ -- - n` ,� - � � � /, _ � � -{� , %J _ -- , ,. % . '1 � ,, � � ,, ,. _ I; f , - % _ / ', � _� � �� -� � j t s ,. � - - - �' ` � I � � � � _�— - •c � � I �}� �-;' ' '7 `✓ 'b � !1 � (� _ ~,1 : ,� v t� � - �'d .� % V � r i ��` � `� � , � � , .i S �' - .. , � N � �� S _ ��, ; � � �. � � �. �' ,,�.! o � � � � � � •, �� �,�y�yq� ��'���I ',�� i �="�;�-�, ,� rf, � i _ �.'1 ?� � V� � %'� 1 ` � �/, 1 �,, I � � � G � � � . � �' � �;IN /� �Gi�'� ,. � _ �. �r+of �11�� s � �,�,���� 1 R ��� {IU�V �----/ .1 c. '< '- �: � �,�► �' ,,�,;'�\ �a�,oyi � . : �- \� � � � , �'�` �—" - - - ---- --- m � _ U � � '� 7�-j? I � c �ac�/��`�`=� '� �����= i � � n r� �-^ �i � l-� ''� � .. �. M . J J Z � d 3 W � r �.RE,� = 7• �02 8 AG, :EF: bg � p ��7 ; v �. .5�- . � ��-q - Dg. k8 p22q � � �.-T- �, i � d a . Sq D P�. 4Co ������� P 4=o q f • I 93 i. �u R� �.Y -�o � G. I�. F�l��r� �o� F G �-��KS�! I LLE -�-ow�1� � P d,n,V i� GOU�TY , t`.I, G. n TOWNSH/P- GLn,p;µ�sv ! l.t� covnrrr: ��o.. � E S TA F'E : �.� NORTH G'AROL /NA ZONE : _ . TAX �4lAP : PAfi�CEL : ,. .. . . - .-. ...� ., ;.�,:�... . . � _.,�:. r � L � 0 n N F t�l R, Y M. v�/ E��ST�E �,�, �;� R E� I��' E Fti E D LAt�i pi � tJ R,`/ EY oE po. P�o x� i 7�- R� ��. i G�,�.! , G, 2-j�2 DATE� ��,2���9qo SURVEYED BY� N�1 F/ELD�. BOO SCALE• � u= I oo� ORAWN BY� N W ` : ORAW/NG : N CHECKED � CL OSURE BY ��I W � ' • DAVIE COUNTY HEALTH DEPARTMENT ' . ' ' Environmental Health Section � Soil/Site Evaluation NAME '� � DATE EVALUATED �'��8',�¢,� ADDRESS PROPERTY SIZE � ��� PROPOSED FACIILTY LOCATION OF SITE ��� 7`�f •f'id Water Supply: On-Site Well t/� _ Community Public Evaluation By: Auger Boring i/ Pit Cut FACTORS 1 Landsca e osition � Slo e � HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH Texture rou Consistence � Structure � /� - Mineralo HORIZON III DEPTH Texture rou Consistence Structure Mineraloav HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZO f!�lS�1�1 ;1G-TERM ACCEPTANCE RATE SITE CLASSIFICATION: C EVALUATED BY: ��li LDNG-TERM ACCEPTANCE RATE: � OTHER(S) PRESENT: REMARKS: LEGEND Landscape Position R-Ridge 5-Shoulder L-Linearslope FS-Footslope 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 �;lay loam• SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-V��.-y friable FR-Friable FI-Firm VFI-Very firrn EFI-Extremely firm Wet NS-Non sticky SS-5lightly sticky S-Sticky VS-Very Sticky NP-Non plastic SP-Slightly plastic P-Plastic VP-Very plastic Structure ,iC--Sin�le grain M-Massive CR-Crumb GR-Granular ABK-MQular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mi neralo�y 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 w etness - Inches from land surface to free watef or inches from land surface to soil cotors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD (01-901 ■������■■■■�\������■�\nu��n�\���H�n , ����n���n ■ ��■■�����■■■■ ■��������������■�������■�����Y����������\��■��n�■n■����■����� ■�n ■��������h■■ ����■■���������■�����■��������■�������■��■����n����■■�����_�����■■������■■�����■�� �::::::::::::::.C:::::�::.::::::::::::::::::::::::_::::::.: ' :_.':_:'::�:::::::':: .............................................. ..... ... ■. _. ■_. ._.........._.. ����������������������u�������n��H ������ �u�������� ■ �■.