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121 Buchin Ln NC Tax Parcel Report V� � ��. � � �� Monday, September 26. 20l6 —F, )34 242 19 j 232 126 THIS IS NOTA SURVEY Parcel Number: O700000032 Township: Farmington NCP|NNumhun 5862626795 Municipality: Account Number: 8303073 Census Tract: 37059-802 L{omod Owner 1: BUCH|NR|CHARD Voting Precinct: SMITH GROVE Mailing Address 1: 12UBUCH|NLANE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAV|ECOUNTY R-2V State: NC Zoning Overlay: [AW|ECOUNTY QD Zip Code: 27006 Voluntary Ag.District: No Legal Description: 3.58ACOFF RIDDLE C|R Fire Response District: SMITH GROVE Assessed Acreage: 3.58 Elementary School Zone: P|NEBROOK Deed Date: 1/2014 Middle School Zone: NORTHD/YNE Deed Book/Page: 009480220 Soil Types: GnB2.GnC2 Plat Book: 0004 Flood Zone: Plat Page: 163 Watershed Overlay: D/vV|ECOUNTY Building Value: 44920.00 F»oaturuoOutbui[u|n=Qu�Extra 5880.00 Land Value: 48300.00 Total Market Value: 99100.00 Total Assessed Value: 99100.00 { "•'dr g'�f.�'+"[S�1 f� e. / '1! .,.trCi � 'Ck':•. �ti� i1 1 t :it. h 1". 0 i_ .';'S' ..ii.i,'J'!f Y.,.'::�r.�-�;sa ..+G i.+i� j i ,ate..1'i,.. RI ^TION NO: 1DAVIE aOUNTY HEALTH DEPARTMENT ] i Environmental Health Section PROPERTY INFORMATION �`- 9 P nitiee.sP.O.Box 848 �B Name: rr MocksvilleNC 27028 Subdivision Name: Phone# 336-751-8760 Direction's to property: Section: Lot: —vir AUTHORIZATION FOR s WASTEWATER F-f llr,P��// <.'i ��/ Tax Ojc, PIN:#�= �J/� - SYSTEM CONSTRUCTION Road Name: <t r�fiC/a 1p: **NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental 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 I I of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION a.X �. �' '/ ; ��` IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED w ,�y,, t.. r , ,` - + r` 41F4 �' a `� DAME OUNTY HEALTH DEPART' NT '` IMPROVEMENT AND OPERATION 1 E S PROPERTY INFORMATION '-/4 R % Pee s r �,•�t Name:,_.' xI Subdivision Name: Directions to property: . #4 r'%` �'r Section: Lot:`- r" IMPROVEMENT (� -GG! / ;r},0411 , ' PERMIT Tax Office PIN:# - 'L .07 Road Name: it ip: **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 l l of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) Z.__ ***NOTICE***THIS PERMIT LS�SUBJECT-TO REy.00 ZION IF SITE, PLANS OR THE INTENDED USE CHANGE:YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM: RESIDENTIAL SPECIFICATION:BUILDING TYPE q #BEDROOMS.—#BATHS O #OCCUPANTS_,;?_GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INNDUSTRIAL WASTE:Yes or No . LOT SIZE, Me TYPE WATER SUPPLY (ft-) DESIGN WASTEWATER FLOW(GPD) c�? NEW SITE � REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH �rZ ROCK DEPTH LINEAR FTf2e� OTHER : REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT F "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 (336)751-8760.. : OPERATION PERMIT - SYSTEM INSTA BY: \� 1610 b , AUTHORIZATION NO.-- � OPERATION PERMIT BY: DATEx6v/ : "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 EVAWATION/IMPROVEMENT PERMIT& v � Davie County Health Department Envfmamenfa/Hea/th Section AUG 19MM P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 EI(YiR AV ECOTU HEALTH ***I1-1P0RTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed R �� i / il Yom/ Contact Person Mailing Address t, �� /�(Il[' {`.. Home Phone City/State/ZIP At&doe r,r—_ F!�?6 �" 6 Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ❑ Site Evaluation ❑ Improvement Permit/ATC Both 4. System to service: ❑ House Mobile Home ❑ Business ❑ Industry ❑ Other s. If Residence: # People # Bedrooms f-- # Bathrooms D Dishwasher O Garbage Disposal ,washing Machine O Basement/Plumbing O Basement/No Plumbing 6. If Business/Industry/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 ❑ Well ❑ Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes �No H yes,what type? ***IMFDRTANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN 11fUST BESUBMITIED by the client with THIS APPLICATION. Property Dimensions: / . kpp RF r// I � WRITE DIRECTIONS(from Mocksville)to PROPERTY: Taz Office PIN: # � �(9 �o�--��7 �� Property Address: Road Name 14to got-,A/ City/Zi pJ_ V�ly(��-= Ale � 1) 4-de,,"G7 j If in a Subdivision provide information,as follows: Name: Section: Block: Lot: 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 Con ealth Deparim 9 to enter upon above described property located in Davie County and owned by j wry to conduct all testing procedures as necessary to determine the site suitability. DATE SIGNATURE c THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN: a Account No. c V Revised DCHD � Invoice No. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME V DATE EVALUATED PROPOSED FACILITY N! ;6L PROPERTY SIZE SUBDIVISION ROAD NAME KJ LI� i►. T_ Water Supply: On-Site Well Community Public Evaluation By: Auger Boring I Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position G Sloe% 2 HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupG Consistence Structure �' s 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 i SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: 1 ` 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 Mois 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 SC-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(01-90) ■■..■■■e■ecce■■■■.■■■■.■■■■■■■■■■■■■e.■■.■■■e.e.■■■■■■■■■■■.■■■■■■ ■■e■■■■■■■ee.■■■■e■■■■■■■■■■.■■■■■■■eee■es■.e■■■ee■e.■ee■eeee■■.■■ ■■.e■■■■ee.e.■■■ee■ecce.■■■ee■.■■■■■■.e■e■■■e.e■ee■■■■■■ee■eee.■.■ ■■.■■■■■■■■■■■■.■.■■■■.■.■■■■e■■■■■■.■ere■■■■.■.■.■■■■■■■...■■■■■■■ :::::C MEMNONiisI::C:: MENNENMENNENii ■■■.■■■■■■■■■■.■■■■■■■■.�i■■■■■■■�■■■■■■■iii■.■■■■■ee...■■■.■.e■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■.■e.■■■■■■■■■■ee■■■■■■..■■e.e1/■e■■■e■■ee■■.e■■e■eee■■..ee■■.e■ ■■eee■ee■■■e■■■■esee■■■■■eee■■■■■■■■■■.e■■■■■e■e■■■.■■■■ee■■■.■■■■ ■■e■ee■■■■■ecce■■■■■■■■■■■■■■e■■ ■.■■■■■■e■e■■e■■■■ee■■■.e■■■■e■■