155 Calahaln RdDavie, County, NC
Tax ParrPl R Pnnrt
Wednesdav. October 12. 2016
WAK1V11V1i: 1rilJ la 1VV1 A JUKVLY
Parcel Information
Parcel Number: H2O0000006 Township:
NCPIN Number: 5709655771 Municipality:
Calahaln
Account Number: 50580000 Census Tract: 37059-801
Listed Owner 1: MILAM HARRY L Voting Precinct: NORTH CALAHALN
Mailing Address 1: 155 CALAHALN ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20
State: NC Zoning Overlay:
Zip Code: 27028-8106 Voluntary Ag. District:
Legal Description: 49.20 AC CALAHAN RD Fire Response District:
Assessed Acreage: 48.49 Elementary School Zone:
Deed Date: 1/1995 Middle School Zone:
Deed Book I Page: 1995E0004 Soil Types:
Plat Book: Flood Zone:
Plat Page: Watershed Overlay:
Building Value:
Land Value:
Total Assessed Value:
0.00 Outbuilding & Extra
Freatures Value:
283310.00 Total Market Value:
15870.00
CENTER
WILLIAM R DAVIE
NORTH DAVIE
PaD,PcC2,Ce62
DAVIE COUNTY
283310.00
No
0.00
9�,X��F All data Is provided as is without warranty or guarantee of any klnd either expressed o� Implied Including but not limited to the
Davie County� Implied warrantius of inerchantability or fitness for a particular use. All users of Davie Counry's GIS websito shall hold harmless the
N� County of Davie, North Carolina, fts agents, consultants, contractors or emp�oyees from any and all clalms or causes of actian duQ to
n�� x,�'1 or arlsing out of the use or Inability to use thc GIS data provided by this webslte.
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`� ;�'ATlT1�oRizA'rioN No: O 6 9 5 DAVIE COUNTY HEALTH DEPARTMENT �j j q�
� ' � , Environmental Health Section PROPERTY INFORMATION ����
Permi�%e's � P.O. Box 848
Name: ��.��'� �1 � �+ i'(� Mocksville, NC 27028 Subdivision Name:
k� �� `` � Phone #: 704-634-8760
Directions to property: �, ' , �
` `� AUTHORIZATION FOR
� ���<�`�. �'Ca c��,, " '� cY•, WASTEWATER
SYSTEM CONSTRUCTION
Section: � Lot:
Tax Office PIN:# t.r D _ t?� -�� �)
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Road Name: `, c � �-�, �,t.* �c`, � Zip: � (?�_�
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environniental Health Section prior
to issuance of any Building Pernuts. This Forn�/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)
``,- �.,��, C,J� �, .,.; ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
\.'__~�s-�":0.:.��`�� ,c--�_ ��"'�-�:��..°� 7`��� IS VALm FOR A PERIOD OF FIVE YEARS:
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
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�H �` " -� _ ,�' � � DAVIE COUNTY HEALTH DEPARTMENT ,,, j, �t`�
�' ��,r �� . � IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION a��� '
Pernu�e�'s�_- r�T<,� � - �,� � _ _
Name: , �' V t ��=� '! �, � e � ��r L`�'• Subdivision Name: �
Duecrions to property: � � �t '��4�� '" + � � <--� Section: Lot:
� ;,.
' � , ' IMPROVEMENT
`� •t.�'�.�C. �:� t '�� ';..1, . ,.', , r PERMIT Tax Office PIN:#: �G`r (.. 'y '� �
Road Name: ��•• Zip:
**NOTE** This Improvement Pernut 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 pernut.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
� ***NOTICE*** THIS PERNIIT IS SUBJECT TO REVOCATION IF SITE
`�, :-,`�`;;�.. S, y-'.-._ .::'� r" .-�-� '"-.i PLANS OR Tf� INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TIIIS PERNIIT BEFORE
INSTALLING Tf� SYSTEM. .
RESIDENTIAL SPECIFICATION: BUILDING TYPE ��. i�'>�# BEDROOMS �_ # BATHS !'�. # OCCUPANTS � GARBAGE DISPOSAL: Yes orNo
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE 1�-�'TYPE WATER SUPPLY �A DESIGN WASTEWATER FLOW (GPD) �") ��b NEW SITE �/ REPAIR SITE
_,
� ��
SYSTEM SPECIFICATIONS: TANK SIZE b�D GAL. PUMP TANK GAL. TRENCH WIDTH � ROCK DEPTH I�� LINEAR FT. � d��
REQUIRED SITE MODIFICATIONS/CONDITIONS:
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 930 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. _��� OPERATION PERMTT BY: /���,1� DATE: ,��I/''//
**THE ISSUANCE OF THIS OPERATION PERMTT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WTTH 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 OS/96 (Revised)
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�� y � +� � 1 DAVIE COUNTY HEALTH DEPARTMENT �' � `Z `i
r��f:� ??,,� IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION �' �� �: %"�
P �t �-
e}mi ee s �
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Name: �� _.� + �. Y � i Y 4 !. ,-
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Direcrions to property: ' � � � � �.
'�. . 1� ', � , � .
IMPROVEMENT
PERNIIT
Subdivision Name:
Section: Lot:
Tax Office PIN:#
Road Name: �'� �. Zip:
**NOTE** This Impmvement Pemut DOFS NOT authorize the construction or installation of a septic tank system or any wastewater system. An
ALTTHORIZATION 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)
•... .„_ ::, , ._ ***NOTICE*** THLS PERNIIT IS SUBJECT TO REVOCATION IF SITE
� i- ! " PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERNIIT BEFORE
INSTALLING Tf� SYSTEM. ..
