270 Clearwater LnDavie County, NC Tax Parcel Report Tuesday, October 11, 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1: 15E
City: ADVANCE
State:
Zip Code:
Legal Description: 2.00(
Assessed Acreage:
Deed Date:
Deed Book I Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
°���'F Davie County,
`'o i, x�c� PTC
WARNING: THIS IS NOT A SURVEY
Parcel Information
170000007802 Township:
5778381904 Municipality:
32838000 Census Tract:
HARPER BILL Voting Precinct:
� CLEARWATER LANE Planning Jurisdiction:
Zoning Class:
Zoning Overlay:
27006 Voluntary Ag. District:
1 AC OFF FORK BIXBY Fire Response District:
1.99 Elementary School Zone
1/2004 Middle School Zone:
005310135 Soil Types:
Flood Zone:
Watershed Overlay:
56300.00 Outbuilding & Extra
Freatures Value:
20160.00 Total Market Value:
82290.00
_
Fulton
37059-804
FULTON
Davie County
DAVIE COUNTY R-A
No
FORK
CORNATZER
WILLIAM ELLIS
Pc62,PcC2
DAVIE COUNTY
5830.00
82290.00
All data is provided as is without warranty ar guarantee of any kind either expressed or Implied Including but not Iimited to the
implied warranties of inerchantability or fltness for a particular use. All usen of Davie Countys GIS we6site shall hotd harmlees the
County of Davie, North Carolina, its agents, consuitants, contractors or employees from any and all claims or causes of aetion due to
or arising out of the use or Inability to use the GIS data provlded by this website.
: , , : . �� Io`��o
AU�`HORI,ZATION NO: ��� . DAVIE COUNTY HEALTH DEPARTMENT " �
Environmental Health Section PROPERTY INFORMATION '
Permittee; s„i, , ,� � P.O. Box 848
Name: ,�� .� ..��'x"'�'�` r�!`tn"' Mocksville, NC 27028 Subdivision Name:
' ; ; �� / Phone #: 704-634-8760
Directions to property: �%f`.,�r,��-.> �� 1,.r'/s, , Section: Lot:
AUTHORIZATION FOR �c� _ ���
� WASTEWATER Tax Office PIN•# .� 11- �
SYSTEM CONSTRUCTION '
Road Name:�•._.! C'_0.v�" b•� U�. "�' Zip����� '
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Pernuts. This Form/Authorization Number should be presented to the Davie County Building Inspections ,
Office when applying for Building Pemuts. �"
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�' �� ,• � � ***NOTICE*** THIS AUTHORIZATTON FOR WASTEWATER CONSTRUCTION
��.;' //rr' -� r'% ;; a ;: ;�_ ,
� y ,�l;" �;-�—�;r„�'.-�, ��.�� / IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTI-r3PECIALIST DATE ISSUED
_ � � �,. � � �� �,> � . �, � ' � ;��
'�'�Y �;.. - DAVIE COUNTY HEALTH DEPARTMENT
,, �` i�� TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Perm�ftee� s ,�``.��.;, ,
� � � A�..��
Na�e:' �" :��,'4 ��;t'�`t .��'J�':'�" Subdivision Name: ..
