181 Cana Rd Davie County, NC Tax Parcel Report --+k '� 1 Friday, September 23, 201 E
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: G408OA0001 Township: Clarksville
NCPIN Number: 5820720618 Municipality:
Account Number: 63239000 Census Tract: 37059-801
Listed Owner 1: SANDERS HOWARD L Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 181 CANA ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-12
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: LOTS 24-27 T W GRAHAM Fire Response District: WILLIAM R.DAVIE
Assessed Acreage: 0.45 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 1/1994 Middle School Zone: NORTH DAVIE
Deed Book/Page: 001720345 Soil Types: Ce132
Plat Book: 0002 Flood Zone:
Plat Page: 072 Watershed Overlay: DAVIE COUNTY
Building Value: 55630.00 Outbuilding&Extra 620.00
Freatures Value:
Land Value: 13000.00 Total Market Value: 69250.00
Total Assessed Value: 69250.00
All data Is provided as is without warranty or guarantee of any kind either expressed or Implied including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the
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County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�Opty� NC or arising out of the use or inability to use the GIS data provided by this website.
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DAVIE COUNT' HEALTH DEPARTMENT
-IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a
Sanitary Sewage Systee s i>�� j�,, Permit Number
Name J�"' "'' , i r��'s"G '�`c� ?Y state —Z �'�..� N° 7 3 9
Location
j97 &qwva-
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _v'- Business -- Industry
No. Bedrooms No. Baths _ _ No. in Family Public Assembly Other
Garbage Disposal YES ❑ NO g' Specifications f r Sy tem:
Auto Dish Washer YES NO ❑ /��� j
Auto Wash Ma^hine YES g NO ❑
Type Water Supply
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
i
lm rovements permit bY
*Contact a representative of the Davie County Health Department for Qnal inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Nu ber:7 -634-5985.
Final Installation Diagram: Syste Insta led by 60M,
Certificate of Completion Date ' /
'The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
• APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section RECEIVED
P. O. Box 665
Mocksville, NC 27028 DEC 2 81993
1. Application/Permit Requested Byy ZC /i ii
Mailing Address A 7el 2-? Home Phone 20 V ,9 2-
Business
Business Phone cs4
2. Name on Permit if Different than Above
3. Application for: ❑General Evaluation M'Septic Tank Installation Permit
4. System to Serve: ❑ House EY'Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home:Subdivision.dam Section Lot #
❑ Basement/Plumbing
No.of People C-1? ❑ Basement/No Plumbing
No.of Bedrooms E Washing Machine
No.of Bathrooms ❑ Dishwasher
Dwelling Dimensions ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No.of People Served No. of Sinks
No. of Commodes No. of Urinals
No.of Lavatories No. of Water Coolers
No. of Showers Water Usage Figures
7. Type of water supply: Id Public ❑ Private &Ommunity
8. Property Dimensions/Z SX z o Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No
If yes,what type?
'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property:
7Z-
This is to certify that the information provided is correct to the best of my knowledge,and I understand I am responsible for all charges
incurred from this application.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIPEQ PROPERTY
MUST CHECK ONE: El 1 QWN the property. I DO NOT OWN the property.
If you checked Box#2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
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
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
l212 8xC--3
DATE r SIGNATURE
DCHD"(1/93)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME � DATE EVALUATED
ADDRESS PROPERTY SIZE ��/'
PROPOSED FACIILTY LOCATION OF SITE
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position 1_
Sloe Z
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure <7'T 777 —77-7
Mineralogy1,
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 E2 I i
SITE CLASSIFICATION: > EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: l 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
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
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 watef 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/ftz
DCHD(01-901
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