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200 Channel Ln Davie County,NC Tax Parcel Report 64) Monday, September 26, 2016 250 45 5 I 200 J., 4& -� 19 0 .162 ; Q,f WARNING: THIS IS NOT A SURVEY -- Parcel Information Parcel Number: G40000000905 Township: Clarksville NCPIN Number: 5820846409 Municipality: Account Number: 82524507 Census Tract: 37059-801 Listed Owner 1: MCANDREWS JAMIE Voting Precinct: CLARKSVILLE Mailing Address 1: 200 CHANNEL LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: LOT 1 BELL PROPERTY Fire Response District: WILLIAM R.DAVIE Assessed Acreage: 2.79 Elementary School Zone: WILLIAM R DAVIE Deed Date: 4/2007 Middle School Zone: NORTH DAVIE Deed Book/Page: 007090471 Soil Types: MsC,MsB,MsD Plat Book: 0008 Flood Zone: Plat Page: 251 Watershed Overlay: DAVIE COUNTY Building Value: 195280.00 Outbuilding&Extra 4130.00 Freatures Value: Land Value: 20280.00 Total Market Value: 219690.00 Total Assessed Value: 219690.00 t,v 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 /, County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to NCor arising out of the use or inability to use the GIS data provided by this website. i • DAME COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 AgAaao Account #: 990002863 a.. -- Tax PIN/EH#: 5820-84-6409 �_...... Billed To: Michelle Bell Subdivision Info: �O20o Reference Name: Location/Address: Channel Lane-27028 Proposed Facility: Residence Property Size: 5.147 acres ATC Number: 3541 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s)(in compliance with Article 11 of .G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CONSTR C ALID OR A PERIOD OF F QVE ARS. o 5 Environmental Health Specialist's Signature v U CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit 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. tLT AT 10 �f"-Mo-3 N 90 J�tr`TG Gt �T °° 1 tom` 00 too Ott00 1 Septic System Installed By: � Environmental Health Specialist's Signature: Date: DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT _ Environmental Health Section P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Of IMPROVEMENT/OPERATION PERMIT Account #: 990002863 Tax PIN/EH#: 5820-84-6409 Billed To: Michelle Bell Subdivision Info: Reference Name: Location/Address: Channel Lane-27028 Proposed Facility: Residence Property Size: 5.147 acres ATC Number: 3541 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction 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 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type - #People #Bedrooms #Baths 2 Dishwasher: Er Garbage Disposal: ❑ Washing Machine: ff�- Basement w/Plumbing: 12(" Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Se13atats