138 Charon LnDavie County, NC Tax Parcel Report Tuesday, October 11, 2016
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WARNING: TI3IS IS NOT A SURV�Y
Parcel Information
Parcel Number: F70000002501 Township: Shady Grove
NCPIN Number: 5870253245 Municipality:
Account Number: 46050000 Census Tract: 37059-803
Listed Owner 1: LONG CHARLOTTE O Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 332 LAQUINTA DRIVE Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27006-0000 Voluntary Ag. District: No
Legal Description: 2.00 AC OFF GRANADA DR Fire Response District: ADVANCE
Assessed Acreage: 1.99 Elementary School Zone: SHADY GROVE
Deed Date: 2/1990 Middle School Zone: WILLIAM ELLIS
Deed Book / Page: 001520880 Soil Types: MrC2,GnB2,GnC2,GaD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value:
Land Value:
Total Assessed Value:
0.00 Outbuilding & Extra 4500.00
Freatures Value:
20000.00 Total Market Value: 24500.00
24500.00
9�i: �F All data is provided as is without warranty or guarantee of any kind either ezpressed or implied including but not limited to the
Davie County� Impliod warranties of inerchantability or fitnosa for a particular use. Ail users oT Davie County'e GIS website shall hold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and ail claims or eauses of actlon due to
�o����y4'� NC or arising out of the use or inability to use the GIS data provided by thfs website.
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AUTHOgI?�TION NO. , Q 6 9 9 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's � E /� P.O. Box 848
1Vame: � ���0 Mocksville, NC 27028 SubdivisionName: Ji���
Q-�/ Phone #: 704-634-8760 f �T�- �
Directions to property: �'��i �! �',� `fi. �� Section: .boC' �
AUTHORIZATION FOR ����-'
�,�'r; �„�� �� WASTEWATER Tax Office PIN:# �� - ,� � - _� r�i -T_;�i
• ��� SYSTEM CONSTRUCTION
Road Name: �9G2 Y`O ) � �'jj_ Zip: � �d��
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Pemuts. This Form/Authorization Number should be presented to the Davie County Building InspecUons
Office when applying for Building Pernuts. �
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
,i ,,' ' % /�,� � ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
,; � q�,, `%, t� tc�r'. i 1�'i � ....S�.�a /;!'�� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONNIENTAL HE LTH SPECIALIST DATE ISSUED
, . , , ., .. ,. . . . ..
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�,. ; � '� DAVIE COUNTY HEALTH DEPARTMENT
; y;� �-�''� �" � IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Pernuttee's '�/,
�Iame: � i�� ✓�'�/� ��� Subdivision Name: �a"%'
, . E%-�,.�" f ,., _ `'1 i � ''7
Directions to property: .- r � � r , � ,' == - Section: ..L,ot- �--r
� IlNPROVEMENT
` • ,;-. � t ,t j PERMIT Tax Office PIN:# � �1 � !� - ` ~ - --' �`'��" '`�
.� �
Road Name: � ��c'i '!'� } �."�; Zip: �� `��(ij`.
**NOTE** This Improvement Pemut DOFS NOT authorize the construction or installadon 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/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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
;' ,;.�", �;.' i' PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TEIIS PERNII'1' BEFORE''
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE �# BEDROOMS s� # BATHS �# OCCUPANTS �_ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE l.f. i�y TYPE WATER SUPPLY � Ci DESIGN WASTEWATER FLOW (GPD) --�� d NEW SITE [./� REPAIR SITE
�'' SYSTEM SPECIFICATIONS: TANK SIZE ��r,� GAL. PUMP TANK GAL. TRENCH WIDTH - 5� ROCK DEPTH � LINEAR FT. ���
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMTI' LAYOUT
**CONTACT A REPRESENTATIVE OF Tf� 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
Y
�����
�� �jo
SYSTEM INSTALLED BY:
AUTHORIZATION NO. _J„��� OPERATION PERMIT BY: /� YL2:l/� DATE: �
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH 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)
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Health Department � I� /j,�ry
Environmental Health Section � � 7 �
P O. Box 848
Mocksville, NC 27028
(704)634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
ALL THE REQUIRED INFORMATION I5 PROVIDED.
1. Name to be Billed D �, "� � � Contact Person O/J /� `�n
Mailing Address 3 3-2 �U � Home Phone ,%%O '�%�— 0��(O
City/State/Zip ��Yu I'� L ti-'- �/ i�C � Z'4 �/o Business Phone
2. Name on PermidATC if Different than Above .
Mailing Address
3. Application For: � Site Evaluation
4. System to Serve:
5. If Residence:
❑ Dishwasher
6. If Business/Other:
# Commodes _
If Foodservice:
❑ House J� Mobile Home
# People
City/State/Zip
❑ Improvement Permit & ATC
0 Business ❑ Industry
# Bedrooms �
� Both
❑ Other
# Bathrooms �
❑ Garbage Disposal ❑ Washing Machine ❑ BasementlPlumbing ❑ Basement/No Plumbing
Specify type _
# Showers
# Seats
# People # Sinks
# Urinals
Estimated Water Usage (gallons per day)
# Water Coolers
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?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
� � SUBMITTED WITH THIS APPLICATION.
Property Dimensions: � � ��`� � WRITE DIRECTIONS (from
Mocksville) TO PROPERTY:
Tax O�ce PIN: # '�g ?� - �� - -�i� �
/ 1 /fAe�4.✓ .��x B
Property Address: Road Name C�I Q r0 !'� �/7. I �f /
�j � (T �1`" .fA �U�y, �i� /..�/_
City/Zip /T C�Y Q�? C� , /�, �, � 70�� 1
1
If in Subdivision provide information, as follows: 1
1
Name: �
1
Section: Lot #: �
1
. �
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 Davie County Health Department to enter upon above described property located in Davie County
and owned by
as necessary to determine the site suitability.
DATE � �' z � � � SIGNATURE
Revised DCHD (06-96)
� C..- • G c
conduct all testing procedures
�
� ' . ' • DAVIE COUNTY HEALTH DEPARTMENT
� Environmental Health Section SECTION r.oT
SoiUSite Evaluation
��
APPLICANT'S NAME rCD/I�l DATE EVALUATED �/J'/�
PROPOSED FACILITY PROPERTY SIZE /n ��
SUBDIVISION ROAD NAME �C,�' �-�, SYa
Water Supply: On-Site Well �`� Community Public
Evaluation By: Auger Boring i/� Pit Cut
Slope %
TT/ITTr/lIAT T TTTTTT
icn� i ici�. i i v n nvtci�viv
I,LHJJlt'11.H 11V1V
SITE CLASSIFICATION: � EVALUATION BY: ,�//
LONG-TERM ACCEPTANCE RATE: � 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 frm 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 fll - 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
DCHD (01-90)
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I, GRADY L TUTT,ER�OV,1'CERTIFY THAT UNDER
MY DIRECTI�N AND SUPERYISI�N, THIS MAP
YAS Df2AWN FROH AN ACTUAL FIELD SURVEY
MADE BY MTERDW SI�VEYING CU�ANY.
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REGIS'fEi�ED LAND SURYEYDR L-2527
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TUTTEROW SURVEYING COMPANY
127 LIBERTY CHURCH ROAD
MOCKSVILLE, N.C. 27028
C704) 492-5616