RESIDENTIAL SPECIFICATION: BUILDING TYPE �� t.s*a# BEDROOMS L f # BATHS''"�2 # OCCUPANTS � GARBAGE DISPOSAL: Yes or.No�
COMMERCIAL SPECIFICAT'ION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WAS1'E: Yes or No
i �
LOT SIZE �i5 t��"F�TYPE WATER SUPPLY �--� DESIGN WASTEWATER FLOW (GPD) �� r 4� �' NEW SITE �� REPAIR SITE
I I �„� �' .� � �
SYSTEM SPECIFICATIONS: TANK SIZE d�� GAL. PUMP TANK GAL. TRENCH WIDTH -� ROCK DEP'fH t LINEAR FT. ~' ����
OTHER
�
REQUIRED SITE MODIFICATIONS/CONDITIONS:
\ `� , `a.. 1;• � ,� i
� IMPROVEMENT PERMIT LAYOUT
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L�� ,'=r �-�r ,-''
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**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.
I OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. /� [� `A > OPERATION PERMIT BY: /� C://rs' DATE: �f 1 i/��
c e•� ,
**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 OS/96 (Revised)
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' � � APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC �'� v
:+ ' Davie County Health Department � �/�
j �- �os5"i ��,� + � �Pl?SC Environmental Health Sectio�z � � � � v �
� wou�d �, k� t� X 4 �
�,a �,t • W P o. so s 8 FEB 2 4 1997
` � n����n�—„ Mocksville, NC 27028
� i (704) 634-8760
M �a�3
***'�IMPORTANT*��* THIS APPLICATION CANNOT BE PROCESSED ESS ALL �
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed�'�Q R2u �� i � R�'Y1 Contact Person '�'c?R+2u %� i � Q M
Mailing Address � 5�J Ca� C� flQ � n �C� Home Phone �� ��'!�
City/State/Zip � D G IG �5 �I1� j 1L l� C��ic� � v�e � q�-� i b�
2. Name on PermibATC if Different than Above
Mailing Address City/State/Zip
3. Application For: [] Site Evaluation [] Improvement Permit & ATC j�/jBoth
4. System to Serve: [] House [�Mobile Home [] Business [] Industry [] Other
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 [] Well [] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes [j�No
If yes, what type?
EZTHER A PLtIT 011 SZTE PLttN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT **�X1�.�EL�YT OF THE PROPERTY MUST BE
SUBMITTED WITH H�S APPLICATION.
Property Dimensions: ��. � � C'.�C Ce S ; WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
Tax O�ce PIN: #��� O�- �v 5 _� � C�, S.�, �-1 W�/�5•f , i�cxs'�' LCt�� l�l ucrs
Property Address: Road Name Ca l�. h a i r, �Cl � Cam'r�i N � G rot�N C.� "}'o ��Ct i'1(L ��1 {�
City/Zip �- l0�'i � 5 �! ►���,�L' ;`�l,t r N r i � h� � L�b Lsf� LLt �� ��V �
If in Subdivision provide information, as follows: �7�`�s�, � �X1S`i �(t�n �h_cAGtrG ON 1�IQ �f'. �� �`y�i�
Name: ;�i %� Ta' �J � L"G�Q itJL1 '�'�� G 5 LtC ('OS S
Section: Lot #: �'�rO�'►'� da�.[�lG �.�id � ma bt �e �c��G ���1
�( n I��, I,v� f �, ���d .
This is to certify that the information provided is conect 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 tha[ 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 ���- �i �-2]UL�.R� /� I/ lG3�r-to conduct all testing procedures as necessary to detennine the site suitability.
DATE ����7 SIGNATURE � - �/ �
Revised DCHD (06-96)
THIS tt2zEA MAJ $E USEb �OR ULZtt�UING �OUIZ SZTE YLrtN:
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� ,� . DAVIE COUNTY HEALTH DEPARTMENT
r• ' Environmental Health Section SECTION LOT
SoiUSite Evaluation
APPLICANT' S NAME � a'`�� ��� DATE EVALUATED �� 1- I�
PROPOSED FACILITY � ' � ���� PROPERTY SIZE � � ��
SUBDIVISION — ROAD NAME \ ��rr. F�
Water Supply: On-Site Well Community
Evaluation By: C�.!- Auger Boring V Pit
FACTORS � 1
Slope %
HORIZON I DEPTH
Texture groun
Structure
HORIZON II DEPTH
Texture group
Consistence
Structure
HORIZON III DEPTH
Consistence
Structure
HORIZON IV DEPTH
Texture group
Consistence
Structure
SOIL WETNESS 5 .:
RESTRICTIVE HORIZON "
SAPROLITE -' —
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE � � �
SIT'E CLASSIFICATION: � � �
LONG-TERM ACCEPTANCE RATE: � �
REMARKS: ��1�`��� � 1`'� �,-c�
DCHD (01-90)
2
Public �
Cut
3 4 5 6 7
EVALUATION BY: \ ��� �`x
OTHER(S) PRESENT: `���� �
�� � �
" " 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
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
Structure
SC - Single grain M- Massive CR - Crumb GR - Granular ABK - Angular blocky
SBK - Subangular 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
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