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136 Briar Cliff Ln�avie Countv. N' C Tax Parcel Renort Wednesdav. October 12. 201 E WAK1V11V(T: "1'Hl5 1� 1VU'1' A �Ul�Vr:Y ���_��„�_�—�.�a� �.r _ . � _ „ _ � .� ._�—e. e�� �� we��_.,_��,��_,.,.�.� ��.,�,,,,�t� . ; Parcel Information . , a� � r x� , Parcel Number: C20000001103A Township: Clarksville NCPIN Number: 5802778593 Municipality: Account Number: 6680000 Census Tract: 37059-801 Listed Owner 1: BINKLEY JEFFREY B Voting Precinct: CLARKSVILLE Mailing Address 1: 136 BRIARCLIFF LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overiay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 2.541 AC OFF SHOFFNER RD Fire Response District: SHEFFIELD - CALAHALN Assessed Acreage: 2.53 Elementary School Zone: WILLIAM R DAVIE Deed Date: 9/1997 Middle School Zone: NORTH DAVIE Deed Book / Page: 001970415 Soil Types: MnC2,MnB2,MdE Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 188770.00 Outbuilding 8� Extra 7140.00 Freatures Value: Land Value: 15500.00 Total Market Value: 211410.00 Total Assessed Value: 211410.00 9"°'A Davie County, `'oUN�'" NC -0+� .. . � .�t.i.,-�.� �y��i�a.::tl w.�. �:t. , K� .+.• .:"M..• � PitSY'.�ryti`+�.. r'ti^��...w.,.ra � _ ..... �..., r w.+..',.::' ,.....�.r� .r,....+�- . .; � ,-::.._ , ,,, � ,. .. F i �� ��� l 1,�� AUTHOI�IZATION NO: � � � ;� � �i� DAVIE COUNTY HEALTH DEPARTMENT �--` Environmental Heaith Section PROPERTY INFORMATION ,� � � Permittee's P.O. Box 848 Name: ��'`� ��-n �� /� �e_t�.`� Mocksville NC 27028 Subdivision Name: / ,�/ ., Phone # 336-751-8760 Directions to property: C"�-�/Y ��a �� ��� Section: Lot: •--- AUTHORIZATION FOR ' �f /��j f����� .,,,� ,f1 `� �2 � �~J WASTEWATER Tax Office PIN:#� - ? � _ �.� ��1`'� ' �'" SYSTEM CONSTRUCTION c� ��;,� ,�1�rt;;,,r��Lz.1 ��a�r,� �h�r=F�c', �L.'c�,f t����rc���� L.�, �-r� �' R a'd �vame� �i�C� 1�� CLiFF� Z` ip G%:2�1 **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 Permits. (In compliance with Article l l�of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ENVIRiYNI�,F,IdTAL HEALTI �'IST DAT� 1 I/� �� ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. SS ED / ��R. •y � . ,� /* �. . .., . . . . ,. . . .. - , - � � � - � � � A�/� f /J� � �. �C..,� :. � t� s/ � � • - '—,x .� _ i :� a� +��� DAVIE COUNTY HEALTH DEPARTMENT � ; ��' ` � ,:-_ . -_ - _ _ TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Pertnittee's � Name: t� j�� f,.i.. :�� � � �5s !'�?'.��:.� .. Directions to property: <� �' 1,`�'�' `.``' t��j'�%`:i:�. + t;' ;' J . ,8 . � v ,. ,� I . . `i f t r � i�' .� ,�' r t r `; . i�r: e ; 1 �.'; r _ . ... , . � Il1�IPROVEMENT PERMIT ,.. ,�:. , . :..i��,' ' Subdivision Name: Section: Lot: Tax Office PIN:# _, ,� 1 •!`� l _��, -- � . e , l .; ..i Road �1ame , �: � � � i . �" t. ! � s Zip; .