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956 Daniel Rd141 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, 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. WARNING: THIS IS NOTA SURVEY Parcel Number: L40000004110 Township: Jerusalem NCPIN Number: 5736426998 Municipality: Account Number: 82530520 Census Tract: 37059-807 Listed Owner 1: WILLIS DENNIS M Voting Precinct: COOLEEMEE Mailing Address 1: 956 DANIEL RD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 15.015 AC OFF DANIEL RD Fire Response District: COOLEEMEE,JERUSALEM Assessed Acreage: 15.02 Elementary School Zone: COOLEEMEE Deed Date: 6/2009 Middle School Zone: SOUTH DAVIE Deed Book f Page: 007970082 Soil Types: IrB,MsC,RwA,MsB,Ud Plat Book: Flood Zone: X Plat Page: Watershed Overlay: WS -IV -P Building Value: 144300.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 57670.00 Total Market Value: 201970.00 Total Assessed Value: 201970.00 141 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, 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. r 13a. ., Ia: rj ,cr>`J rr 'fi•',:r r' i'Y .-•'.i 4�r i"1 lO%a1 '.Sig, DAVIE allM HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT **►OTE**.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) �- "- 74� S NAME PROPERTY ADDRESS /Q71I E' DATE LOCATIONv !,t �f" �(! SUBDIVISION NAME / LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE 14SIr # BEDROOMS' -,7 # BATHS �� # OCCUPANTS,_'? DISPOSAL:O/No COMMERCIALSPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUST/RI'AL WASTE: Yes/No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE L/ REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE Z&d GAL. PUMP TANK GAL. TRENCH WIDTH CTd " ROCK DEPTH A� " LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: **{THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. f � r r+- d IMPROVEMENT PERMIT BY **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M. OR 1: -1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY ewe i AUTHORIZATION NO./ OPERATION PERMIT BY Aa 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 10/95 �r,.• Davie County Health Departabit�'� ~{ «,;•'"`" ` ENVIRONMENTAL HEALTH SECTION P.O. Box 665 Mocksville, N.C. 27028 r, AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of B.S. Chapter 130A, Wastewater Systems) ***This Authorization For Wastewater System Construction oust 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.*** "] J/ MM13RIZATION NUMBER NATE /i9/'s► !,� ,�,9,r/i 1. DATE /.�� .6 N2 03111 NAME'ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION COMMENTS/CONDITI ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM f� f� APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER • .6Jv J� p Davie County Health Department .