Industrial Waste: Lot Size' 't 41 �- e Water Supply��TYDesign Wastewater Flow(GPD) Site: New Repair❑ System Specifications: Tank Size I p I DC03AL. Pump Tank GAL. Trench Widt175tjL Rock Depth Linear Ft. C0 Other: Required Site Modifications/Conditions: y�SFA L D.,) f-0.3100ef Va�P i's cv,- 1-k?,x�c, IL,a�-IP Sp ,,CF-cazDe IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISERS)IF 6 K BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m.to 9:30 a.m.or 1:00 p.m.to 1:30 p.m.on the day of installation. Telephone#is(336)751-8760.**** TO CQO"1L 3 100 �4vJS�r .fir Environmental Health Specialist's Signature: te: S /(),3, DCHD 05/99(Revised) PHONE CALL M. FOR} R / DATE TIME r3 P.M. M A1197AW. C ,— OF Clfn A FAX RETURNED PHONE0 M013 11E _ Q YOUR CALL AREA CODE NUMBER ExrENSION .PLEASE CALL MESSAGE WILL CALL 4-6 /Yl ec� G.`_ AGAIN CAME TO fl �✓�� S ke- SEE YOU WANTS TO S� (/- SEE YOU SIGNED SOPS FORM 4003 D ECE9WE APPLICATION 17011 SITE EVALUATION/INIP110VEAIENT PEIINI r Davie County Health Department $ EnirironlnentaiHeaith Section 2003 P.O. Box 848/210 Hospital Street . Mocksville, NC 27028 WRONMENTAL HEALTH (336)751-8760 L DAVIECOUNIY ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED —( INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. I 1. Name to be Billed 1�/I c( e-1 I L 131f f Contact Person 5a,nte/ Mailing Address r100 C-11114,ki"P La Y?P--� Home Phone City/State/ZIP wc:�'�9.7,9 Business Phone 2. Name on Permit/ATC if�J Different than Above �Q.Y r� {� _/ /�_/+ Mailing Address ono rAaane/ /-Pi City/State/Zip / VI0Cks l�l`110,/VlJ 3. Application For: C"Site Evaluation lrr Improvement Permit/ATC ❑ Both 4. System to Service: 2/House ❑ Mobile Home ❑ Business ❑ Industry ❑ other 5. Type system requested: 2/Conventional ❑ conventional modified ❑ innovative 6. If Residence: It People It Bedrooms _ 11 Bathrooms Z dDishwasher ❑Garbage Disposal Washing Machine BBasement/Plumbing ❑basement/No Plumbing 7. If Business/Industry /Other: verify type a It People It Sinks # Commodes # Showers # Urinals 11 Water Coolers IF FOODSERVICE: # Seats fjl I Estimated Water Usage (gallons per day) 8. Type of water supply: Ca/county/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this syslC111 is intended to serve? ❑Yes N1<10 If yes,what type? PIilai 'IMPORTANT'CLIENTS 111UST COMPLETE THE REQUIRED PROPERTY INFORMATION REQt1ES'1 ED BELOW. Either a PLAT or SITE PLAN A1UST BESUB,4f1TTBD by the client itiMi THIS APPLICATION. Property Dimensions: lq7 11_C• WRITE DIRECTIONS(from Modisville)to 1'R01'E'RTY: Tax Office PIN: # 5-82084 9 &01 A/W -}-6 (fat-IA Izd Property Address: Road Name APO Clia. 9 i"9 h 4- o/1 C_'ao Q City/Zip Mocks yi llP ,/VG P7o2o C� ,fav,/,-. I Lo - Lei7L- mvr, If in a Subdivision provide infotation,as follows: CGga,tg 122 Lo s T pro/ e Y/ y Name: Vt Ln' Section: Block: Lot:- Date liolne corners flagged: 7-Ae-D3 This is to certify that the information provided is correct to the best of my knowledge. I understand that any pernlil(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. 