� ����������������� �������������������■ ■���������i�uu�i� ���t��u�=iu■ �■ ■�����n�■■��_�������■ ���������������������■����������������� ■■���N����� �■ �� ■����H������������ ��■����■■��■�� H��■������■�����■■■ ��n�■■ ■ � �� ■ ����������■�■��� ■��������■���������■■■������N���������� ��� �� �� ■ ■■����������■�■ ����■��H���N���■������v���������������� ■■ � ■ ������������ ■��■����■H■�■���■■■u■������� ���� � � ■���■����������u■���u�v �������■ �� ■ ■ ��������■■�■ ��������■���■��N��h�M� ��■�v v■ ■ ■ ■ �������■■ ■�����■���■■���n���u����� ���■���n ��������� ■���i���■���n������n■ ■ ■ ����u��■ ■��������n■ii���■���� _������■ �i�■ ■ ■ ■ ■�������■ ■������■���\���N��������������������� ■��■�������■ ������0�������������N���������� ���� � N���������u ■������������■��■■■ o���e��i ��■�����_�� ■ ������■�■�■■ ��N���������������■������������������ ���■����■�■ ■����������������■������������������� m ■ ■ ��������� ■��■�■■��������������■ ■��� ■���� ■ ��� - ����■������■��������������������■���■■ ■����� �u��■�n ��■ � N�� ■���■�����■�■ :C::::::::_:�::::::::..::::.:::::::::�::::::_�� ��_��:.... .::5=......... ■��������■ ■�■�������■�H■���■�������� ��������n ■ ��n��� ■��■■���■ ii�iiiiii�iiiiii iiiiii�iiiiii�iii ni�iii��i■ �i���� iii���=i�i�iiiiii�� ■■�����■���■���■���■�■�������■�����r�=������■��in��■��� i�i� �������i�i��=�■����■�■��� ■���������������������■�������■■�■��������■�����i ���■��i����� ���N■�������■ ■������■ ■��������������������■����■�■�������������������i=���■��i��■�n'�■������������■��������■ ■����■����i�■����■��■����■��■������\���■�������� ■M�i������ �����■���������������■ ■�����\���■■�/���■������■�������������������■����������������■ ■����■�����\����■M■�■ ■��■�■������■������i��■������■���■�■������\u� �'■���■�� ���■�■■ ��� ��■ ���■����■■���■ ■���������������■���������/������������� ■����s�� ����I������■�����■���v�■■��������■ ■_�������■����■�����������_��_��■■�■���=isiiii�iiiiniii�iiiii=�iiiiiiiiiiiiiiiiiiiii ■ ■�����■����������■■����� ■■ ■■■������ ■ ■��■����������������■�����_ ............................ ..... .................�........�...................... ................................................... ........ ...................... :C:::::::::::::::::C::::::::::::C:::':::::::::::::.:_...::::C::::::':::'.::::':::::::: ....................................C.....�......5.■��=...._......�........�........ .......................................■.. .....�._�...._. .............._......... ■�■������■�����������■�����������■■■ �����■■����� ■■ ■�� ���������������■ �������e■ ■��■�����■��■��������■■�������■����■ ■��■■�����__ ■�■ ■����i=�iiiiiiii ■����������■ ■��■������������■■�■■■■�����������������■����■ ■ ■ ■■■ __���■■�����■■ ■���������■���■����■■���■■������������������������=��i�����■��u������ �� ■���■������ ■■�����■����■■■�������■�■������■���■��■�����_��■ ������������������■�■� ���i■ ■���■ ■■ ■����■������■������■��■������������■ ■����■■ ����� ��������■�■������� o� ■�����■��■ ■���■■������■■�����■��■�������_■�������■������■�����u������u���������������������■ ..........................�... ........... .............■ �.�..■.... .._......... .......................... ............■.........�........� . .......� ........ ....................................�........... ........ ._.......... .......... ................................. .. ...................... ......�...■............. ■■�■���■��■��������■���■������■�����n■�������■��������������■����� ■■■����■■���■N�■ ■��■��■���\�■�����■■��������������������■��■��5��������������u������■�����■��■���t�■ ■■���■■�■���■�■���■■�■�����■������■ ■����■�■��■�����������■■■■■����■�N��������■����■ ■�■�����■���■��■�����e����������■��■�������������������������������■����������■�t� ■������■ ■����������������������■��■ ■��■■ ■����■��������■■���������■�■ ■ ■���■�EN