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220 Bethesda Ln�avie County,NC Tax Parcel Report Wednesday, October 12, 201 E WARNING: THIS IS NOT A SURVEY �.- �__ .�,�,� _ . � __ Parcel Information = Parcel Number: B30000004402 Township: Clarksville NCPIN Number: 5823283627 Municipality: Account Number: 70020000 Census Tract: 37059-801 Listed Owner 1: SPILLMAN TROY LEE Voting Precinct: CLARKSVILLE Mailing Address 1: 3520 COURTNEY CHURCH ROAD Planning Jurisdiction: Davie County City: YADKINVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27055-8701 Voluntary Ag. District: No Legal Description: 31.97 AC OFF FOUR CORNERS Fire Response District: COURTNEY Assessed Acreage: 27.44 Elementary School Zone: WILLIAM R DAVIE Deed Date: 7/1993 Middle School Zone: NORTH DAVIE Deed Book / Page: 001690462 Soil Types: AaA,Mn62,MdC,WATER Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra 8530.00 Freatures Value: Land Value: 184360.00 Total Market Value: 192890.00 Total Assessed Value: 51030.00 9�u°'F Davie County, ��UN't� 1\l. . - . . I ,; . . . . . �;=- ,- � , . ��6 . -.. AUTHORIZATION NO: O 5 8� DAY�E COUNTY HEALTH DEPARTMENT � � Environmental Health Section PROPERTY INFORMATION Permittee's,.,,,,,, //�D� P.O. Box 848 Name: ,� �� '%�,"//'�i�,?�/►f '? �'� Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property: ..��" ?` .%�` r l�� .,�f ;;�f Section: Lot: / � f �y�, � �� � � • AUTHORIZATION FOR l�j I � .��" L. p Y"y'i � i"',5 WASTEWATER Tax Office PIN:# .���a► � r� i� _� L�.%i r � SYSTEM CONSTRUCTION �4 � - � + � �t- . �/ �'_ ��" C.: ��- {""d'• Road Name:l-�:f�l'6 � ����C_'t�Zip: � ` ` t�.:ti ' **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Pernuts. ' (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 � �"i.r�t� .,� },S",r �,-_• /% /�•,� //,i!' �;� .. IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED „, . .: � - ., , , , ,, e. , , � , _ , r . -t >. ` • . , _ ��r� � �'"� ' � DAYIE COUNTY HEALTH DEPARTMENT - '--'�'r � � �I1V�PROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION � ,.. Pe�nittee's,�.,.. /i%.,; /�� _ . Name:.--� % � � --.�' Subdivision Name: � .�.� r V�. � � Y� . . ” � `, ` ' Direction� to property: _�r'- %' - ��r� Section: Lot: , � �r � i „ IlVIPROVEMENT . � r , � ti � � %�- J "�� � .. %� • �, �F�' '_ :; t `} � � � _�., PERMIT t ; � • _ y . �� � Tax Office PIN:# -��- .-� ." '`� �� . �tit �� . � � � +.�� � `�" .., � � � � �,.r i • < Road Name "� � � _ . ir -'J Zip; • �''i . ''' **NOTE** This Improvement Pemut DOFS NOT authorize the construction or installation of a septic tanlc system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/'mstallation of a system or the issuance of a building pernut. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ; �;. . 1 ***NOTICE*** THIS PERNIIT IS SUBJECT TO REVOCATION IF SiTE . '`_<r t . ; • . .� '. 1 t%�., , :r =; •',: = PLANS OR 1T� INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THLS PERNIIT BEFORE • INSTALLING TIIE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE �.� # BEDROOMS �..�s # BATHS �'% # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFTCAT'ION: FACILTfY TYPE # PEOPLE # PEOPLF/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE r� �I i1 TypE WATER SUPPLY ����"i� DESIGN WASTEWATER FLOW (GPD) �� � NEW SITE G/'" REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE �' l GAL. PUMP TANK GAL. TRENCH WIDTH ��� � ROCK DEPTH �-r� � LINEAR FT. -��� � � REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMTT LAYOUT � �y ���^^-�- --�-------- i**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. OPERATION PERMIT SYSTEM INSTALLED BY: �3 5�►�-4M O"� � AUTHORIZATION NO. ��� OPERATION PERMIT BY: **THE ISSUANCE OF T'HIS OPERATION PERMIT SHALL INDIC� WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SE� GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD OS/96 (Revised) i Q DATE: Z Z HAS BEEN INSTALLED COMPLIANCE 5", BUT SHALL IN NO WAY BE TAKEN AS A . � APPLICATION FOR SITE EVALUATION/IMPROVEMENT Davie County Health Department Environmental Health Section P. O. Box 848 Mocksville, NC 27028 (704)634-8760 r� � --C��� �� , �r,� I�, , {" � I � c�ov i s i��s ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED`iT1QLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed � 0(� s prl �t�`C�0.1'�- Contact Person '— Mailing Address ��� � Cb tA �,Q Home Phone G��d �— � City/State/Zip ��� �r '� � v Business Phone ��0 ��/ �� 2. Name on PermiUATC if Different than Above � Mailing Address 0 City/State/Zip 3. Application For: ❑ Site Evaluation ❑ Improvement Permit & ATC G�Both 4. System to Serve: 0 House �Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People � # Bedrooms � # Bathrooms a'' ❑ Dishwasher ❑ Gazbage Disposal lid 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: 0 County/City G�Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes l� No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE � SUBMITTED WITH THIS APPLICATION. Property Dimensions: � � a��� �- � / `7 `�- 0 �'�' I 3�z� � � Tax Office PIN: # ��..� .� - �� - I ���/ I � Property Address: Road Name �7 fZ ���Q- /�-� ' � e � Clt}�%ZIP `i���f—=�� J I�r/V ✓1 / O�l! i � If in Subdivision provide information, as follows: I Name: Section: Lot #: WRITE DIRECTIONS (from Mocksville) TO PROPERTY: �0//l� ' �d/ ��-- C.- DY'� �% � /-�� . • C%�l1� �� �Q �� TI�i�'!/Cr �1 ?� � 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 Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by �%a G� �/�Q��- to conduct all testing procedures as necessary to deternune the site suitability. DATE ,�� lo ��� SIGNATURE Revised DCHD (06-96) u �v■' � .4 +s x. � s � �,d � ' ; � a � , � ., t � .�`. �5� � , � % � , � 4 � k .:' ;i�t ti � ' t 4 �, C ^�' � b {` � �+ �,�' � t 'rt� - ,/`" � � �� "' ; x�*+t .�+ .d. * -+ *+' ' � � x 'S� a �'����,z�"� +�-.' � q �,�y "f � ' a ' � �r �'* �° � .. ��` r � �a s� � t � " s � �4 t �a. 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HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH � 6 " �`' Texture rou > Consistence - {i Structure � / Mineralo '� � . � HORIZON III DEPTH Texture rou Consistence Structure Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATE ��-i -ti/ SITE CLASSIFICATION: EVALUATED BY: LDNG-TERM ACCEPTANCE RATE: �� OTHER(S) PRESENT: REMAR KS: ' 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-Silt,y �:lay loam SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR- V+�-y friable FR-Friable FI-Finn 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 ,iC-Sin�le grain M-Massive CR-Crumb GR-Granular ABK-Mgular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineraloicy 1:1, 2:1, Mixed Notes lforizon depth - 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