394 Calahaln RdDavie Countv. NC
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Tax Parcel Renort Wednesdav. October 12, 2016
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Parcel Information
Parcel Number: H2O000000301 Township: Calahaln
NCPIN Number: 5709676463 Municipality:
Account Number: 21762000 Census Tract: 37059-801
Listed Owner 1: DRAUGHN WAYNE MARTIN JR Voting Precinct: NORTH CALAHALN
Mailing Address 1: 394 CALAHALN ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag. District: No
Legal Description: 17.703 AC CALAHALN RD Fire Response District: CENTER
Assessed Acreage: 17.69 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 8/2013 Middle School Zone: NORTH DAVIE
Deed Book / Page: 009340668 Soil Types: PaD,PcC2,CeB2,ChA
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 0.00 Out6uilding & Extra 0.00
Freatures Value:
Land Value: 114820.00 Total Market Value: 114820.00
Total Assessed Value: 114820.00
9�i� �F All data Is provided as is without warranty or guarantee of any kind either expressed or implied including but not limlted to the
Davie County� Implied warranties of inerchantability or fitness for a particular uso. All users of Davte County's GIS website shall hold harmless the
N� County of Davie, North Carolina, its agents, consultants, contractors or employees from any and aIl claims or causes of action due to
np�� x.�"y or arising out of tho use or Inability to use the GIS data provlded by thfs we6site,
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AUTHORIZATI N NO: `� ��� DAVIE COUNTY HEALTH DEPARTMENT
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. �. r .� �, �+` r-.,�' Environmental Health Section PROPERTY INFORMATION
�� '�`��� � � �� P.O. Box 848
Permltt.ee's� O. ' �
NamC: !r �'`� � i s f f�l Mocksville, NC 27028 Subdivision Name:
, r. �-'?�,�'� �t����C�/` Phone #: 704-634-8760
Directions to property: Section: Lot:
AUTHORIZATION FOR
WASTEWATER �. � /t'* �r ��, � r
SYSTEM CONSTRUCTION Tax Office PIN:# 't1 - �"M a��+s: t,.:,
,/1 ` f��' .� f
Road Name: t�.�.t Ct y!1Gi '' Z{P: ��►�'
I**NOT'E** This Authorization for Wastewater System ConstrucUon MUST BE ISSUED by the Davie County Envuonmental 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)
,
u����%% '" �" ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
� f�`� ,� �'`� ���� , IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
_. .. . _ _
- , _ -�'�' . • , . _ .. � .. - . . - ' _ ' � � �j O
'� . '� �3 � l DAVIE COUNTY HEALTH DEPARTMENT
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4.. p j:. '�' ��• �,.�- ���;� c- �;' TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
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Permi�e's��o.; r�`t�,� � � � �'
',�1�Tamt: . ; ...'„. ;^-�: v�' ;: �._..,. �..�.?
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Directions to property: �r:'' f'� ' �`'-:�'J✓�r
IlVIPROVEMENT
PERNIIT
Subdivision Name:
Section: Lot:
Tax Office PIN:# "�� rC�''� �'��Y _ �.,��"-'`•
Road Name: � ' �'.x I � _;:' 1 � 'i ��Zip; �' '� ,'� =; r;'
**NOTE** This Improvement Pernut DOES NOT authorize the consttucrion or installation of a septic tanlc system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTTON must be obtained fram this Department prior to the
constructio�nstallation 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)
,�>�' �,� e�' �, ' .� -,% ***NOTTCE*** TI-IIS PERNIIT IS SUBJECT TO REVOCATION IF SITE
f"� t�i �.�' ��''� �f ;,-r !`+.�[�, �•'',i � .• .a .r'f ;,�`; r'�� � PLANS OR THE INT�NDED USE CHANGE: YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMTI' BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE �# BEDROOMS . 3 # BATHS �„� # OCCUPANTS '� GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY T'YPE # PEOPLE # PEOPLFJSHIFf # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE �G"��' TYPE WATER SUPPLY � DESIGN WASTEWATER FLOW (GPD) �� NEW SITE �--"� REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE�GAL. PUMP TANK GAL. TRENCH WIDTH -�� � ROCK DEPTH � LINEAR FT. ,_ ��,�
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 (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
�
AUTHORIZATION NO. OPERATION PERMIT BY: ��� DATE: �! `� ��
—��i��
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WTI'H ARTICLE 11 OF G.S. CHAP'TER 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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' � � `: � °� DAVIE COUNTY HEALTH DEPARTMENT
� � ''4J ; � , r. C s
4� _�� �"� f• d, ' '�� d,-� ' TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's�,�a-' ` �' �: ;T� �I � .
