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773 Bear Creek Church Rd (2) Davie County,NC - Tax Parcel Report �1 Monday, September 26, 2016 776. 1 err 734 78511, 762 ` Z751 .r` 773. 733 712 70 WARNING: THIS IS NOT A SURVEY Parcel Information M Parcel Number: D20000001503 Township: Clarksville NCPIN Number: 5802707872 Municipality: Account Number: 8300427 Census Tract: 37059-801 Listed Owner 1: FORD JONATHAN ANDREW Voting Precinct: CLARKSVILLE Mailing Address 1: 773 BEAR CREEK CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: LOT 1 CHILDRESS PLACE Fire Response District: WILLIAM R.DAVIE Assessed Acreage: 1.02 Elementary School Zone: WILLIAM R DAVIE Deed Date: 6/2011 Middle School Zone: NORTH DAVIE Deed Book/Page: 008620209 Soil Types: MnB2 Plat Book: 0008 Flood Zone: Plat Page: 120 Watershed Overlay: DAVIE COUNTY Building Value: 93290.00 Outbuilding&Extra 19550.00 Freatures Value: Land Value: 18300.00 Total Market Value: 131140.00 Total Assessed Value: 131140.00 161 All data Is provided as Is without warranty or guarantee of any kind either expressed or implied including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the County of Davie,North Carolina,its agents,consultants,contractors or employees from any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. ae- DAVIE COUNTY HEALTH DEPARTMENT O Environmental Health Section P.O.Boa 848/210 Hospital Street M (33751-8760)le,NC 7028 X 773 Account #: 990003275 Tax PIN/EH#: 5802-70-7892 Billed To: Childress Construction Subdivision Info: Reference Name: Location/Address: Bear Creek Church Road-27028 Proposed Facility Property Size: ATC Number: 3807 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 Fonm/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 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEW O ION V FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: �I CERTIFICATE OF COMPLETION **_NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit 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. XS AD S ie. P� /6 F Septic System Installed By: L Environmental Health Specialist's Signature: Date: �S DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT ll- v • Environmental Health Section �O • P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account M 990003275 Tax PIN/EH#: 5802-70-7892 Billed To: Childress Construction Subdivision Info: Reference Name: Location/Address: Bear Creek Church Road-27028 Proposed Facility Hed3E: Property Size: ATC Number: 3807 **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 Types #People #Bedrooms 3 #Baths 2 Dishwasher: Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size ' '?s�� Type Water SupplylAl�9w Design Wastewater Flow(GPD) 3(00 Site: New l( Repair❑ System Specifications: Tank Size ICDC->GAL. Pump Tank GAL. Trench Width'3t Rock Depth 12 Linear Ft. q0 Other: q DysTeiSoTio-.a Required Site Modifications/Conditions: 1 -)SLL t>j e--VrA Z 14LO SeX k60S:--,—j L,CL IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT F1LT R. RISER(S)IF 6 11 BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie Co un Health D artment for final inspection of this system between 8:30 a.m.to 9:30 a.m. 1:00 p.m.to 1:30 p.m.on the day of ins I 'on. Telephone#is(33 751-8760.