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751 Chinquapin Rd, Davie County, NC Tax Parcel Report Tuesday, October 11, 2016 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: 6200000035 Township: NCPIN Number: 5813485989 Municipality: Account Number: 58763000 Census Tract: Listed Owner 1: PRIM BUDDY WAYNE Voting Precinct: Mailing Address 1: 751 CHINQUAPIN ROAD Planning Jurisdiction: City: MOCKSVILLE Zoning Class: State: NC Zoning Overlay: Zip Code: 27028-4713 Voluntary Ag. District: Legal Description: 5.40 AC CHINQUAPIN RD Fire Response District: Assessed Acreage: 4.61 Elementary School Zone: Deed Date: 1/1991 Middle School Zone: Deed Book / Page: 001570524 Soil Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: Land Value: Total Assessed Value: 93160.00 Outbuilding & Extra Freatures Value: 35420.00 Total Market Value: 140020.00 Clarksville 37059-801 CLARKSVILLE Davie County DAVIE COUNTY R-A COURTNEY WILLIAM R DAVIE NORTH DAVIE MnC2,MnB2,MdD DAVIE COUNTY 11440.00 140020.00 No 9�,r'I�, All data is provided as is without warranty or guarantee of any kind either eapressed or Implied Including but not limited to the Davie County� implied warranties of inerchantability or fitnoss for a particular use. All usen of Davle Counry's GIS website shall hold harmlesa the Nn County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all clalms or eauses of actlon due to �'p��N.�'� t� or arising out of the use or Inability to use the GIS data p�ovided by thls website. � ,:. rg.._.«.,� ,.: . , M . ,, o; - . ,. , , '" _ , ,. +` _ 'e...-i .� �. .. . . ,. . . �.; � r � .,�, . ' . . - . .:..� ... . _. .. .. . :-��. � n .��.:�.,., .._.... . (�,1 : . . . , �'., '�.,.�. �y"'.: ' . `1,. .._ .:..., . . . /1�� . 1 � �`3�.' auTxoRi7ATiorr No: `� ��. DAVIE GOUNTY HEALTH DEPARTMENT ��o ,_,,_• '' '_ ' Environmental Health Section PROPERTY INFORMATION Permittee'.s ` P.O. Box 848 Name•� ��J��(%� Mocksville NC 27028 Subdivision Name: �I !J 7t ' �.F-l/t��(1/',�'�r�Phone # 336-751-8760 Section: Lot: Directions to property: �f{ , ( AUTHORIZATION FOR 1 j �` q h-�f� � rl� t�!l%k', � 1v1ltE. f;+� �-E.� j WASTEWATER Tax Office PIN:# �n `7 -�'/ � -.J 1� ! � SYSTF,M CONSTRUCTION � � � � C�t�r��P�l� � D� �il�`� 1�� }'� �51 Road Name:_ _ I ip: **NOTE** This Authorization for Wastewater System Construction MUST BE 1SSUED by the Davie County Environmental Health Section prior to issuance of any Building Pemiits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (ln 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 i�;�.i! _��.."-Y-----�� 1 j�j� �`'i r IS VALID FOR A PERIOD OF FIVE YEARS. AL HEALTH SPECIdCIST DATE 13SUED _ _ ., i �a J'^.Y '-. � . . . . �„ �. � . - y, �J'4 'f_. �,i l' �'d' � - - �-.. ..�..:.� � .y�' ...�. .�< ..� ' 4. .,.., . .