1,also,understand shall am responsible for all charges incurred from this application. I,Hereby,give consent to the Authorized Representative of the Davie County Ilealtli Dla/rliuj nl to enter upon above described property located in Davie County and olvncd by 91( Ccs OcYt d W 1G`�G_.l�t'll to conduct all testing procedures as necessary to determine the site suitability. DATE 2 -7 0 -0; SIGNATURES THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). c Site Revisit Charge nn AA �1�O,,5 Date(s): J Client Notification Date: �t—R�►/ C EHS: Sign given Account No. to Revised DCIID(05/03 Invoice No. P _ s 4•202s BURLEY E. BOGER �h D.B. 94 PG. 749 p• 771 D.H. 99 PG. 25 44 U 2l Z < h P W • O W S 2 40g"0r f pp0,) / 17h f:n O �..✓D I n~~ S 16.00'13' V I • o 5.147 AC. f�<w 37.23 �Z JAMES M. BROWN D.B. 156 PG. 369 �y e No SELMA N. MCCLAMROCK H 5.358 AC. D.B. 76 PG. 34 _ \ g w Wv I �I\y iY•Z \ Camen 6 CAROL L. SHEETS �.•`'�NC�O YVONNE H. SHEETS OQ oF�ssro� moo A x D.B. '177 PG. 830 �'=¢Q Okiz.; �xt = _ SEAL �� \ \ ' " ; '' L-2527 a- I oa s \ \ lv` tylTSN 99nosume, JOSEPH ANTHONY LAWLER `\ '.�Y`'""M �1 �S D.B. 178 PG, 68 �� \ # +: •,mna` ll� J \ \ u T T'1 r T'1 N T T1 ts_ IPLAT OF SURVEY Ff1R, r n r r y {" { V �r �Z 3a .r ��.�- DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990002863 Tax PIN/EH#: 5820-84-6409 Billed To: Michelle Bell Subdivision Info: Reference Name: Location/Address: Channel Lane-27028 Proposed Facility: Residence Property Size: 5.147 acres Date Evaluated: Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope% D HORIZON I DEPTH Texture group -CL. Consistence r T' Structure Mineralogy (; HORIZ N II DEPTH r e,r b 2 Texture ro i Consistence ' '• "� Structure C Mineralogy HORIZON III DEPTH — 32, gy Texture group Consistence -r f5 ; Structure Mineralogy IVI.I ' t%C,� �c..- HORIZON IV DEPTH Texture group12 Consistence (' Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION ` LONG-TERM ACCEPTANCE RATE O • 2 -T�. SITE CLASSIFICATION: t' EVALUATION BY:. LONG-TERM ACCEPTANCE RATE: O•* OTHER(S)PRESENT: REMARKS: �L Cif{./ TCS` Yr-Z ��C_! La4/J J c ►L,�r LEGEND ij��Z c 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 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 05/99(Revised) ■■■■■■■■sM■■MMM■M■M■M■■■■MM■■M■M■■■■■■■■■■■M■M■I■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■eM■■■■■M■■■■■■eye■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ri�OMM■MM■MM■M■e■wit■■MMMMnMM■M■■■■M■MEMM■MMMMMMMM■ a■M■■■■■■■ME■a■■��■■■■■■M■E■■■eaesr�■■■•.r�,�■E■■■■■■■■■■■■■■■■■MEMO ■■■M■■MMMMM■■M►:•�MMiMM■M■■■::,=.