• ® Environmental Health Section P. O. Box 665 Mocksville, NC 27028 i D i 1.' Application /Per 't Requested By Mailing Address — Home Phone e�2� ; \U _ ����\� Business Phone 'i 2. Name on Permit if Different than Above 1 3.Application for: C3General Evaluation QSeptic Tank Installation Permit ' 4. System to Serve: 0 -'House / House ., ❑ Business ❑ Industry 5. If house, mobile home: Subdivision 1 No. of People No. of Bedrooms �J No. of Bathrooms �Z I a Dwelling Dimensions ❑ Mobile Home ❑ Other 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: ❑ Public Private 8. Property Dimensions Al.a(YLO-0 Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Place of Public Assembly ❑ Unknown Section Lot # ❑ Yes ❑ Basement/Plumbing ❑ Basement/No Plumbing Washing Machine C -Dishwasher 2 --Garbage Disposal ❑ Community 'NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: This is to certify that the information incurred from this application. o)\ _"2'—Q1 DATE correct to the t of PROPERTY INFORMATION REQUIRED: Tax Office PIN: # 5`)S( PROPERTY ADDRESS, as follows: Road Name,\�(��\ City: SUBMIT A_ PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. and I er land I am responsible for all charges TURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 21 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 Coun ealth Dep ment tq enter upo bo escriked property located in Davie County and owned by 1 a to conduct all testing procedures as neces to determine ite' ability for a oun bsorption sewage treatment and disposal system. DATE SIGNATURE DCHD'(1/93) I J. jLA C - •. J f AC 30.01 a8&.76 X99 ��irr" t v tt � t�j �'� •- � p� t '� •�P \25 ����' 4� :- 891 50. 18 232•�b 30 0 -0 _O x.14%'° j A (4.74 Ac)r.k O H� r *>d• cV N — 324.664 ` ��', t = m' `�r �� N 5 Ac` 12.01 A t y�� r• — c w -�' - �''�+� - N ,� ,{� s, ., � 6 I I.16 '2 , � , F - � ., >�V � . �. T�M• !�. x� -eC" k _� '* . 2 8 OJ�C'' h � �* _ '` 4 _{ h =- �• A'C ,� -- =`�4�4.-�% +r ��� as �' 'h 38 •.� j 'r' a 1 2row' = xK.: a yr '* L a 4 >< X:. x ♦ A.1.r:. W �. 4,3 �. '-•>'' T'+y _ jr' 1:' ,y'L s 10.05 . _. , 2 4c 2 g ;'� AC - 4 a- • + { 7� 2 25 a'# 0.64 *'�: `,,, �Y't c'o9�n .QS as.�`�„ Vci 5 20 y 7•� - 26 oi 34 c rD _ 1182 i00 t. £• E ^. :! ti 7 g . R. \� � 98 > 34-09 Yt,-� 2 - ��. 500 r.. 4/44 SEE IL —'4 -too '_,� ,; r ~h� •s�� 250.06 48C;-.' :" k �s �` '4 �Y.a•-t^ 4: .= b• _.= �.� Y -'}�. 2.5 rLc;7 ,tc.a _DA ,_ ` `s!- ;. Fr' �� "a`+i,°»..r SYN« '�• i (� NIE C40 4 Qo�i y� L.s � �.�1 � 4_ R"• 6:i a�•..• � -� 157 '-` p 'k�� 7 45, 1 4 t. 64 . s 195 Y O' c., ..� ,. ,�•., t�e � to 3 � �, .v 510 '� as N 2. 3 Ac 1 .ZAC. {{ `:t FA v -y„°r. •y }!' 1!D �2 `500 N 2S4`O• w 6 19 '324 h 24';��'`A. CO AG. ry .!'•5,�3�F'ii x i -- ^ _ • ,a>.'�: _ .t,. iy.afs�"' ►• %a CEJ ' .G i r- 4:j `•""d '7 a _ 6Y� �* ,. a 623 22 :" ": F x w. i ' .(g� qw 50 �2-'1-3 Ac:f.2a t 5) ?28 I. 5 A C_ �. { e p 8 34241, 2 .. ♦f " 51 .(4 ^531?i 20. cq N a y ° O •r T` a 4Ys s. T. "F t; ,� 4 52 92 ,:iz A�. c3) rs ��• 0� g. - 49 5.98 ac 'ck 1v '" ' `> 41- 53 y : 1.03 Ac . ( 2) 3 7 1. 6AC• Y - f� v =�t,545 � � ,"';•c ���, ' k' �: •410:95- "';, y 'fig ¢• '', fir+�• / �'8 ...+, ` .K - ,,F.. ','. aI 'a �• y # ,► 1.4 Ac. WgV 4P M-4 lk NORTH.' DAV I E COUNTY, N. C. REVISIONS DATE TAX MAPS MAP SCALE I"= 400 N0• i DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section Soil/Site Evaluation NAME % DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY �� L' LOCATION OF SITE Water Supply: On -Site Well / Community Public Evaluation By: Auger Boring /a/ Pit Cut FACTORS 1 2 3 4 Landscape position Sloe % HORIZON I DEPTH I' Texture group Ll L ell.L L Consistence Structure Mineralogy HORIZON II DEPTH //;7 .ZD'• e Texture groupC_ 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 f LONG-TERM ACCEPTANCE RATE C SITE CLASSIFICATION: _Zielle TO -_. 