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442 Bear Creek Church Rd Davie County,NC Tax Parcel Report Monday, September 26, 2016 I L--24j f f� 245;' J r 221 LD r, 185 //7 no + � 153''�,,'r•;r '` ll 174 + 442 3 —/ll s 610 123 444w-� 120 i440 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: D20000002007 Township: Clarksville NCPIN Number: 5812103315 Municipality: Account Number: 82529526 Census Tract: 37059-801 Listed Owner 1: DAVIE GROUP LLC Voting Precinct: CLARKSVILLE Mailing Address 1: 854 VALLEY ROAD STE 300 Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: 10.000AC N BEAR CRK CH RD Fire Response District: WILLIAM R.DAVIE Assessed Acreage: 10.11 Elementary School Zone: WILLIAM R DAVIE Deed Date: 5/2008 Middle School Zone: NORTH DAVIE Deed Book/Page: 007570910 Soil Types: MnC2,MnB2,GrB Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 56170.00 Outbuilding&Extra 0.00 Freatures Value: Land Value: 57820.00 Total Market Value: 113990.00 Total Assessed Value: 113990.00 161 AlldataIsprovided es Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, implied warranties ofmerchantability orfitness for s particular use.All users of Davie County's GIS website shall hold harmless the NC County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. zlkto oQc- DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section pql- 1 -3 Dl P.O.Boa 848/210 Hospital Street • Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT T7Z �2��� Account #: 990001515 Tax PIN/EH#: 5812-01-9357 Billed To: Stacey Carter Subdivision Info: Reference Name: Location/Address: Bear Creek Church Road-27028 Proposed Facility: Residence Property Size: 20 acres ATC Number: 2663 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type #People #Bedrooms,� #Baths '2- Dishwasher: Dishwasher: Garbage Disposal: ❑ Washing Machine: 12"�' Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size ype Water SupplyI A__kL Design Wastewater Flow(GPD) Site: New Repair❑ System Specifications: Tank Size'00CIiAL. Pump Tank GAL. Trench Width c3t; Rock Depth� Linear Ft. L-kid Other: . 1�1�(50 1���l►-fz� Required Site Modifications/Conditions: 4o&1 p:1,4 IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISERS)IF6uBELOWFINISHEDGRADE. ****NOTICE: Conta a represen a ive o e Davie County Health Department for final inspection of s system between 8:30 a.m.to 9:30 a.m.or 1:00 p.m.to 1:30 p.m.on the day of installation. Telephone#is(336)751-8760.**** ARM Is011 _ �y }-1 W ooDS -�K�� 100` �eo -Q01,4 r WO-Xl Environmental Health Specialist's Signature: Date: 9 HD 05/99(Revised) • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990001515 Tax PIN/EH#: 5812-01-9357 Billed To: Stacey Carter Subdivision Info: Reference Name: Location/Address: Bear Creek Church Road-27028 Proposed Facility: Residence Property Size: 20 acres ATC Number: 2663 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s)(in compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 SewageT re atment and Disposal Systems). THIS AUTHORIZATION FOR WASTE W ON IS ALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signa e: Date: /2 d CERTIFICATE OF COMPLETI(?N 3 **NOTE** The issuance of this Certificate of Completion shall indicate theftat m described on Improvement/Operation Permit has been installed in compliance with Article 11 of G.S.Chapter ,Section.1900"Sewage Treatment and Disposal Systems,"but shall in NO WAY be taken as a guarantethe system will function satisfactorily for any given period of time. ob t l - US �thp3lc - 'TOP IS S ►N��4o A4 T- 0 U 0S"� TSOP • 2" Nic�4tr- Septic System Ins�ledPyf "i0 ��. Environmental Health SpecqX0ignature:-01 T DCHD 05/99(Revised) AWX AW- kWA&I f F)I L 6 - w -O:S-t51 �- ..... .,tntl'INIVLMtN1 Ntl1M11 cit All; S 14-p—S Davie County Health Deparhnent ----. S Envinvnmenia/Ifea/tfi51KVon ( fl sy►b�t. homc- P.O. Box 048/210 Hospital street 1 {_o Com-/J ,v Moaksville, VC 27028 DEC 32000 (336)781-8760 *•+1? iZ'APT#e* THIS APPLICATION CZKW DS PIL=5SZD ULUMSS ALL THE IRONMENTAL H LTH IMIIORMATION Is PROVIDED. Refer -to the INFOR UM0M BV=TIN for ins trna DAVIE COU I- _'51-ggCD 1. (lase to be Billed ^ �'c contact Person�ISSv� r Pf Mailing Address 7/ st11/10\'40^&+C�• +t j city/state/LIPS ei Ni P�lr:oolefNe 14D '3 Wo O 41 Z. liar an Persit/ATC,it Dift that Above Yailla4 Address City/state/zip `ea. Application Tor: U site.Evaluation 13 Improvement Permit/ATC Both t_4. tysten to service: 11 House ' Mobilo Hoare 0 Sassiness 0 Industry 0 Other ,:'e. If Residence: # People _ 2 # Bedrooms 3 # Bathrooms Dishwasher C Garbage Disposal washing Wahine O Basement/Plumbing 0 sasement/no Plumbing i. If Bcsiness/Industry/other: specify two # People # sinks # Commodes ' # showers # Urinals # water Coolers -IT rOODSERVICE: # Seats _ Ratimated Nater Usage (gallons per day) Type of water supply: U County/City Well 0 Coamtutity s. Do you anticipate additions or expansions of the fa ilty this system Is intended to serve! 