� **NO.T'E** This Improvement Pernut DOES NOT authorize the construction or installation of a septic tank 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 permit. (In compliance with Article l l.of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ,. � �t' """^�. ,r ***NOTICE*** TI-IIS PERMIT IS SUBJECT TO REVOCATION IF SITE _;.� '`� '. /'� � ��: � C'- ��t`� °,'� '�` I PLANS OR TI-� IlVTENDED USE CHANGE. YOUR WASTEWATER ENVIRONIkIENT L HEALTH SPECIALIST DA'I� ISSUED SYSTEM CONTRACTOR MUST SEE TiII.S PERMIT BEFORE t... - : INSTALLING THE SYSTEM. �, RESIDENTIAL SPECIFICATION: BUILDING TYPE �I1J`�# BEDROOMS F # BATHS G•� # OCCUPANTS � GARBAGE DISPOSAL: Yes o�o COMMERCIAL SPECIFICATION: FACILTfY TYPE # PEOPLE # PEOPLE/SHIFf # SEATS INDUSTRIAL WAS"fE: Yes or No LOT SIZ�� TYPE WATER SUPPLY '"�=u" DESIGN WASTEWATER FLOW (GPD)�� NEW SITE �REPAIR SITE f' �i SYSTEM SPECIFICATIONS: TANK SIZE� �v�GAL. PUMP TANK GAL. TRENCH WIDTH '—�''�' ROCK DEPTH � LINEAR FT. �� OTHER �w ( 1�"'���.I�I�IJ'J ��%S REQUIREDSITEMODIFICATIONS/CONDITIONS:�(�T��.L.- ��� �N�J�� �""C':�-i� ��l �-Q�r�+- W�..Li.-, �C1-� I�, nt� ��I1�7C`IL/i IMPROVEMENT PERMIT LAYOUT ���,�,����p ��LOE�IT' I'�L�`�[t� � C v` St-:-�.�=' �-I , � �t � L.(7 � /-�i' �C%SC- . � �C 1 **CONTACT A OPERATION , �� gIZI��R(5� .T.� f�" CE�.O�] ['IPIISi:E� G �t,DE� L�1 ry. ,,,,, �� ��. �- �� ATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM - 30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (ZQ,4,k¢�4,$7l�SkI� SYSTEM INSTALLED BY: ��- No�s,s L �r .!6 AUTHORIZATION NO. r�� OPERATION PERMIT B• DA� �vL� � Xi **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRI ABOVE HAS BEEN INSTALLED IN COMPLIANCE WTTH ARTICLE 11 OF G.S. CHAPTER 130A, SECI'ION .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 OS/96 (Revised) `\ �\ f . ,� r :, /' �""'J! � APPUCAl10N FUIt SIlE EVAUlA71UN/IMPROVEMENT PEflMIT dc Davie County Health Department - E�vfronmen�aal Nea/tfi Se�cdon , P.O. Box 8�B/210 Hoapitatl Street Moakaville, NC 27028 (336)751-8T60 DL�IyU� U1J 1 A r���,� � 6 �:� •** Zl�ORTANT* *� THI S APPLICATZdN CAI�lN01' SE PROCE3SED LTNLE33 ALb INeOYiMATION IS PROVIDED. Refex to the INFORMATION SOLLETIN ior iastruations. i. �amn ro be siai� l� N'D 2G A(�(i •� U� �J !Z.\2 u aontact ra=son t� N/7 K£�r �i N 1�. � e�/ ilailinq J1d�dreas t53 '3(t� A 2C� � �-� � N Hama phone 3 �� 7 csty/state/ztp Q�110CKSV I lle N C o� � �01� susiness phone �`�" � 3�' `�( c� r'JU � Z. lisme on Pessit/1►?C if DSfierent thaa Abwe , �lailing Address City/Btate/Zip 9. J►ppliaatioa S�.r: � Site Evaluation �) Improvement Permit/ATC �' Both 4. �►atem to serviex: � Honse 0 Mobile Home � Busineas 0 Industry ❑ Other e. Yf Re�idence: # People o2 / H�dtooms � f Hathrooms a- ��--- ��ishxasher U Oarbaqe Disposal �Nashinq Machine �Hasment/Pinst�inQ 0 Hasement/No Pinmbing 6. I! 8nsineas/Zndustry/other: Specity type � people # SiNcs • Coicmodea i 8howers f Uriaals � Nater Coolers IF FOOD3ERVICE: # 3eats Estimated Water tJaaqe (qalions per day) 7. Tp�w of Mater supplp: 0 Connty/City �ilell 0 Co�nunity e. Do you aaticipate additiona or e:pAuaious of the facility thia ayatem is iutwded to aerve! 