226 Crabtree RdDavie County, NC Tax Parcel Report Wednesday, October 12, 2016
WARNING: TI-IIS IS NOT A SURV�Y
_
� Parcel Information
Parcel Number: D300000024 Township:
NCPIN Number: 5812902546 Municipality:
Account Number: 82520782 Census Tract:
Listed Owner 1: CRANFILL DWIGHT E Voting Precinct:
Mailing Address 1: 226 CRABTREE ROAD Planning Jurisdiction:
City: MOCKSVILLE Zoning Class:
State: NC Zoning Overlay:
Zip Code: 27028-4731 Voluntary Ag. District:
Legal Description: 3.20 AC CRABTREE ROAD Fire Response District:
Assessed Acreage: 3.04 Elementary School Zone:
Deed Date: 4/2003 Middle School Zone:
Deed Book / Page: 004790707 Soil Types:
Plat Book: Flood Zone:
Plat Page: Watershed Overlay:
Building Value:
Land Value:
Total Assessed Value:
9�°�'F Davie County,
�o�,N�i NC
57140.00 Outbuilding & Extra
Freatures Value:
26870.00 Total Market Value:
89150.00
Clarksville
37059-801
CLARKSVILLE
Davie County
DAVIE COUNTY R-20
WILLIAM R. DAVIE
WILLIAM R DAVIE
NORTH DAVIE
MnC2,Mn62
DAVIE COUNTY
5140.00
89150.00
No
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AUTxO�iz.�'rioN 1vo: ��''� � DAVIE COUNTY HEALTH DEPARTMENT
�` Environmental Health Section PROPERTY INFORMATION
Permittee��,�,r �,,.,f P.O. Box 848
Name: ��/��"'!'�!�'S ��Gt,l�rkr' C./ Mocksville, NC 27028 Subdivision Name:
,/'J f ��,�,, �,/ Phone #: 704-634-8760
Directions to property: C r`" i �J3 `✓? ''�` Section: Lo[:
,.....-- AUTHORIZATION FOR �`�` G� /
�` f,7 �.� ��' WASTEWATER Tax Office PIN:# ^� 6��- r 4 -��` �'- G^
f � SYSTEM CONSTRUCTION
Road Name: C...l''C.l t,;�E.'. `�.' ZiP ���U*�i �
**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
O�ce when applying for Building Pernuts.
(In c� pliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�,�✓' • /`�' �-�-''' � F ' ,J � � �. ` ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
/` �,+,r�.v�f '<�.:�''i��'�'���� !'.� ��` `"� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
��„ �i ` � , , ' ��� !� f/
� L � << � w r,.� •'` � `'�' �_' �'� DAVIE COUNTY HEALTH DEPARTMENT
'' ::.:..�':�4 ��,,�,: TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
r= �
Permittee"s �,..-;,r f f � ,.
' h, �r` ,^~ �,
Name: ' .« ,���r"�f'�: � : .{' . i,": � ., � r'� t .%
i ., . _ .�, ;J3 ' . , `'
Directions to property: � -'' ,� f �'�^ � �{ ". �'� �'j
r ^'-,""' IMPROVEMENT
�-� } f.r �:'' ,.% PERMTf
Subdivision Name:
Section: Lot:
1 � � /
Tax Office PIN:# ++''"�� ��%- '�� `-� µ S, �, �?1<
Road Name: �..Y'�'Z L�`�1'"c:.t:'.. �Zip" �=J� i'�r: 4't;;�
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
ALTTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTTON must be obtained frc�m this Depamnent 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)
r'�:
� �,..'�,�'` .° f ,r '` ; '� ***NOTICE*** THIS PERMIT LS SUBJECT TO REVOCATION IF SITE
� " �.,,.4 ,r' w�.: • , c ' '` ! :1 ^ �'•" �.*ai w '':;`r` PLANS OR TI� INTENDED USE CHANGE. YOUR WASTEWATER
` , y r''�l �
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERNIIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING 1'YPE i'/! %/ # BEDROOMS �# BATHS t�* # OCCUPANTS � GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE ____ ___ # PEOPLE ___ __ # PEOPLFJSHIFI' # SEATS INDUSTRIAL WASTE: Yes or No
��7 t �f DESIGN WASTEWATER FLOW (GPD) �7 �� ) NEW SITE �� REPAIR SITE
LOT SIZE TYPE WATER SUPPLY � �
SYSTEM SPECIFICATIONS: TANK SIZE/ �'�� GAL. PUMP TANK GAL. TRENCH WIDTH �� , ROCK DEPTH �' LINEAR FT, �-��'.��
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
r..,.—�......_
r�_,..._.__
Id'.�"...�'"°'"`".,.�.,
��..e=,�.,,,�.�,�.�.,,.�,�,-x..��..:.,�-,.�,..
