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142 Cub Creek LnDavie County, NC Tax Parcel Report Tuesday, September 27, 2016 3313�� 0388 . X br�r WARNING: THIS IS NOT A SURVEY \� arceffrifoimatioii; r �= - s Parcel Number: F600000068 \ 7417 X br�r 1:41 l data is provided as is without warranty or guarantee of any kind either expressed or implied Including but not limited to the Davie County, NCimplied 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. WARNING: THIS IS NOT A SURVEY arceffrifoimatioii; r �= - s Parcel Number: F600000068 Township: Farmington NCPIN Number: 5850485343 Municipality: Account Number: 82523677 Census Tract: 37059-803 Listed Owner 1: C MAURICE WARD Voting Precinct: SMITH GROVE Mailing Address 1: 177 CUB CREEK LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 2.750 AC HWY 158 Fire Response District: SMITH GROVE Assessed Acreage: 2.40 Elementary School Zone: PINEBROOK Deed Date: 3/2004 Middle School Zone: NORTH DAVIE Deed Book f Page: 2004E0085 Soil Types: WeC,WeB Plat Book: Flood Zone: X Plat Page: Watershed Overlay: - Building Value: 5550.00 Outbuilding 8, Extra 17320.00 Freatures Value: Land Value: 38800.00 Total Market Value: 61670.00 Total Assessed Value: 61670.00 1:41 l data is provided as is without warranty or guarantee of any kind either expressed or implied Including but not limited to the Davie County, NCimplied 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. w '+R":.."{f,`�'eiTEu,,et 5a ii(r.•hT::+'irpF- �''r} ' h! r,IL t.y .r•rit=,+tr cti 5 •:t K-�ta•w �.�" ZATION N6: 0 5 8 6 DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section PROPERTY INFORMATION Permittee's : P.O. Box 848 Name: ,0`?!1 i"il�� �il.%a.�- Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property: t'rC�.r`�r- ,/ .rSection: Lot: AUTHORIZATION FOR �CL bit t 11 WASTEWATER Tax Office PIN;# c�5'� - A' 0 p - #3 Y SYSTEM CONSTRUCTION cL :5pRoad Name.�l(t� t..re k hr�Z p; **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) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION • � ' ; :IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED •it 'rws, �,., ��, h��j�J� - "� • DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Perl}uttee,s f Name: L., rl Subdivision Name: Directions to property: f ! �, .a ` r` e Section: Lot: PERMIT . � q Tax Office PIN:#� ��0 - � Roa Namer 1'L''& zip: **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 —,=-?_— # BATHS _L # OCCUPANTS _ GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE f /k TYPE WATER SUPPLY —4&—//DESIGN DESIGN WASTEWATER FLOW (GPD) NEW SITE L./ REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE Z, 222 GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR Fr. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: 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. OPERATION PERMIT , SYSTEM INSTALLED BY: IP .a 90 P 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 0196 (Revised) APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT G (� �/7 Davie County Health Department � LE 0 - LE Environmental Health Section D P. O. Box 848NI OV 3 �ac� Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. M , Name to be Billed MA VA) 0 1 V V //Q o Contact Person / � X14 V'q/ of � , !!