0 Yes �lo flf yea, wbat type' "* *IMPORTAN?'''" CLIENTS 11lUST COIIlPLETE TH� REQUlRED PROPERTY INFORMATION REQUESTED BELOW. Either a PI.AT or SITE PI.AN MUST BESUBMITTEL 6y the client wit6l�ilS APPL[CATION. Property Dimeosions: �,e mo.. .�`8 - � -���1,3 . Ta: Ofiice PIN: Property Addre�s: RoAd Name�riO,rc�i-� `c]fl e� c��y�z�P M oc.Ks,� i��e t� c��1 oa8 WRITE DIREC'fIONS (from Mocicsvllle) to PROPLRTY: � o �( f'1 o r�-h �-o ���De r�-� C�n�rC i� Yd . -�-t�Yr le��- n��r GYe�.K G�IeYGI, Rd• -}�er� �'i�1��- or �en (�ndevsor �-hc�n ; i� in a Subdivision provide informAtion, a� follow': r;a �.� Sho�ni Y�ti. �-e-�'�- o ��' `�Ya i� Name: 1Ane aN D c�v �vc or, r iGh� c.�t- �4�; �-c.�e..r1c,� Section: Block: Lot: ' Date Property Flagged: -� a�'�� This l� to certify ihat t6e informatioo provided is correct to the best of my knowledga I underat�uod ihst �uay permit(a) issued hereafter are subject to auspeaaion or revocation, if !he aite plans or intended ase cbange, or if the intormation submitted in t6is applicatfoa ia talsitied or c6snged I, also, understand tArat I am responsible jor all dlrmgu irrcrured fmm tbis appifcation. I, 6ereby, give consent to the AatLoriud Repreaentative of t6e Davie County He�lt6 Department to enter upon above described property located in Davie County and owaed b�• Tei� Q na/ ���A 3; n K.IcU to conduct all testing procedures Aa necessAry to determine t6e dte witabilih. DATE 3/as 19 q SIGNATURE �` THIS AREA MAY BL USED FOR DRAWING YOUR SITL PLAN pnclude all oit6e following: E�ating �nd pr+uposed property lines and dimenaiona, atructures, setbacks, and aeptic locatlona). QY'L rY�0.r ��.td j� 1 � �-�' CA'r' n e r S o� P r o�x.r �-..� � �J �� S�-C� Kt S l,J �� �;r �� � ��.�5 . �Co�-ners o-F �1o�s� G.r �e., mo�. r 1� ���4. S��. K�e S o.. n ci �j r p T� os � Ci W� � 1 S� 't� C \ S \ cl '�Q. r ���, ,� I��'t r lc. r1 C� SI ��. i � '� f0 O� � o�s 2• Account Na Se� �,���.td m�.� - / Revised DCHD (07/98) Invoice No. � �� 4 • r-� ti- • � ' � ' � � A DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT' S NAME CTN ����-�-�%} DATE EVALUATED � K� PROPOSED FACILITY 'rTvuSt'S PROPERTY SIZE SUBDIVISION ROAD NAME I.