0 Yes Po if yes,whit type. "**IMPORTANT **CWENTS DIUST COAfPLEM THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST RESUBMITTED by the client with MISAPPLICATION. Property Dimensions: �-� cr S WRITE DIRECTIONS(from Mocluvllle)to PROPERTY: Tax Office PIN: # SQA b q.� 5-7 J1�1 (DO) � . t- Properly Address: Road Name ,' =(r#ek(1 qA Clityrzip PLY- If in a Subdivision provide information,as Maws: I e�U�� e Chce� W. o , f tlJal l ,Fixe» t e- �5►g h ©es r�. Name: v 'J W1 Ll S4w-+ i OWn • Section: Block: Lot: wDate Prf*rty Flagged: 12 1 a o This is to certify that the information provided Is correct to the best of day knowledge. I understand that any permit(s) issued bererMer 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. 1,also,aadestand that I am nqwasible for all charges Lrcurred from this applicado i. 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 the site suitability. DATE 6 o SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN fisc all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). -�t ? _ Account Na Revised DCHD(07/'98) � Invoice Na S S z _ / 1 S.Tlcep .Sol Q m _ 1 saw j� n •- ga s"d° c • DAVIE COUNTY HEALTH DEPARTMENT `, • Environmental Health Section • Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990001515 Tax PIN/EH#: 5812-01-9357 Billed To:. Stacey Carter Subdivision Info: Reference Name: Location/Address: Bear Creek Church 7028 Proposed Facility: Residence Property Size: 20 acres Date Evaluated: I'2 ,L Water Supply: On-Site Well Community Public Evaluation By: Auger Boring / Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position L Slope% HORIZON I DEPTH © -'A 0 Texture group S:C L i C;L Consistence S Structure S S -5 Mineralogy M I HORIZON II DEPTH - is IR, 2 !9 - 113 In - to Texture group C Consistence ` S Structure 2 Mineralogy 1 Y-0 HORIZON III DEPTH . -N Texture grouple , f r Consistence - 'S Structure Mineralo hAt I" HORIZON IV DEPTH c, ,Texture group Consistenccr Structure. Mineralogy SOIL WETNESS . RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE FATE 0.-75- r I P SITE CLASSIFICATION: EVALUATION BY: � LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT:��y Qj!:4P_ REMARKS: - T 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 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 C..O 1:1,2:1,Mixed � �b " ' � Notes Horizon depth-In inches Depth of fill-In inches Restrictive horizon-Thickness and inches from land surfac �Q Saprolite-S(suitable),U(unsuitable) ;� Soil wetness-Inches from land surface to free water or inc es from land surface to soil for wi c ma 2 or less Classification-S(suitable),PS(provisionally suitable),U(u suitable) LTAR-Long-term acceptance rate-gal/day/ft2 DCHD 05/99(Revised) C, a�• !!Ono■■1!■ ■■■■■■■■■■■■■■■■■■1■■■■■■■■■■■■■■■■■■■■■■■SII■■■■■■■■■■II■■■■■■■■■eee■ ■■■■■■■■■■■■■■■■■■I1■■■■■■■■■■■■■�■:�\1■■■Ill■■■■■■■■■■11■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■11■■■■■■■■■■■■■ ■■■■■■1111'■■■■■■■■■■11■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■e■■le■■■■■■■■■■■■■■■■�■�I�t.null■■■■■�■■■■11■■■■■■e■■■■■■ ■■■e■■■■■■■■■■■■■■te■■■■■■■■■■■■■■■■�■■enlrll■■■■1�■■■■■IIe■e■■■ee■■■■■ ■■■■■■■■■■■■■■■■■ell■■■■■■■■■■■■■■%fi,J■■■■111■■■■'®\■■■■I■■■■■■■■■■■■■■ ■■■■■■■■■■■■■ecce■11■■■■■■■■■■■■■l■1�!!�%e■elllee■■1:'!�■■■■I■■■■e■■■■■■e■■ ■■■■■■■■■■■■■■■■e■11■■■■■■■e■■■■■�= �■■■■III■■■■■■■■■■■■■■■■■■■■■■■■ ■■ee■■e■■e■■■eee■■■■■■■■■■■■e■■■ ■■■■■■■Ile■■■■■■eelle■■■■■■■■■■■■■ ■■■ee■■■■■■■■■■■■ell■■■■■■■■■■■■■■■■■■a■■■■I■■■■■e■■■le■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■e■■■LVI■■■■■��e■J► ■s■■■■■s■■■■e■■■■��■■■11■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■e■■■■■■■■■e■Is■�e■ �■■ss■■■■■■►■■■■cell■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ll■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■111■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■II■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■lilt■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■Ile■■e■■■■■■■■■Iii■■■■■■■■■■■■■■■■■11■■■■■■■■■■■■■■ ■■■■■■■ee■s■■■■■e■11■■■■■■■■■■e■■t�i' ea■■■■■■■■■■■■■■cue■■■■■■■■■■■■■ ■■■■■■■■■e■■■■■■■■ll■■■■■■■■■■■e■■■■■■■s■■■■s■■■ss■all■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■11■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■117■■■■■■■■0■■■■