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ain�: � """"'-"'-' f, � f Subdivision Name:
• . . � r . „ ,...f � .
Directions to property: � �,� �,��+1� `` Section: Lot:
IMPROVEMENT
PERMIT .�•.' •:, - '`R ,.r,;�^ _.
Tax Office PIN:# ��%'j'_ ,,�� _ r � l�`.'.."r
Road Name + � � �r' � : � .t ; �� p; �JF�`'' ` ; ` j
S
**NOTE** This Improvement,Pernut DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WAST'EWATER SYSTEM CONSTRUCTTON must be obtained from this Deparnnent 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, Sec6on .1900 Sewage Treatment and Disposal Systems) �
-' �! �. a, f ***NOTTCE*** THLS PERNIIT LS SUBJECT TO REVOCATION IF SITE
, •;'; � � ,,' .f : _:;.^" ,�" ,a � "i�.w '�,�•' PLANS OR TI-IE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TI-IIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE �# BEDROOMS s' # BATHS _`�i� # OCCUPANTS '� GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFTCATION: FACILITY TYPE # PEOPLE ___ # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE ��_ TYPE WATER SUPPLY ('% DESIGN WASTEWATER FLOW (GPD) '-_ ��P� �!� NEW SITE L---'"� REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE:�'�=�-%'�-3 GAL. PUMP TANK GAL. TRENCH WIDTH -� G` � ROCK DEPTH r� ' LINEAR Ff. �� ��
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
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.
I OPERATION PERMIT
SYSTEM INSTALLED BY:
��I�.41 G' ��� . �
AUTHORIZATION NO. _�Zi�!� ! OPERATION PERMIT BY: I� ' a� DATE: �� �2 �`l1"
�i
**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
Davie County Health Department � � �
o�� Environmental Health Section fl
��re %� P.O. Box 848
Mocksville, NC 27028 � � �
(704)634-8760
***'�IMPORTANT****
THIS APPLICATION CANNOT BE PROCESSED�
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed .C��'7 �"/r°L! f��% Contact Person � �' r
Mailing Address ,��, y C/�,�f��/`/✓ �L�, Home Phone �' �i9a-�"/9G
City/State/Zip y o�i"S�� � r /!� C Business Phone
2. Name on PermidATC if Different than Above ,�f,��t /ilf�
Mailing Address City/State/Zip
3. Application For: [�ite Evaluation [] Improvement Permit & ATC �oth
4. System to Serve: [t�House [] Mobile Home [] Business [] Industry [] Other
5. If Residence: # People�_ # Bedrooms� # Bathrooms � [�Dishwasher [] Gazbage 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 [.�]' No
If yes, what type?
ElTHER r1 PLfIT OR SITE YLttN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT **'��1'SI' OF THE PROPERTY MUST BE
C�� SUBMITTED WITH THIS APPLICATION.
Property D'mensions: /� �� � �� ����� WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
� �/
Tax Office IN: # f�' �'3 !3/ �7��-� .' Gy�3 � �/ /S�f �i��c /�% �-f /l�h'.F✓
Property Address: Road N�ame �/�?Li�/;�.�n/ �I� • , � ���� �� l��`r� I �'✓ �� �' �
I �_,,,� j �
City/Zip ��.rlil!/i�/�[' /Il � ��;>.��
� -
If in Subdivision provide information, as follows: �
Name: �
�
�
Section: 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 aze
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 u on above described operty located in Davie County and owned
by /I�J ,�,1/,/ (' to co ct a 'n r cedures ecessary to determine the site suitability.
DATE � /�`S� SIGNATURE
Revised DCHD (06-96) /� U
THZS ARE �IRJ"$E-�I:ISEb �OR bRtLIUZNC JOUR SZTE PL�1N:
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. • ` ` DAVIE COUNTY HEALTH DEPARTMENT
.
.�. -, Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME /`i'1h�:5� � DATE EVALUATED �/�.7i�7�
PROPOSED FACILITY 9`� PROPERTY SIZE � f� �
SUBDIVISION ROAD NAME �r�Z�/J v� �
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut_
HORIZON III DEPTH
Texture group
Consistence
Qtnirtn�a
SOIL WETNESS
RFCTRT('TTVF �
SITE CLASSIFICATION: � �
�
LONG-TERM ACCEPTANCE RATE: r
REMARKS:
DCHD (01-90)
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 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
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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