/ g2'q o Mailing Address 17 7 C U6 CaoEk L n/ Home Phone q! g 3 3 3y City/State/Zip M o r k _S w LL F_ A/C C A 7QA F Business Phone -/ 7 2e %O Name on Permit/ATC if Different than Above AQ Q VAI /YC- T WheM Mailing Address AL -2 0-06 C4 9EK /.W-City/state/zip M D ""1/4 Svc L L4- � Application For: d Site Evaluation 2r Improvement Permit & ATC Q( Both 4. System to Serve: 5. If Residence: ❑ Dishwasher 6. If Business/Other: # Commodes _ If Foodservice: ❑ House Mobile Home ❑ Business ❑ Industry ❑ Other # People I # Bedrooms 2— # Bathrooms / ❑ Garbage Disposal CEJ Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 7. 'Type of water supply: Specify type # Showers # Urinals # People # Sinks # Seats Estimated Water Usage (gallons per day) ❑ County/City C� Well # Water Coolers 8. Do you anticipate additions or expansions of the facility this system is intended to serve? If yes, what type? ❑ Community C3© Yes /No INFORMATION REQUIRED: *** IMPORTANT *** A PLAT. OF THE PROPERTY MUST BE ' SUBMITTED WITH THIS APPLICATION. Property Dimensions: F)Q 16� '711 241 WRITE DIRECTIONS (from Tax Office PIN: #J �% - - 1 X313 1 Mocksville) TO PROPERTY: 4111 F �_�g � � C V !3 C R 1 MK /-,y 1 6 rvl�ar's East' oill 1C. Property Address: Road Name 1 615 ye've bv1./nr s Ao City/Zip O C KTVI LLE IYC z70Z S 1 If in Subdivision provide information, as follows: j' R DN Name: 1 Section: Lot #: 1 1 . 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 i4 S �/ O y I V V !7a to conduct all testing procedures as necessary to determine the site suitability. DATE 1 I— ) �6 SIGNATURE Revised DCHD (06-96) a /—�-� ' , � rj . ;.. _-. «°yr ^•� t r - - �y' 4 '' �'� `It $. /-:. ^{x{N s"rta 1 , n - � rl 3 ;. Vii -s 78.5 a �/,y)�� .. o-°>?�e g.i¢3. ♦��.' a.•' ,. �: , CO �338Z o' �t ,. fil t6Z 1 8S1 r p: o", �� 9 O CP 14 52 ' Y� Z5 371 V f n g 9372 `f 351 _ 1 OD 4 'r�, � �" `•..� � �b �•� 2( 6i �'�� 0`� , pQ �� f�� 332 ��II_ 4 p •`.Cf% ...n •s g2 Off, ri <'j 305 � 0� DI� � Ems-", -" ��" . �y Qp . � � , �'m N Cr •- rS � 808 5. . o , 1- 7�WX4.629 Ul 569. 5 •, t,6 . £,� \�u ;4 6s : 'o�t gyp° r ,t''It +456064h5,. .,� 15 '� ..\\ , N _.� 7�- w �(P �r ''� c 0 N O� r . d•'d �'' ' 5T6 ---- --�'- �"� � •, �,c �, t � 115 �a _ � �, d k� `,�;h , 4,`« � ,7d >#•�',.. i.71 (pa 4-1 t' ,.. tv is �r �1 i .r ♦'l'`v'1. yt N ;/ d Y '. a" Y IQ 120 fJ ro 792 2. t A y n t* r „.a , y_� k ? p X W �J Ot'. 197 1`7sn �,' \�� ch i ) •j44 SK �'i, �' 4 i •A.,, vty 'Ykl '�, �` .y,FL'k �n."� --(� Vl V. � �.. � �.'�' ,� � � r��'9 t�•,� ,lir ' ,A {� t't Q � (}'1 W OD Av.�� N"' Aft 466a " 469.76 ); r r • .- DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section Soil/Site Evaluation NAME ) aaA- Ag�e DATE EVALUATED el f) ADDRESS�o ' PROPERTY SIZE Cy PROPOSED FACIILTY� LOCATION OF SITE J Gzch Cree l.'n. Water Supply: On -Site Well e/ Community Public Evaluation By: Auger Boring 6i Pit Cut FACTORS 1 2 3 4 Landscape position .L I.,— Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH " di Texture group 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: A2 4W EVALUATED BY: '&'�l LANG -TERM ACCEPTANCE RATE: i 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- V} --.-y 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 3C --Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky SBK-Subangular blocky PL -Platy PR -Prismatic Mineralogy 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 - gal/day/ft2 DCHD(01-901 ■■N■OMENOM■ ■EMEMEM■EM■ ■■E■EM■EME■ ■E■■ENN■ME■