. s�
r, },;,,.; � , ,
}'Directions to property: �� ' • -:� ..�': ; Section: Lot:
IlbIPROVEMENT .`'�- r� rj f,� �1`,�.G"
PERMIT Tax Office PIN:# � r�- ..M� ,� - Cj ��.? �
�
Road Name',i i c� V, tr ��j •`i ����Zin:'��`r r,f'�i � 1;
**NOTE** This Improvement Pernut DOES NOT authorize the construction or installation 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 pernut. ''
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) '
- '�**NOTICE*** TI�S PERMIT IS SUBJECT TO REVOCATION IF SITE
�; , t'�, -� �'•�� � i'� , r=;a , PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
,c. : r - , ` � � �
ENVIRONMENTAL HEALTH`SPECIA�LIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TFIIS PERbIIT BEFORE
INSTALLING Tf� SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE ��� # BEDROOMS ..� # BATHS �_ # OCCUPANTS �_ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFTCATION: FACILTfY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WAS1'E: Yes or No
.�--
LOT SIZE ��-� '7�' TYPE WATER SUPPLY i"�� � DESIGN WASTEWATER Fl.OW (GPD) -��=-�'�.•�'1 NEW SITE J�''� REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE �%�' � GAL. PUMP TANK GAL. TRENCH WIDTH p'� ROCK DEPTH ,���� LINEAR FT. •�f �/� �
REQUIRED SITE MODIFICATIONS/CONDITIONS:
I IMPROVEMENT PERMIT LAYOUT
'**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
�a�� ��:�
�'I
SYSTEM INSTALLED BY: 1 � C�C�C�s�. ��� e..�
�
N
��� a m �
i'
n9�
� ��
AUTHORIZATION NO.I �� OPERATION PERMIT BY: C�C-i�� DATE: _�`� �r 1�
"*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 OSN6 (Revised)
_�
�
APPLICATI N FOR SITE EVALUATION/IMPROVEMENT
I�� !� Davie County Health Department
'� Environmental Health Section
1n a� P.O. Box 848
S .0 ` Mocksville, NC 27028
(704)634-8760
p c;t-al;l�4.�t�
AUG I 5 1997 ,
M ! � L DAVIE COJNTY "�`�
'�'�**IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Bill� t s_.i. �? ��� Contact Person 'hAT � L"- � A i. t� �. 4
Mailing Address,�1 S �� � - C � �-5 M . � 17 Home Phone 19 g ' � � � �
City/State/ZipC,��t�s'��s15 �, C. Z�7f�� Z Business Phone
2. Name on PermidATC if Different than Above
Mailing Address City/State/Zip
3. Application For: Site Evaluation [] Improvement Permit & ATC oth V� �- a�' g�
4. System to Serve: [] House [ �Iobile Home [] Business [] Industry [] Other
5. If Residence: # People � # Bedrooms � # Bathrooms [] Dishwasher [] Garbage 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 [�ell [] Community �
8. Do you anticipate addirions or expansions of the facility this system is intended to serve? [] Yes [��
If yes, what type?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT **'�'�Lh�YI' OF THE PROPERTY MUST BE
t SUBMITTED WIT�T�IIS APPLICATION.
Property Dimensions: �� f �� a-��'n'J � WRITE DIRECTION5 (fro Mocksville) TO PROPERTY:
Tax Office PIN: # ���d - � - ���/ ; � � - ,
Property Address: Road Name �Cl�Gts1-LC�J'L �`i�. ���- C��-� C%�R�t���� T
City/Zip � %Q��D ; ��
If in Subdivision provide information, as follows: � �Q �
�
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
. ��r7t�Ts'.�f�
. /
�• � _
_ to conduct all testing procedures as necessary to determine the site suitability.
.�� ��
Revised DCHD (06-96)
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• DAVIE COUNTY HEALTH DEPARTMENT
` , Environmental Health Section SECTION i.oT
, SoiUSite Evaluation
APPLICANT'S NAME ,l`1�',D�� DATE EVALUATED��/'-�.i����_
PROPOSED FACILITY y,�,� PROPERTY SIZE � f� e�
SUBDIVISION ROAD NAME C~�r'X1�� , �/' �
Water Supply:
Evaluation By:
FACTORS
Landscape position
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
On-Site Well r� Community
Auger Boring � Pit
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: ��
LONG-TERM ACCEPTANCE RATE: �
REMARKS:
DCHD (01-90)
Public
Cut
4 5 6 7
a
EVALUATION BY: � i'L� ,� �
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
Moist
VFR - Very friable
Wet
NS - Non sticky
NP - Non plastic
FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
SS - Slightly sticky S- Sticky VS - Very Sticky
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
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