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1291 County Line RdDavie County, NC 65029 �I. Parcel Number:; G100000027 NCPIN Number: 4890923304 Account Number: 8302210 Listed Owner 1: MCLEOD COREY MICHAEL Mailing Address 1: 1291 COUNTY LINE ROAD City: HARMONY State: NC Zip Code: 28634 Legal Description: 11 18.55 AC COUNTY LINE RD Assessed Acreage: 16.93 Deed Date: 5/2013 Deed Book/Page: 009260241 Plat Book: Plat Page: Building Value: 190530.00 Outbuilding & Extra 11900.00 Freatures Value: Land Value: 52820.00 Total Market Value: 255250.00 Total Assessed Value: 255250.00 Tax Parcel Report O { w r...-, • i Z WARNING: THIS IS NOTA SURVEY ParberTnformatioi, Township: Municipality: Census Tract: Voting Precinct: Planning Jurisdiction: Zoning Class: Zoning Overlay: Voluntary Ag. District: Fire Response District: Elementary School Zone: Middle School Zone: Soil Types: Flood Zone: Watershed Overlay: Tuesday, September 27, 2016 Calahaln 37059-801 NORTH CALAHALN Davie County DAVIE COUNTY R -A No SHEFFIELD - CALAHALN WILLIAM R DAVIE NORTH DAVIE PaD,RnC,PcC2, RnD,ChA, WATER AE,X WS -111 -BW rn 101 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, NC 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 or arising out of the use or inability to use the GIS data provided by this website. 00 { h r �,.. M'f it `y-.-.,,?:'.'k r „a 4; :,_ 9s+e..,.i._. i,`"-.�r r5 i� _ �'` �K.T ::.3:. � .. yl; s .. c'S d • s,. ` .,.'"� x + lY � I i�.� �_ VT OORIZATION NO; Q 8 23 DAVIE COUNTY HEALTH DEPARTMENT 4 - ' Environmental Health Section PROPERTY INFORMATION Pemntteeis / - P.O. Box 848'g� - Name: + r Mocksville, NC 27028 Subdivision Name: - Phone #: 704-634-8760 Directions to property: 2 Section: Lot: AUTHORIZATION FOR WASTEWATER TaxOffce PIN:# SYSTEM CONSTRUCTION '� ,' ►� Road Name: 0"%t %7 / 1p: r Qa`x9 **NOTE'** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits: This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article I I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) • � /a�� ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR APERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED Y4 �Jr-'+ J a,� i,..,-» i C'�1., �,•;:, ,• , - 3 : , 3 , :; a.J}e i:e-t eci.�.,-« � r DAVIE COUNTY HEALTH DEP4 , T�1VI NT IMPROVEMENT AND OPERATION PERM TS PROPERTY INFORMATION -Pe A Name Subdivision Name: Directions to. property:. Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# - - /g d' RRoad/Name• 614 7d � I' izip. **NOTE** This Improvement Permit DOES NOT authorize the construction or installation 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) { ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE _ # BEDROOMS .S' # BATHS _� # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY tL� DESIGN WASTEWATER FLOW (GPD) NEW SITE --L REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE' /L� (-GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR Fr. �d0 3G" OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: **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. DCHD 05/96 (Revised) 1 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE 2 Davie County Health Department R h 9 W IR 1 Environmental Health Section P. O. Box 665 �t 7 Mocksville, NC 27028', By 0 i(3� I- . / o /�Ii lel d.-�Jl)LGo 1. Application/Permit Requested y Mailing Address %Zy n_ n� Ta;'`N �����t- 1-N • Home Phone ( - 45 //0 B y"' Business Phone , (034 - ZE�Q 2. Name on Permit if Different than Above tap 3. Application for: ❑ General Evaluation eptic Tank Installation Permit 4. System to Serve: Lr' House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # Basement/Plumbing No. of People Z ❑ Basement/No Plumbing No. of Bedrooms 3 21 /Washing Machine Z Dishwasher No. of Bathrooms Dwelling Dimensions I u:5 ❑ 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 ❑ Community 8. Property Dimensions j12) INC-- Sewage Disposal Contractor r) •y3 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes P -Ko 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: L, e. h t�Z Le-�� Cosa- %R\ he 1-00 oRr oecin9e, -Tlwc This is to certify that the information provided is correct to the best of my knowledge, and I understa C I am responsible for all charges incurred from this application. (7-7-9s - �, 4�� DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BED NE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 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. DATE SIGNATURE DCHD (1193) DAVIE COUNTY HEALTH DEPARTMENT :+ Environmental Health Section Soil/Site Evaluation NAME sy`S" DATE EVALUATED _.11_7>— ADDRESS PROPERTY SIZE �i1ye PROPOSED FACIILTY ��—� `lam LOCATION OF SITE Water Supply: On -Site Well _ Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landsca e. osition Sloe 7. HORIZON I I DEPTH Texture groupS Consistence Structurel Mineralogy HORIZON II DEPTH h y Texture groupL' — Consistence Structure Mineralogy 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 SITE CLASSIFICATION: _ / EVALUATED BY: ,5411 LONG-TERM ACCEPTANCE RATE: `7 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 ;lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- Vcry 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 I i Structure 1 SC --Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky i. SBK-Subangular blocky PL -Platy PR -Prismatic Mineralogy 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches P 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(01-901 mom ■■Hm.NN■■■■E■■■■■�r►��a�■■s■oo■■■■■■■■■■■■■■■.■ns...■.■■..■..■..■....■..■...■■■■.■■■ •••••••••• ••II••••••pp•��•C�•CCCCCCCC:CCCCCCCCCCCCCCCCCCCCCCC'CCCCCCCCCCCCCCCCCCCCCCCCCC :NOMONECCE C�ENNNO N.C.m...■......... ........... ■..0■■■.o....■■■.....■.■.....■ ......................Nm■..m■n.so■o■■■■ ■■■■..■■■■.C■o...o.■■■■................■■■ ■ ME so■■ ■■■■■l■ ■■ ■■ ■■■■■ ■■ ■■ ■lImmMmMRM■■■■"'■■■■■■■■..CCommommoC 'CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC:CC ■ommo■■s■ ......��.....■■■■ .■ ■.......■■..C.ss.■............................... 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ON n ■■.■■■■.EN ■HH ■.■■■■■.■� Dade Coz( ly NealK Department and .dome NealtF ffyency 210 HOSPITAL STREET/ P.O. BOX'665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634-5985 July 18, 1995 David L. Harris 124 Pennington Dowell Ln. Mocksville, NC 27028 Re: Site Evaluation County Line Road/18.43 Acres Dear Mr. Harris: As requested, a representative from this office visited the aforementioned site on July 17, 1995. Based upon the information provided on the application for site evaluation and after the evaluation was completed, the site was found t'o be provisionally suitable for the installation of an on—site sewage disposal system. If you have any questions, please feel free to contact this office. I Sincerely, Robert B. Hall, Jr., R. S. Environmental Health Section i RH/wd Enclosure (s)