� .►n =c::En■eM■M■■■■MM■■■■■E■eM■MMM■ ■■M■■■■■■■EMM■■►�O■MM■eE■■MM■_::-■■■■■M■MM�iMM■■M■■MEMM■■■■■■■M■■MM■■ ■M■■■■■■■MMMMM■M►�MMr.EOtMMM■■MMM■■■■■■MMI!�tMMMMr�■■■■MMM■/MMMMM■■M■ Iommill lemillMusson iMENNIMMEMO ■■■■/■M■/■E■■■■■■■■■■■■■■■M■MM■■■■M■■■■MM■■■■■■C■■MMM■MM■MMME■■■M■ ■MMM/EMM■■MMM■■MMMMMMMMMMMMMMMMMEMMMM■■MMEMMMMMR1iMM■■■■MEEMM■■MEM■ ■■■■■■■■■MMe■MMM■■■■■MMM■■■■MMM■■■■■■MMM■■■■■■■`:�M■■MMMMMEMMMMMMM■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■■■■■■■■.C11■■■■MMM■■■■MMME■■ ■■MMMM■■M■MEM■■/■■MMME■■M■MM■■■■ ■MM■■■MM■■■■■ ■MEM■■■■M■■M■■■■■■ MM■E■M■M■■■■■■■■■■■■M■■■■■■■■■■■■■■■■■■■■■■/■■■\!A■■■■■■■■■■■■■■■■■ ■■MMM■MM■M■MMM■/■■■■MMM■■MMMe'■■EM■■MMM■■■MMM■■M■��■■M■■■■M■■■MMM■■ ■M■M■M■■■MMMMMMM■MMM■■MMMMM■■MMMMMM■■■■MMM■MMM■EEMMM■MMMM■MMM■■EM■ ■■■■■■■■eM■■■M■■■■■■■M■MM■e■MMM■MMM■■■MM■■■■■M■■■MM■MM■M■■MME■■■■■ ■■■■MMM■■■■■■■■■■■■■■■■■■■■■■■■■/■■■■■■■■■■/M■M■■■■■■MMMMM■■MMMMM■ ■■MMMM■■■■MMM■■/MM■■■E■■■M■■■■■■ ■■■■MMM■■■■■M■■■■■■■■MMMMMeeM■■■ ■M■■ME■■■M■■■■MM■■MM■M■■MMM■■■■MMMMM■■■■■MMM■M■■■MMM■■MMMMMMMMMMM■ ■■■■■■MMM■a■■■■/■■■■MMMM■MM■MMMMMMMM■■■MMMM■■MMM■M■MMM■MMMMMEM■■M■ ■MMMeMMMM■MMMM■/MMM■■MMMM■■MMM■■MMM■■■■OMM■■■■M■■■MMM■MMM■■■■M■■M■ ■■■MM■■MM■■■■MMM■■■MMM■■■MM■M■MMM■■■■■■■■M■/■■■■MM■■sMM■■MMME■■MM■ ■■■■■■■■M■■■■MMM■■MOs■■■M■■■■■MM■■■MM■■■■MMM■■■t■■■■EMM■■MM■EMM■■■ ■■■MMEMMME■■■■■/■■■MMM■■MMM■■■■■ ■M■■■MMMMM■M■■M■■■■MMMMM■■■■MMM■ ■■■■■■■■■MMMe■M■■■■■■■■■■■■■M■■s■MM■M■M■■■■/■MM■■■■MM■/■■MMM■■■■M■ ■■■■s■■■M■■■■sE■■■■■MMM■■■■■■■■■■■■■■■■■■■■■■■■■■■■M■■M■■■■■■■M■■■ ■■■■■e■■■■■■■MM/M■■■MMM■■■■■■M■■■■■M■■MMM■■■■■■■s■■■■s■■MMMM■■■M■■ ■■MMMMM■■■■Me■M/■■■■MM■■■M/■■■■■MMM■■■MMM■■■■■■■■■■■M■■■■M■■■■M■■■ ■■■■O■■■MM■■■■M/■MMM■■MMM■■■■■■■■MM■■MM■■■■/■■■!■■■■■■■■■■■■■■■■■■■ ■■MMM■■MME■■■■MMM■■■■■M■■■■■■M■■I�■M■■■■■■e■■■■i■■M■■■■■■■■■■■e■■E■ ■�■MMMM■MMMMMMM/MMMMMMMMMMMMM■■MMM■■■■MMMMMMMMMI■M■■■MMM■MMMME■■MM■ ■■■MM■MM■■■MMMMM■■■■■MMM■■■■MMM■■M■■■M■■■■M■MMMI■■MM■■■■MMMM■■■■M■■ ■■■■■■■■■■■■■e■■■■■■■ee■■ee■■■■■e■■■■■■e■■Mee■■I■ea■ee■e■■e■■e■■■■■ ■■■MM■M■■MMMM■■EM■MMMM■■MM■MMMM■ ■■MMM■M■■M■■■MM■■■■■/■■■■MM■■■■■ ■MMM■■■MMM■■■■M■■MMM■■■MMM■■MMMM�i■■M■■■■■■M■M■M■■MM■■M■■■■■■■MM■■ 539• ' 15 N 110 N p8 63 0; �� A. . N k. co 0 Q �•� o o C / t9 /•� 8 / T Com• 72 t �8 a ! 698 �9 � / OO T' BURLEY E. BOGER D.B. 94 PG. 749 D.B. 99 PG. 25 S3.08,01 e 48. 90 NIA S `� 73-08,01 24 • E 6. 03 S Ln N to W ch ^?'�h c Yo U Ell AC 5 . 358 - - ' - w CAROL L. SHEETS �.+ SHEETS YVONNE H. P830 830 177 +�F D.B. ff