693 Ben Anderson Rd Davie County, NC Tax Parcel Report Friday, September 23, 201E
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: C20000000504 Township: Clarksville
NCPIN Number: 5802497645 Municipality:
Account Number: 19926000 Census Tract: 37059-801
Listed Owner 1: DANNER DIETZ A Voting Precinct: CLARKSVILLE
Mailing Address 1: 717 BEN ANDERSON ROAD 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: 17.21 AC BEN ANDERSON RD Fire Response District: SHEFFIELD-CALAHALN
Assessed Acreage: 16.81 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 3/2006 Middle School Zone: NORTH DAVIE
Deed Book/Page: 2006EO088 Soil Types: MnC2,MnB2,ChA,MaB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 59160.00 Outbuilding&Extra 1250.00
Freatures Value:
Land Value: 79510.00 Total Market Value: 139920.00
Total Assessed Value: 139920.00
Ql; I� 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
�oUN S NC or arising out of the use or Inability to use the GIS data provided by this website.
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-`A70 ION NO: Q 5:4 2 DAVIE COUNTY HEALTH DEPARTMENT ✓U�co
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O:Box 848
Name::- Mocksville,NC 27028 Subdivision Name:
Phone#:704-634-8760
Directions to property: _ i of Section: Lot:
AUTHORIZATION FOR
WASTEWATER :#�
SYSTEM CONSTRUCTION Tax Office PIN - *9
6q,�
Road Name:ALI✓f!/1'i�G� p X,
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie CountyEnvironmental Health Section prior
to issuance of any Building Permits.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
7 wB�O IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONME AL HE H SPECIALIST DATE ISSUED
v !''� Yb • !T iLti t �' 'tG i"rr��}'. -.l "'.,,: - r '
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DAVIE COUNTY HEALTH DEPARTMENT J � 6
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
;Percmt�ec sy-
Nan' _ `J 1 Subdivision Name:
Directions to property:; �".� -i%.r�►_f f`-<>i �� Section: Lot:
Il14PROVEMENT ���
/ PERMrr Tax Office PIN:#_�
p d
Ro d�ame:��J✓�i/✓A�R� �' d��
**NOTE**This Improvement Permit DOES NOT authorize the construction or installation 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)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR
CEIANGE.YOUR
TER
ENVIRONMENTAL 'IH SrECIALIST )ATE ISSUED CONTRACTORMUST SEE THISPERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE, #BEDROOMS_,�_#BATHS #OCCUPANTS _GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD)� NEW SITE ,-� REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE &O GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH 47 LINEAR FT�i
OTHER �9-2L,g7)i
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
"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(704)634-8760.
100,
OPERATION PERMIT
SYS
i
r
AUTHORIZATION NO. Oeya OPERATION PERMIT BY:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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.
DCHD 05/96(Revised)
APPLICATION FOR SITE EVALUATIONAMPROVEMEN
Davie County Health Department D
Environmental Health Section
P.O. Box 848 OCT - 4 1996
Mocksville,NC.27028 '
(704) 634-8760 EtNIRONMENTAI HEALIN
AVIE COUNTY
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PR VIDED.
1. Name to be Billed Contact Person 1
Mailing Address Home Phone N)Ly
City/State/Zip M1n,_j'&1,n 4 L Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: [ ite Evaluation [ ]Improvement Permit&ATC [ ]Both
4. System to Serve: [ rftouse [-J'Mobile Home [ ]Business [ ]Industry • [ ]Other ca 1
5. If Residence: #People #Bedrooms_ � #Bathrooms _ [ ]Dishwasher[ ]Garbage Disposal
[.�Washing Machine [ ]Basement/Plumbing [ ]Basement/No Plumbing
6. If Business/Other:Specify type #People #Sinks #Commodes
#Showers #Urinals . #Water Coolers
If Foodservice:#Seats Estimated Water Usage(gallons per day)
7. Type of water supply: [ ]County/City .[ ell [ ]Community /
8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes (v o
If yes,what type?
PROPERTY INFORMATION REQUIRED:***IMPORTANT***A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: 1rM) MCA o 4 \['�)COMI Q-64AILQ :WRITE DIRECTIONS(from Mocksville)TO PROPER
Tax Office PIN: #
Property Address: Road Name Ig a%emam&' , 'per
city/zip ;
If in Subdivision provide information,as follows:
Name:
Section: Lot#• 0.
This is to certify that the information 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
changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized
R sentative of the Davie County Health Department to enter upon above described property located in Davie County and owned
by34- conduct all testing ocedures as necessary to determine the site suitability.
DATE ftSIGTURE f-� 1
Revised DCHD(06-96) t .� t
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M• •�. � �•� � - 589.39
i (4a.33Ac.) 4
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`'sg 1.85 AC �� 3.02 15144
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DAVIE COUNTY HEALTH DEPARTMENT
- Environmental Health Section
Soil/Site Evaluation
NAME Dorothy A. Joyner DATE EVALUATED
ADDRESS 5802-49-7645 (Mocksyslle) PROPERTY SIZE /l/JG
PROPOSED FACIILTY Residence LOCATION OF SITE ben Anderson Rd.
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position
Sloe Z
HORIZON I DEPTH
Texture group
Consistence
Structure
MineralogX
HORIZON II DEPTH
Texture groupG
Consistence
Structure
Mineralogy -'/
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: b `f" 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
3C-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(01-901
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