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693 Ben Anderson Rd Davie County, NC Tax Parcel Report Friday, September 23, 201E 737 1 1 rvy i 717 693 I 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. � "`'.r^nN Stlyi-y'i;:�v914;�F�ii�1 7ya'i.str Y,�� .o .�;-°jtii�.�9,syi-� 1,.�'r''•�.ga ia.kt,� ;;- _ F, i ..; y� t;�4k..�- d""�S -"•' _... }.. .. �•v r 7 F`"�rt �,,'.,�;'� ^+:ks� r°- r,4., ,1 Ga yru:w y-'. a.A, y``•ski Prrccac�yt�.r�f 2,•� '�i• -`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 ' :r•y.,. !�, M4 `' �.�-i,-;. '•;,,G�`Pfl/IL}tt C X76 ` ' V.— 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 1p C('L1i2.. (,-&)A •Jl: 3V� SZArCQ,)u4 1 .Ltxc� G -o�.l�'`� a\ , lea� C-19 Irl r \\ ., A. 11 A I " r e Nk . fid; �� sett'' b .`r , k ' • 66 44 13.55 Ac � ' f t`~ �4 M• •�. � �•� � - 589.39 i (4a.33Ac.) 4 " 'MAC ' k F �� 1♦ *w ti Ne + ♦ i �+ 5.02 672.9 `'sg 1.85 AC �� 3.02 15144 ♦ � 36 .B m y M SAN 4�,� Y 1� }• y, ail + 5 24.45Ac 1 z ♦ i� d 4 IK Al All 1429. �� � �: ,♦ (8.8 � 1 1, tap, (8.25Ar � 1 SIX , r Ol ., s ,fix M i� l♦ li .y,c'1Pr' '.tf a 3da.9 4eAcAc rY " SE E 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 ■■■■■■■■■■■■■■■■■■■■■■■■■■.■.■■■ ■a■■e■■e■■se.e■■■■e■■e■■■Mee■■■■ ■■■■■■■■■■■■■■■N■■■eN■■■■■■■M■■■■■■■■■■MMM■■■■..■M.s.M...MM....■■■ Mee■■■■■.■■■eee■■■■■■■ei■eee.e■■ ■e■i■e■■MMei■.■N■MM■MMMe.Mee■■i■ ■■■■■..■...■■..■■■■■.■■.■■■■■■M■■■■■■e■S■MeSMM■■.MMMM■M.MS.Meee■■■ ■■..■.........■■■■■■■■■.■■■■■■■■■■■.■.....■.■■ .NOON... ■S■.M■MM■■ NNNNNNNNNNNNN'iNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN NNNNNNi ii ■■■.■.■■■.■■■■■■■■■■■e■■■■■■e■■■■N■■■■■■■■■■■■■.■.■■■■.■....■.■■N ■■■.■■■.eiMNe■M■ecce■a■.■■..■■■■�■■.....a■■......■■.■■.......■..■ ■■■■■■■■■■■■■Mee.■■■■.■■■■■Mee■ ■.■■■..iee■eN■■.■e■■■■■■e.i■■■■■ ■...■.■■■.■■■■■■■■■.■■■a■N■■e■■■■M■Ns.■M..ee■■■■.■=eeeMee■■■■Mee■■ ■■■■■■■.eee!/eee■■.■■.e/Mee■e■Se■■ee.O.■S■M■M■SS■■ .e■.e■■■M.NNS. ■.■..........■..■.■..■■■■.■.■...■■�■..MMM.MMMMM■iMMM■MMM■MNM■■■MME ■■■.■■■..MMM■■eM.e■■■.ee■e■ee■■■ ee■.■■e.e ■Mee■.■■■■sie■.■.e eee ■■■e■■.■N■■eNecce■■■e■■e■■■■eM■■ ■eMM■Me■■N■■■■■.■.■■..■■■.■..■■. ■■■.■..■..■■...■■■■.■■■/■■■■eM■■M■■NM■■■■...■■......=■SSM■■■■■■.� ■■■M■■M■■.■■eN■■■■■■■■■.■■Mee■Se■e■eee■i.eMSe■S■■.■�■ ■■MN■NMS■■ ■.■..■■..■.......■..■■.�■....■.■lSIM.■.■■.........■�i.■.■.■■■�,■■■.■ ■SM■SM■SM■S■NMSe■S■■ecce■■■■e■■■/%IIM■MM■.■MM■M...M.�I.M..SN■mrjx■..■ uiiiiiiNoonan MM NNNNNN:MNNN NNNNM■NNNNNS�NN�3NNM■t■N�NNCN'■NNS ■■..........■.....■.r�N.M..MM..MMM.M....■.M■■■.■■N.■NM.■■■NMMMMMMNS ■■■.■■■O■MOeSS■S■S■eI.MONM■.eM■■e■■M■SeS■■ .■■M.N MENUM■M ■■M■■MM■ ■.....■.■■..■■■■■.■S{t■...■■■.■...■.■.. ..�■■■■■■■ ■MMMMMM■NMMMMM.■ ■e■■■■■.■.NN.■M■.e.■'t/e.■/_��7e.ie■eMee MONSOON ■ MNM■■e■■■■e■■■ �ONNNN.'NN ME A nNCNNNNEONE ■■MMM■MMN.S.M.■■■■.[!%M..S■...MM.�.■■.N■.ONS... 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