273 Ben Anderson RdParcel #: D20000000504
Davie County, NC - Basic Estate Search
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Parcel#:D20000000504 Account #:8305149
Owner Information Tax Codes
HENDRIX KEVIN ADVLTAX - COUNTY TA
121 SPEER ROAD FIREADVLTAX - FIRE TAX
MOCKSVILLE NC 27028
Pro e Information Township �
Land (Units/Type): 2.390 AC CLARKSVILLE
ddress: 273 BEN ANDERSON RD
Deed Information Local Zonin
Date: 06/2015 Book: 00992 Page: 0877
Plat Book: 0007 Pa e: 042
Le al Descri tion PIN
2.561 AC BEN ANDERSON RD 5802448402
Pro e Values
Buildin : 67 94
BXF: 22 O1
Land: 23 43
Market: 113 38
ssessed: 113 38
Deferred•
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00204 0318 07 1998 WD Unqualified Vacant 0
Z 00208 0317 12 1998 WD Unqualified Vacant 0
3 00500 0890 07 2003 TD Unqualified Improved 100,000
4 00548 0319 04 2004 WD Unqualified Improved 83,000
5 00992 0877 06 2015 WD Qualified Improved 85,000
View Pronertv Record for this Parcel View Mao for this Parcei View Tax Bill Information
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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 pubiic records and data. Users of this data are hereby notified that the aforementioned public information sources should be
consulted for verification of the information. Ali 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
impiied, fn fact or in law, including without Ifmitation the implied warranties of inerchantability 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/itsnet/View.aspx?prid=1454039 10/12/2016
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T,: . Au��[�ORIZATIUN NO: '� ���1 DAVIE CfOUNTY HEALTH DEPARTMENT
, 1Environmental Health Section PROPERTY INFORMATION
Permittee's ,,� �' P.O. Box 848
Name: r•�%�. .�. ° � Mocksville, NC 27028 Subdivision Name:
� "� F Phone # 336-751=8760
Directions to property: ����; ��`/fr'� , �r -•� '' Section: Lot:
AUTHORIZATION EOR
� WASTEWATER Tax Office PIN:# � �-� �'�� - _���
SYSTEM CONSTRUCTION ���"�' '� �`-� j��"'
Road Name ,1��'�°��i��;f'� � .+��+'�p "� " r •-� �
c. 7 _ `-i�"-',.,l�G �l'S �
**NOTE** This Authorization for Wastewater System Conswction MUST BE ISSUED by the Davie Counry Environmental Health Section prior
to issuance of any Building Perniits. This Forn�/Authorization Number should be presented to the Davie Counry Building Inspections'
Office when applying for Building Perrnits.
(ln compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** TH1S AUTHORIZATION FOR WASTEWATER CONSTRUCTION
,�.., �,- ` f/ 1/__. % .,f'` �,r,, ✓f�1��, IS VALID FOR A PERIOD OF FIVE YEARS.
1 j r ./ , ,,-,.;.,r�.� ,a° � v
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
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� :-�� � � � � � , •DAVIE OUNTY HEALTH DEPARTMENT
' `,rb"`'� _ IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee'�- ". ' - �� _
Name: � °�' :?'P :� �-J'' '' � SubdivisionName:
, _ �._�_ ` � �
_... _ __ �
_ �._ _._ .
Directions,?� property: Section: Lof:
Il�IPROVEMENT ."�,..� �'�'..,�
- - PERMY'1' Tax Office PIN:#�� �r � - y � #� �' '
„
— Road Name. ._,w�,: � � . �_l�rZip � i�' ��_��S.t'�
**NOT'E** This Improvement Pernut DOES NOT authorize the constniction or installation of a septic tanlc system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTTON must be obtained from this Department prior to the
construction/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)
***NOTICE*** THLS PERNIIT IS SUBJECT TO REVOCATION IF STI'E
•�'; ; ` PLANS OR TI� INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TEII� PERMIT BEFORE
INSTALLING THE SYSTEM.
RFSIDENTIAL SPECIFICATION: BUILDING TYPE �# BEDROOMS �_ # BATHS �# OCCUPANTS � GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLF/SHIFf # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE (X ��v� C'I'ypE WATER SUPPLY • �! i,�// DESIGN WASTEWATER FLOW (GPD) � l% NEW SITE.l�/_ REPAIR SITE
� , /, i �� �
SYSTEM SPECIFICATIONS: TANK SIZE�1�GAL. PUMP TANK GAL. TRENCH WIDTH �S .� ROCK DEPTH --�.da LINEAR FT. J/
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
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**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 930 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760. `
OPERATION PERMIT
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SYSTEM INSTALLED BY: �Z
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AUTHORIZATION NO. OPERATION PERMIT BY: IC__Y !�l_� 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. 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 (Revised)
.
r
s APPl1CAT10N FOR SI7E EVALUATION/IMPROVEMENT PERMIT C� t?