**** 3 by EnvironFSpecialist's re: a e: ' rSt . DCHD 05/99(Revised) APPLICATION FOR SITE EVALUATION/IM PROVFAI ENT PERhI1T& Davie County Health Department O EnvironmentaiHealth Section A' P.O. Box 848/210 Hospital Street JU'r Mocksville, NC 27028 8 (336)751-8760 QRON� ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructi "7 1. Name to be Billed C,k CLCJ!e SSS to i9/I rCT/Lib/l L/��l� Contact Person _s Mailing-Address 'J1 .,lr,o- (.z}�i CU�eI'' /�� Home Phone 712 �p City/State/ZIP oCk�Jdif- .Z7e9,F Business Phone 2. Name on Permit/ATC if Different than Above SQme- ci—S &b,, Mailing Address JQ M E City/St e/Zip �r P c &p, 3. Application For: Site Evaluation i Improvement Permit/ATC ❑ Both 1 4. System to Service: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. Type system requested: 19 Conventional ❑ conventional modified ❑ innovative 6. If Residence: # People # Bedrooms # Bathrooms 2� Dishwasher ❑Garbage Disposal ❑Washing Machine ❑Basement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /other: verify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 8. Type of water supply: )K County/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve?❑Yes A No If yes,what type? ***IMPORTANT'**CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or JSITE PLAN MUSTBESUBMITTED by the client with THIS APPLICATION. Property Dimensions: 1 2 � WRITE DIRECTIONS(from Mocksville)to PROPERTY: TaxOfGcePIN: ' // lJorfi ren Y_Q on C�. Rd J Property Address: Road Name B ea-r eru� CJ ,eJ D r1 Pear C Cee1c C' . k9e . City/Zip Mo ydlle IUAL' tin 1Ie< 6--11 nL S)'Q 0 If in a Subdivision provide information,as follows: i Name: S , Section: Block: Lot: Date home corners flagged: This is to certify that the information provided is correct to the best of my knowledge. I understand that any permits) 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 fr•onr this application. I,hereby,give consent to the Authorized Representative of the Davie Count IIealtli De artment to enter upon above described property located in Davie County and owned by 17�1r Cc,� R,1 r to conduct all testing procedures as necessary to determine the site suitability. DATE G -2 0 —D�J� SIGNATURE TIIIS AREA MAY BE USED FOR DRANVING YOUR SITE PLAN(Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Date(s): Client Notification Date: f1Ra EHS: Sign given Account No. 3bi Revised DCH (05/03 , x Invoice N . • - DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990003275 Tax PIN/EH#: 5802-70-7892 Billed To: Childress Construction Subdivision Info: Reference Name: Location/Address: Bear Creek Church Road-27028 Proposed Facility: 1.25 acres Property Size: Date Evaluated: Water Supply: ;On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position L. Sloe% S u HORIZON I DEPTH p c> Texture group r 17S;�• S:GL Consistence /'SS Structure Mineralogy HORIZON II DEPTH Texture group S,C. :C_ Consistence Structure Mineralogy HORIZON III DEPTH 31Z_44 -L Texturerou S; 5;G� 'c_ ;0 S Consistence r SS Structure !a 1C Mineralogy HORIZON IV DEPTH LH Texture groupVoa Consistence Structure tea.�c0 Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE O. It- SITE SITE CLASSIFICATION: J EVALUATION BY- LONG-TERM ACCEPTANCE RATE: 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 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 DCHD 05/99(Revised) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■a■■e■■■■.■■■■■■■■■ewe■■■■■ ■■■■■e■■■■■■■■■■■■■■■■■■■■■■■■■wr ■■■■■■■■■■■wee■■■■■e■■■■■■■■■■■c MENNENMEMMEN MENNEN MENNENMEMNONMEMNON ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ri■ ■r►■sem■■■■■►�■■■■e■■■■■■■■■■e■■■■■ MF ■a■■■■ase■■■■■■■■■■■■■■■■■�w■■■■�,■ue■■■■■■■■■■e■■■■�■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■e■■■eine■■�■n■■■■■■■■■■■w■■■■■ee■■■■■■■ ■■■■■■■■■o■■■ee■■■■■■r�■■■■■■■■■■■■■■■■■■■■■■■■■■■►,�■■■■■■eee■e■■■■■ ■■■■■■■■■ ■■■■■■■■■e■►i■■■e■■■■■■■■■■■■■■■■■■■■■■■�■■s■■■■e■■e■■■■■ � p ,rN . 14 MnB2 • ,. 40 .' .. 'h . -*•� i _ .�.:"� (3. A) y ,, 789 �e ' 9799 WS2 9T 8793 �+ yC1 ra X42 4 l X��i� _ �1 -: I! ILA. 000, a 1 . N 5802