� ..r . ' .. � .. � .. . ' .. �� . �.. . , . �. � _ ,:o(? � 3� � T' �' � �� • DAVIE OUNTY HEALTH DEPARTMENT � i'k'a ,��,r�" � '• IMPRO�'EMENT AND OPERATION PERMITS PROPERTY INFORMATION _.Perrr.itt a's �''_ r �Iame: '��l�� !(�1�'�jl',�. � Subdivision Name: - � Directions to property: �f �, ; t �,,f `�, �,) � +^,; C k �,.= a �� i IMPROVEMENT � PERMTI' �� ,,t+ ` r i'i� 9 2'..'t.1 i{ ,� , r.� t.,. L.1� � � ; � / 1�� .� I ��.� ,;,.1�..t� Section: Lot: Tax Office PIN:# ��'} �� } "' _ �'� � _ '� � `' ,j RoadNamet��:��E��i�Zip:� ��J� **NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An ALITHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Departmenf 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 PERNIlT IS SUBJECT TO REVOCATION IF SITE �,,,; � . ;- ..''�, :�" , :.: :.; �.. _,..�,, A7 � 1,, i �'�� PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER �"--ENVIRONMENTAL HEALTH SPECIALIST D ATE LSSUED SYSTEM CONTRACTOR MUST SEE TI�S PERMIT BEFORE , < INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE � 1 # BEDROOMS +'�^' # BATHS # OCCUPANTS �— GARBAGE DISPOSAL: Yes o No� COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFC # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE� LIH ��'YPE WATER SUPPLY ��=1 1-- DESIGN WASTEWATER FLOW (GPD) l�� NEW SITE �^�'""'"� REPAIR SITE �, � � SYSTEM SPECIFICATIONS: TANK SIZE Cal'"fc7 GAL. PUMP TANK GAL. TRENCH WIDTH =� ROCK DEPTH I Z LINEAR FT. ZC �iJ OTHER � j� i�� (�jt� TI :� r.� '�`'`U 3C.- REQUIRED SITE MODIFICATIONS/CONDITIONS: �i "�=��1 �� V� C��tJTp )%� � K(=k.1 I t� � �t ��c:�t:lZ yY Llnf�- IMPROVEMENT PERMIT LAYOUT _ .� � � =�. z c� -., � � �� --��- -`� �,�� ;� ., � '�''=..�"' `�'��--__ --,. _.' _,`---` � � � ------�- � � ��%''��-�, �vv' � ��115C� $�2 � � �'�.� lP�- 51'TI"��Co Lo�� -`� P..�D - � ►�S ��-r ��4�'� � �� **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 (336)751-8760. I OPERATION PERMIT � Z b G � L v � r� SYSTEM INSTALLED BY: 1 " Fj��` JF�i�� %L" Fa.� L ��'= `T!►. N l� I��.T`. �7 I to /po � sT . , �� x�3�., x�2 �, M #�� AUTHORIZATION NO. I� OPERATION PERMIT B• DATE: �� O *'THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT STEM DESCRIBED A OV HAS BEEN INSTALLED IN COMPLIANCE WTfH ARTICLE I1 OF G.S. CHAP'TER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPUSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNGTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD OS/96 (Revised) ****IMPORTANT**** CE EVALUATION/IMPROVEMENT PERMIT & ATC avie County Health Department Environmental Health Section P.O. Box 848 IVEW PHONE NUMBER: Mocksville, NC 27028 EFFECTlVE MARCH 22, 1998 � (704)634-8760 336 751-8760 THIS APPLICATION CANNOT BE PROCESSED UNLE5S ALL THE REQUIRED INFORMATION IS PROVIDED. l. Name to be Billed ttdc;�l /1>avN � r: �c Contact Person ��u ��y ��?�/�1G ��,- ,�M Mailing Address �,Sr( G�i � r�� j /� /�i�i. Home Phone�3.