.,r+
��
**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 - 130 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. OPERATION PERMIT BY: '` 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. 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 OS/96 (Revised) -'�
�f8 � r g ' ���.�z� C��-
��Q ti/% ,-�o .a�"�,��c�! M
• � ^ ��% APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMI � �� � l'I �
'(siL�-c �, ��"z"`v' Davie County Health Department
�� � • -
C���� �� Environmental Health Section JUN L'c�
,� P. O. Box 848 J.70
/ �'�/� Mocksville, NC 27028 r�
/ZvV�Li'�~ ���C�� 4aa.•t�, f..i � .�;_�
'(� � �- � ' `'
J � ��� (336)751-8760 '� �
''���V ��� ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
�� �/ ��--Cc�.d�°G ALL THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be B lled� - t► ILLf (',!/l.S ��I�1�7�►" `� Contact Person IY►C.{(�(- �
Mailing Address �� �,\ �i,�� Q ��'1 • Home Phone l�'�� — �'�� "��L�S
City/State/Zip ������ 1 l 1� ,l U� C.� �^��/�� ) Business Phone � r �� !�
2. Name on PermidATC if Different than Above
Mailing Address City/State/Zip
3. Application For: 0 Site Evaluation ❑ Improvement Permit & ATC � Both
4. System to Serve: ❑ House GY Mobile Home 0 Business ❑ Industry ❑ Other
5. If Residence: # People � # Bedrooms � # Bathrooms �
0/�ishwasher ❑ Garbage Disposal LV' Washing Machine ❑ Basement/Plumbing 0 Basement/No Plumbing
6. If Business/Other:
# Commodes
If Foodservice:
7. Type of water supply:
Specify type
# Showers _
# Seats
❑ County/City
# People # Sinks
# Urinals
Estimated Water Usage (gallons per day)
❑ Well
# Water Coolers
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?
❑ Community
❑ Yes ❑ No
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A P���'THE PROPERTY MUST BE
CiTRMiTTF.iI WiTN THiC APPi.if'ATinN_
a,C
Property Dimensions: /af �a�
Ta�c Ofiice PIN: # y$ � - � - "1�
Property Address: Road Name fX01 b �1(�1��� ��
City/Zip r' 1 � S�i l� �� ��(�
If in Subdivision provide information, as follows:
Name:
Section:
Lot #:
WRITE DIRECTIONS (from
Mocksville) TO PROPERTY:
G1�
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 tha[ I am responsible for all charges incurred from this application. I, hereby, give consent to
the Authorized Representative of the Davie County Health Department
and owned by
as necessary tc
DATE �7 '" � � `�
located in Davie
Revised DCHD (06-96)
SIGNATURE � ������J � ��_��l"�►�^'ll�' ` �
iJOU Mtll�J USE THE $tICK O� THZS �ORM �OR bRtIWING l�fOUlz SITE PLftN.
all testing
F .
r �
, - ; . •- DAVIE COUNTY HEALTH DEPARTMENT
, , • Environmental Health Section
" . Soil/Site Evaluation
NAME / Cl � t.(� � �`�! DATE EVALUATED �" ✓ "/" ��
ADDRESS PROPERTY SIZE i C
PROPOSED FACIILTY ////� LOCATION OF SITE _��/CfP
Water Supply: On-Site Well �/ Community Public
Evaluation By: AugerBoring � Pit Cut
FACTORS 1 2 3 4
Landsca e osition t.'- 1
Slo e 7. 'F
HORIZON I DEPTH
Texture rou
Consistence
Structure
Mineralo
HORIZON II DEPTH �'/� "
Texture rou � G
Consistence 'r- i
Structure S %�' !�
Mineralo /.. ! ."
HORIZON III DEPTH
Texture rou
Consistence
Structure
Mineralo¢v
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CL�SSIFICATION
LOVG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION:
EVALUATED BY:
LDNG-TERM ACCEPTANCE RATE: . T OTHER(S) PRESENT:
REMARKS:
LEGEND
Landscape Position
R-Rid�e 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 c;lay loam� SIL-Silty loam CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Silty clay C-Clay
CONSISTENCE
Moist
VFR-Vo-y friable FR-Friable FI-Finn 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
Structurc
,iC-S�ingle grain M-Massive CR-Crumb GR-Granular ABK-Mgular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Mi nerala6ty
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 w etness - Inches from land surface to free wate�' 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
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