Davie County Health Department � � � � �r� �K
Environmenta/Hea/th Section
P.O. Box 848/210 Hospital Street AUG � � i998
Mocksville, NC 27028
(336) 751-8760 ru�nnn�il�[►ITAt llCAI?ll
***?1�ORTANT*** TFIIS APPLICATION CANNOT 8E PROC,ESSED UNLE3S ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Bill� I 1 Contact Person �C"� n`�( � G.` C�/ .
Malling Address �11 C r Some Phone �(� L' - n� 3' � 7�/ '�j/
City/3tate/ZIP � �`. � Z� Business Phone �Q'y� � Z'y "�J�J�
2. Name on � t/ATC if Different than Abov�e T C � U�' �'� •
Mailing ess�� � erS'en �� city/state/z�p t '/� •� �%(1Z
s. Application For: ❑ Site Evaluation ❑ Improv�ement Permit/ATC [IY�oth
a. system to sesvtce: 0 House �tobile Home � Business 0 Industry � Other
5. If Residence: # People •J 1� Bedrooms � � Bathrooms Z
�,i'Dishwasher ❑ Garbage Disposai 6Ytiashing Machine 0 Base�ent/Plumbing 0 Basement/No Plumbing
6. If 8uainess/industry/Other: Specify type � Peopie # Sinks
# Co�odes � Showers
1F Urinals
# ilater Coolers
IF E'OOD3ERVICE: $ Seats Estimated Water Usage (gaiions per aay)
�. Type of water supply: 0 County/City iyWell 0 Com�unity
s. Do you anticipate additions or�eapansions of the facility�his system is intenQed to serve? i� Yes n �'i�
�f yes, what type? C <1 �� c� d�^ e r, C�S O c� c��o M �•
G�.'C"Cti � — �O �
***IMFORTANT�*'� CLIENTS �1fUST CO.�fPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Eit6er a PLAT or SITE PLAN MUST BE SUBriITTED by the client wlth THIS APPLICATION.
Property Dimensions: �• ��p� p �-JC 1'�S •
��� Q�/ WRITE DIRECTIOI�TS (from Mocks 'lle) to PROP RTY:
Taa Office PIN: #��� Z'�'y' C� "70 Z
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—' D% o ' �,- o
Property Address: Road Name � / o
�cc3.r rcc �
City/Zip ,� 2 �� �(% /
� �vr p o 7 r
If in a Subdivision provide information, as foilows:
.✓ � � R .'
Name: � . .
.$-i L.1 c
Section: Bicek: Lot:
.� � �, /� a,� C .
This is to certify that t6e inforaration 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 e6angecL I, also, understand that I am responsible jor all charges incurred from
thu application. I, hereby, give consent to the Authorized Representative of the Da County He h Depa ent
to enter upon above described property located in Davie Count d ow by �, � u e '
to conduct all testing p edures as necessary to determine�s su ility.
DATE // SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN:
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c o n � G-�' �
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Revised DCHD (07/98)
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Se� �C c c�
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Account No. r � /
invoice No. � ��
'- -j�� n� .5`sv� - y �t - �yv �
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT,
Soil/Site Evaluation
APPLICANT' S NAME ` C
PROPOSED FACILITY /��J ,�
SUBDIVISION
Water Supply:
Evaluation By:
On-Site Well C�
Auger Boring (/
Community
Pit
DATEEVALUATED �`��'��'d'
PROPERTY SIZE c�1 ��1 C'
ROAD NAME ��'L �/�G'�/5v"�
Public
Cut
SITE CLASSIFICATION: /� EVALUATION BY: �_� G�
LONG-TERM ACCEPTANCE RATE: � OTHER(S) PRESENT:
REMARKS:
LEGEND �
Landsca�e Position
R- Ridge S- Shoulder L- Lineaz 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 day 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
tructure
SC - Single grain M- Massive CR - Crumb GR - Granular ABK - Angular blocky
SBK - Subangulaz blocky PL - Platy PR - Prismatic
MineraloEY
1:1, 2:1, Mixed
otes
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 (01 •90)
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