�_ /n 3-�S r��5 City/State/Zip �L10 c� S U_ i�. �v- �- o� i 0�� Business Phone 2. Name on PermidATC if Different than Above Mailing Address 3. Application For: [] Site Evaluation City/State/Zip [] Improvement Permit & ATC j)Q Both 4. System to Serve: [] 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 �Q Well [] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes �No If yes, what type? EZTHER tt PLftT OR SZTE PLrtN PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***�"�' OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: ds .1� �c. M��L�� WRITE DIRECTIONS (from Mocksville) TO PROPERTI': Tax O�ce PIN: #��. - t f- � -� 4,� 9 ;� f71 �%�-� .� L'l�-w�.�,Qw, � C�.�� - Property Address: Road I�ame i��'�1r�� ,�a�a,� I�� 9� A'.2_,___.�c�-.� �� rZ� C�n.�� f ' i , _�� City/Zip ilo t�,s v�//� � i �� F!' ;��4�.� .t�4C�-� oz�►.�� If in Subdivision provide information, as follows: �(`� 1�..�.t.('� 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 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 0 all testing procedures as necessary to determine the site suitability. � i . .�7 � evise� DCHD (06-96) THIS AREA MttJ IIE USEb �OR b1ZAWZNC� JOUR SZTE PLrtN: r� � �' ��7 � ; �,� .� �'� ° a' ( e �'� � c ��' � s- ��-. �� ,,,,i. `��-- �•`: DAVIE COUNTY HEALTH DEPARTMENT � J" Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME � N,� �¢�'�"'' DATE EVALUATED __ rI ��_' � PROPOSED FACILITY , M. �D�� PROPERTY SIZE .S '��P^`''-5 SUBDIVISION ROAD NAME C -�-1 n�Qf%4�inl � Water Supply: On-Site Well ✓ Community Public Evaluation By: Auger Boring Pit Cut_ Mineralogy cnrr w�rri.r�cc SITE CLASSIFICATION: PJ EVALUATION BY: � ��Y LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: �.�c��t✓f �� 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 Mineralogv 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 DCHD (O1-90) ■■�■■■■■■■■■��■■A��■��■■ ■�■■■■■■■■■■��■��it/.�V�■�■��■■■■ ■�wiiiiiiiiiiii��iiiiiiv�ii� ■11��■■�■■��■■�■�■■■■��■��■■� ■11�■■■■■■�■■��■■��■��■■�■■■■ ■tl�■■■�■��■■��■��■■�■■■�■■��■■ ■11�■■■�■��■■■■■■■■■�■■■�■��■■■ ■11��■■�■��■■�■■��■■�■■��■■�■■■■■ ■11�■■■�■��■■��■�■■■��■■�■■�■■■■■ ■11�■■■��■■��■�■■��■��■��■■■■■ ■11■■■■■■■■■■■��■��■ ■■■■ ■11■■■��■��■■■■■■■■� ■�■■ ■11��■��■�■■��■■■■��■■��■ ■11■■■�■�■■■■■��■■��■■��■■■■�■ ■!1■■■�■��■■��■�■■��■■�■■�■■■��■ ■11■■��■��■■■■��■■■■■�■■■■■■ ■11��■■■■��■��■■■■■■��■■��■ ■11■■■�■■■■■■�■■■■■��■■■■■�■■■■�■ ■■ ■■ ■■ ■�■�11■ ■�■■11■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■�■�� ■■ ■■ ■■ ■■ ■■ ■■ ■�■�■■■ ■�■��■■ ■�■�1 ■�■�: ■��i ■��■ ��n u��i� �:== ■■�■ ■■■■ ■��■ ■■■■ ■■�■ ■■■■ ■��■�■ ■��■■■ ■��■■■ ■■■■�■ ■��■■ ■�■��■ ■■■�■■ �L �� ■■■�■■■■■uv�■ ■�■■��■■��■ ■��■■■��■ ■■■��■�■■�■�■ ■��■��■■�■ ■■■■■■■■■��■ ■■��■�■■■��■ ■■■��■■■■�■■ ■��■■■�■��■ ■■■■■■■��■■■ ■■■■■■��■■ ■��■■��■ ■■�■■��■�■�■ ■■��■■■■■■�■ ■�■■■■��■�■�■ ■�■■��■�■�■ ■■■■�■�■■■■�■ ■��■�■ ■�■■�■��■�■�■ ■�■��■��■�■