1er EVALUATED BY: LONG-TERM REMARKS: - (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 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 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 f with chroma 2 or less Classification - S(suitable), PS(provisionally'suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 \ DCHD (01-901 ■■■■■■■■■..■■■■■■■■■■■....EMM.M■MM.■.■__e..........■■■■■Ne■■■■■■■■■ ■■..■■■.■■■EOE■E■OE■.■E■r■■■EM■■■■■■MM■■■■■■■■■■■■■,•��_■■■■■■■■■■■■■ ■M■ ■ M■MNM■■EMM■M ■..■..sME.■EE■■NMO■MEM■ri■.■■aME■■■■■E.■M�.NM=�■�M=MM■E�i■■■EMO�M■ ■.■■■.......■■■■■■.■■■.l�■..It■■MEMMEM..■■ ■■ ■.■...■.■..■..■■■..■.■/■■■ir►.E■ MEMO■■■■■■■■■■■■■■■■■■■■■ONE ■■■■ ■.M.....■.M.MMM■.■■.e■■■..■■■.■....■..■e.■..... ■ �Ew�M.N■EMEOEMME ■■/eeeee.�.►.e.■.e.■/�■../..e.... .■■.■NN N■O■O■N■N■■■■■.■■■ ■■■ SOMEONE No MEMEMEMEMMMMEMMM .......•..............N..... •.................■J..MEMEMI.■....MENNEN � ■..►■■■■■��■■■��■.■MMMMM■■■EMMMe.EMMEEN■N�.•■MO■■ M■OE.■M ■MEMO■■■ MONSOON mom SOMMME ■..0�■MM■NM.OM■�;■..NM■EMM■O/�%■.■MMM.■ ■MM■■MEE�■ ■■.■■ ■ME■MO■ ■■MMM\1MM/�■■■MMNM■■MM.■■■//./I■EMM.■■ ■■ ■M ■M■■■E M■MENME ■■N■OONnommmam � rIMMMMM ON■■ ■ ■ SOME ■ENNE■ ■■M■MEMMENMOS%MME►MEM■NII■I/■MMMMEMM■■■ M■ MUMMEMEMMEEMPM ■■■.OO.■■■I..00NO■��■O■■�tMl\OMMMOM■MM.. ■NNEN■ ■MOM■E■■ ■.■EMEMM■%■■■!�■E■■■��■■■■'■11■■■■■■■EN■ on ■OEM■■■IN No MUMENO■ ■■■■EMM■EIIMNIIMNMMMMN�■MMIrE►\ HM ■ NNso EMMME No ■■■ICON/,E■<J.N.fid�iM■O�Ir'ii'MM■Eli.■M.. ■ H.■NMN��:: ■MMS■■■II■..■M[�JWn■■�/�.;E/���\�\�� ■M ■ ■■�� ���■MM�■ ■OE■NMMI�. ■MIr EEOu/ MEI. ■E■■E■MIl■ KNIMMMEAMMMIMMIMIRMOMIERIMMMOM No ON ■■O■■E ME No MMMEMNON MEMO M malmal ON 0 SOMEONE MMMMMMMMMMMM SEE OEM .. ./.%■....... �C� �m::KIREEmo:: ■■■■EMN CEO■■■■■N�iM MN■■■N■■N SOMEONE mummumMEMEMMIN MMENE EMEMEMEMAIMMEM, � H MuME■NUM Monty ■ MNE■mNO■u■m ..............................,..��.. . MEMMIMMUMME ■■OE■ON■■O OMMIM■■�■N.momM..MNM�■MMMEMEMINNOM..■■MMNEMM//.■ ..MEMIMMENEMEAMEMEM... HMESM■■ZE■MM MEMMUMEN ■/■ON■■wN NMOO■OOO.MONMI.00ONMNO ■ .SME. MMEMMEN mom MEMEMOMMM ■..■.e.■■.....e.Nee.■...■■■r�M■■■■e■■...NM.e.N.eM■...M..Me........■ ■■OONONMO.■NOON■..■■■M.■■■I/�■N■■N■ONOMOOD■.■N■NMM.ONM■■O■■■■NE■■N■ mrow=������a��������������■ :�� ����i�i��������������������ii��=� Davie County AwAk Department c. and Nome .7�ealt§ ffyency 210 HOSPITAL STREET I P.O. BOX 665, MOCKSVILLE. N.C. 27028 PHONE: (704) 634-5985 April 2E, 1996 Larry & Lisa Daniel P. O. Box 377 Cooleemee, NC 27014 Re: Site Evaluation Tax Office PIN: #5736-49-8072 Daniel Road Dear Mr. R Mrs. Daniel: As requested, a representative from.this office visited the aforementioned site on April 17, 1996. Based upon the information provided on the application for a site evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of a modified, oversized on—site sewage disposal system. If you have any questions, please feel free to contact this office. Sincerely, 0 QA " 7-1a Robert B. Hall, Jr., R. S. Environmental Health Section RH/wd Enclosures)