�i'Yi1�ti��i�l� LJ" Water Supply: On-Site Well Community Public Evaluation By: Auger Boring ✓ Pi[ Cut FACTORS Slove % HORIZON I DEPTH Texture group Consistence Structure HORIZON II DEPTH Texture eroun Structure HORIZON III DEPTH Consistence Structure :• .Mineralogy ` HORIZON IV DEPTH Texture group Consistence SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RA' REMARKS: DCHD (01-90) �� � �� �'�. ��� �000� ��---� '�'����� ��--�� � EVALUATION BY: OTHER(S) PRESENT: LEGEND � Landscape Position R- Ridge S- Shoulder L- Lineaz slope FS - Foot slope N- Nose slope CC - Concave slope CV - Convex slope T- Tenace 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 Wet NS - Non sticky NP - Non plastic FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm SS - Slightly sticky S- Sticky VS - Very Sticky 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 Mineraloev 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 - gaUday/ft2 ■■��■■�■■■�■�■ ■��■�■��■��■■■ ■■�■��■�■■�■■■ ■■��■����■■�■■ ■��■��■���■��■ ■�■��■�■����■■ ■�■�■■��■�■■�■ ■���■��������■ ■�■��■��■■�■�■ ■■�■��■��■�■�■ ■■����■��■�■■■ ■■��■�■■�■�■�■ ■■��■��■�����■ ■�■��■����■��■ ■����■�■■�■�■■ ■�■��■��■�■■�■ ■■�■��■��■�■■■ ■■����■��■�■�■ w�■■�■�� ■■�■��■�■ ■��■■�■�■ ■�■■��■�■ ■��■��■�■ ■�■■■��■■ ■�■��■�■■ ■■■�■■��■ ■■■�■���■ ■■■��■��■ ■■�■■■��■ ■■�■����■ ■■�■��■�■ ■■�■■■��■ ■■�■�■��■ ■■�■����■ ■��■��■�■ ■��■��■�■ ■�■■��■■■ ■���■■�■■ ■�■ ��� ■■■ ■■■ ■■■ ■■■ ■�■ ■��■■ ■���■ ■�■�■ ■��■■��■�■■�■�■ ■■�����■�■■�■�■ ■■���■�■��■���■ ■■���■■������■■ ■�����■����■��■ ■�■�■■■�■��■�■■ ■�■���■�■■■■��■ ■�■���■�■■����■ ■�■���■��■���■■ ■�■�■�■■�■���■■ ■��■���■�■��■�■ ■��■�■�■��■�■�■ ■■�■�■��■�■���■ ■����■■���■■��■■�■■�■ ■��■■�■��■�■■�■■��■■■ ■■��■�■����■����■��■■ ■���■�■�/��■���■■■■■■ ■■��■■�I���■■■�■■■■■■ ■�■���I■���■�■��■■■■■ ■■■����■����■��■■■■■■ ■�■/�■�■■��■�■��■■■■■ ■�I■�■�■■��■�■��■■■■■ ��■■���■■��■�■��■■■■■ �����■■�■■��■■■�■■■�■ ■�■�■�■����■��■■�■■�■ ■■��■��■■■�■■�■■��■�■ ■e�����■■��■■��■���■■ ■�������■■■�■���■��■■ ■■■�■■�■■■■��■■�■��■■ ■■���■��■■,���■■�■■■■■ ■■■��■�■■■i■���■��■�■■ ■��■�■■��������■■��■�■ ■�■■��■�■■i�����■�■��■ ■�■■�■■��■i■■��������■ ■■�■■�■��■i�■��■���■�■ ■��■■�����i�■���■■��■■ ■■■■■�■■��u�■��■■�■■■ ■■■�■�■���u�■■��■�■■■ ■■��■��■■�u■■■��■�■■■ ■���■��■�■i�■■���■�■■■ ■■■��■��■�i�■■■���■■■■ ■■■■����■■i�■■�■■�■■■■ ■��■������i�����■�■■�■ ■���������i������■���■ ■��■��■�����■��■�����■ ■�■s�■■�����■�■■■����■ ■�■■■■■■�■■■����■■�■�■■ ■���■��■��■■����■■����■ ■���■��■���■�i��•■�■�■■ ■���■��■�����i�r:���■�■■ ■■■�■■�■■��■������a■■��■ ■■■■�■■�■����i■►�.�■■��■ ■■■■�■■��■���i■■����■�■ ■■■■�■■�■■���1■■■��■■■■ ■■�■��■�■■���i�■■■����■ ■■■■■�■�■■���I■■■■�■■■■ ■■■■■�■��■���I�■■■����■ ■���■��■�■■��I��■■■���■ ■�■�■■�■��■��i���■■�■■■ ■�■��■�■��■��I��■■�■��■ ■���■■�■■■■■■'�����■■■■ ■�■�■■�■�■■■���■■■■■■■ ■���■��■��■■�����■��■■ ■■■��■�■��■■����■■��■■ ■�■��■�■■�■��■■��■■�■■ ■�■�■■�■■��������■■�■■ ■■�■�■■�■■���■■��■■��■ ■■�■�■■�■�����■��■■��■ ■■�■■■■�■■����■���■■�■ ■��■��■�■��■��■■��■■■■ ■�����■�■■■■��■■�����■ ■■�■■�■�■■�■��■■��■■■■ ■��■�������■■�■�■�■■�■ ■■/!7�■�■■�■��■■��■■�■ ■■����■��^���i�■���■��■ iiiiiiiiGi��11��1■■■��■■�■ ■�■�■�■�■���■■■■■■��■���■����■�■��■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■