1702 Davie Academy Rd Davie County,NC Tax Parcel Report a �f' Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: J200000028 Township: Calahaln
NCPIN Number: 5708706290 Municipality:
Account Number: 20772000 Census Tract: 37059-801
Listed Owner 1: DAYWALT GEORGE HARVEY Voting Precinct: SOUTH CALAHALN
Mailing Address 1: 1702 DAVIE ACADEMY ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-8205 Voluntary Ag.District: No
Legal Description: 5.000 AC DAVIE ACADEMY RD Fire Response District: COUNTY LINE
Assessed Acreage: 5.39 Elementary School Zone: COOLEEMEE
Deed Date: 12/1997 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 1998EO075 Soil Types: ApB,WeC,RnD,CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 630.00 Outbuilding&Extra 4500.00
Freatures Value:
Land Value: 47110.00 Total Market Value: 52240.00
Total Assessed Value: 52240.00
I,v All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
9 O11 F Davie County, 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
t IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
}*NOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater WB
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)
NAME _ PROPERTY ADDRESS DAA
/901
LOCATION
;0211- A7 U
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS .:2 # BATHS t;2— # OCCUPANTS GARBAGE DISPOSAL: Yej�5
COVARCIAL SPECIFICATION: FACILITY TYPE //ll.. # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTTRIAL WASTE: Yes/No
LOT SIZE A� TYPE WATER SUPPLY !l/l11 DESIGN WASTEWATER FLOW (GPD) _ NEW SITE [/ REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE IMP GAL. PUMP TAM( GAL. TRENCH WIDTHc�� ROCK DEPTH ��' LINEAR FT. �
i
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
am}THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
IMPROVEMENT PERMIT BY /� I/
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FILL INSPECTION OF THIS SYSTEM BETWEEN
8:30-9:30 A.M. OR 1:WI:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY
AUTHORIZATION N0. 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 10/95
Davie County Health Departtent -96
ENVIRONMENTAL HEALTH SECTION U80
--, P.O..Box 665 -�
Mocksville, N.G. 27028 �o,7,��
-' AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTIOhI
(Issued in compliance with.Article 11 of
G.S. Chapter 13OA, Wastewater Systems)
***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.***
NAME /� DATE rAUTHORIZAT �itU'9ER
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION VJWV,,°
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
I
***I+nTICE*O* THIS AUTHORIZAZRWASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (:VIA
ENVIRONMENTAL WON SPEtIALISf DATE
DCHD 10/95
., APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT&ATC q c�
Davie County Health Department
Environmental Health Section
P.O. Box 848
Mocksville,NC 27028
(704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed )a- Contact Person aeo RCre ub\/"3 is I�
Mailing Address Aq e C Home Phone p Q.Z^��9c 1,60t gqd-0 y; /
City/State/Zip d2a ✓`o-6C Business Phone /Q
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: [y]'gite Evaluation [ ]i Improvement Permit&ATC [ ]Both
4. System to Serve: [ ]House [gMobile Home [ ]Business [ ]Industry [ )Other
5. If Residence: #People_'T #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 6-f Well [ ]Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [vT&o
If yes,what type?
PROPERTY INFORMATION REQUIRED:***IMPORTANT***A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: S a i WRITE DIRECTIONS(from Mocksville)TO PROPERTY:
Tax Office PIN: qt S-2 6 Ag v 7.J�Y�� 7 �C19��2 �snLs
Property Address: Road Name �,��/p� �m/� ,r ^//� �9,�R,,/C [ pR/��3 �c I`�\nf'Tc9 ��yfA�X1J/�/�/�Y�>)tC'�
City/zip & De. gu It/ l ,�U� .,� ; / r Ode-r^Q-- �1�110y I �e� cJ /. O •ClT`/y'}a,o
If in Subdivision provide information,as follows: -L2 ,YA•
n n
Name: Q c n��t l�n/1 GnY'� �ie eh/1�rn LA3 RC /mow
Section: Lot#: , C4
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=92t
County Health Department to enter upon above described property located in Davie County and owned
by a ll conduct a ting procedures as necessary to determine the site suitability.
DATE !rP SIGNATURE
Revised DCHD(06.96)
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• ..' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation A
NAME DATE EVALUATED
ADDRESS PROPERTY SIZE �/f -/
PROPOSED FACIILTY LOCATION OF SITE 6,'!i�`L' /%L�ey
Water Supply: On-Site Well L/ _ Community Public
Evaluation By: Auger Boring // Pit Cut
FACTORS 1 2 3 4
Landscape position ,L.
Slope % `
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralo
HORIZON II DEPTH Ydt O
Texture group 0 '
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 y I
SITE CLASSIFICATION: — EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: - 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 <.Iay 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-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
Structure
.3C-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Mi neraloey
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
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