892 Davie Academy Rd X53Davie County,NC Tax Parcel Report Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information;
Parcel Number: J30000060201 Township: Calahaln
NCPIN Number: 5717566269 Municipality:
Account Number: 63824000 Census Tract: 37059-801
Listed Owner 1: SEAFORD JEFFREY DEAN Voting Precinct: SOUTH CALAHALN
Mailing Address 1: PO BOX 998 Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028 Voluntary Ag.District: No
Legal Description: 2.69 AC DAVIE ACADEMY RD Fire Response District: COUNTY LINE
Assessed Acreage: 2.54 Elementary School Zone: COOLEEMEE
Deed Date: 7/2000 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 003390817 Soil Types: MrB2,EnB,MsC,MsD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 258080.00 Outbuilding&Extra 55550.00
Freatures Value:
Land Value: 31290.00 Total Market Value: 344920.00
Total Assessed Value: 344920.00
All data Is provided as is without warranty or guarantee of any kind either expressed or Implied including but not limited to the
1t1°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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AL�MORIZAi'ION NO: 9 5 3,' )jAVIE C LINTY HEALTH DEPARTMENT /
' ;Environmental Health Section" PROPERTY INFORMATION,
Permittee's P.O.'Box 848' >'
Name:'" '�J Y[/ x Mocksville,' NC 27028 . Subdivision Name:
Phone'# 336-751-8760
Directions to property: 1 �' �" " Section: Lot:
AUTHORIZATION FOR
� "tl WASTEWATER Tax Office PIN:# - -
r SYSTEM CONSTRUCTION
. r
Pam
Rod IQam:� A6 �Z
"NOTE".1This Authorization for Wastewater System ConstructionMUST 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 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALE)FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
-
y = �g
1'9 5 3 DAVIRC OUNTY HEALTH,DEPA�t�N�L 1T '
a
IMPROVEMENT-AND'OPERATION ERMI S PROPERTY.INFORMATION
Termrttee's
Name ca !' �`�f'Q ✓17 r Subdivision Name
Directions to property: t !}'7?' ^'Section:• Lot:;
y IMPROVEMENT
1 ,�," ;: PERMIT Tax'Office PI1N::# - -
11
RoiI�T e/ `'
**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
constniction/mstallation 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 HEALTfi SPECIALIST DA ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING.THE SYSTEM.,,,:
RESIDENTIAL SPECIFICATION:BUILDING TYPE_� #BEDROOMS ��#BATHS _#OCCUPANTS_ GARBAGE DISPOSAL:Yes or No
,.''A-COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLEISHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE t _ TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITEREPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE40_GAL. PUMP TANK ' GAL. TRENCH WIDTH—_74!�' ROCK DEPTH A LINEAR FT
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
Vi
**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 (336)751-8760. `
OPERATION PERMIT
SYSTEM INSTALLED BY:
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fl
AUTHORIZATION N0.1s OPERATION PERMIT BY: DATE:
**TEE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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 05/96(Revised)
{ - 1,9 5 3 DAVIE COUNTY HEALTH DEPAf%MENT
F ""
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Naa:tee's -T, ' 6 9 / I
Name: - � eA ' Q Y�;t
Subdivision Name:
Directions to property: Section: Lot:
.., IMPROVEMENT
PERMIT Tax Office PIN:# -
Roafl Samek e_ (3 Pig
**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 THLS PERMIT BEFORE
INSTALLING THE SYSTEM..
RESIDENTIAL SPECIFICATION:BUILDING TYPE /Y #BEDROOMS #BATHS #OCCUPANTS GARBAGE
DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLEISHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE 4 TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) �: C d NEW SITE_- REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE��Q(�[/ GAL. PUMP TANK GAL. TRENCH WIDTH •' ROCK DEPTH LINEAR FT e�
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
J
"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 (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
i
-7
AUTHORIZATION NO. OPERATION PERMITBY: DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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 05196(Revised)
COLU .1 ack "?--?'060
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME PHONE NUMBER 4-q Z- �N—
ADDRESS g Z 10w--f- t. �cQ Ynrt l�• �Fq2-Z31s'�
SUBDIVISION NAME
LOT#
DIRECTIONS TO SITE<DAy A'. CroSS (�r���C b a�C i - /�� 1'►'�- �-
u p l �-u b A,,Idt-t, LL;v d v► ttQ►.�.
DATE SYSTEM INSTALLED 15 rSY` 1 NAME SYSTEM INSTALLED UNDER
TYPE FACILITY 1 aCv-- NUMBER BEDROOMS NUMBER PEOPLE SERVED_
TYPE WATER SUPPLY_ 6-)uc-'r�, SPECIFY PROBLEM OCCURRING
DATE REQUESTED L�/��Y� INFORMATION TAKEN BY d�-
This is to certify that the information provided is correct to the best of my knowledge, d th I derstand I responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENTLL
Rev.1193 TFlOoog
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RUTH /$WON_NO: 1, DAVIE COUNTY HEALTH DEPARTMENT
` Environmental Health Section PROPERTY INFORMATION
S `
Permmttee' P.O.Box 848
Name. �f` t° h ' Mocksville,NC.27028 Subdivision Name:
4'J 1 Phone#:704=634-8760
Directions to property: Section: Lot
AUTHORIZATION FOR
WASTEWATER #PIN
Office :
SYSTEM CONSTRUCTION Tax J i -- ((� �'.,?ry'a
Road Name: /7 'Zip: cx
**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 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS IS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
4 4 DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
-Pgllt�ittee,
'Name: ^~ M�11
� Subdivision Name:
Directlo- -to property: r �" Section: Lot:
j q4 IMPROVEMENT
PERlMH Tax Office PIN:#;'E - • r,,rr "
Road Name �.- dip; r
**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
,i"1�! y - •' } x' i �' . , /j f.,� `i' 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 #OCCUPANTS GARBAGE DISPOSAL:Yes or No
13V{;;,-c
COMMERCIAL'SPECIFICATION: FACILITY TYPE #PEOPLE �"3 #PEOPLE/SHIFI•� #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZEA,04C TYPE WATER SUPPLY�j� DESIGN WASTEWATER FLOW(GPD) NEW SITE_ �"'- REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE,&,2h GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH-- LINEAR FT
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
331Z,y r SYSTEM INSTALLED BY: t–
Sax �'` Ajor
5 ,yy
.Z
AUTHORIZATION NO. / OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE T THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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 05/96(Revised)
' APPLICATION FOR SITE EVALUATIONAMPROVEMENT PE
Davie County Health Department a
Environmental Health Section
P.O.Box 848 MAY 9 10
j 1 Mocksville,NC 27028
(336)751-8760 ;yj ;HRALtiEWH
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESS D U Yi C0 411Y
pp�
ALLTHEREQUIRED INFORMATION IS PROVIDED. np'
1. Name to be Billed c�C.7' �PJaf���1 Contact Person
Mailing Address t3�/oZzui� Sea dim y � ' Home Phone
City/State/Zip A ASW LL6 ,MC 027028 Business Pho��C�G
7si a/s�
2. Name on Permit/ATC if Different than Above ;T 449a—Gadd
Sea(V
Mailing Address City/State/Zipate
� / c,
3. Application For: Cq Site Evaluation ❑ Improvement Permit&ATC 6/ Both
4. System to Serve: ❑ House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence: # People # Bedrooms # Bathrooms
❑ Dishwasher ❑ Garbage Disposal ❑ Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Other: Specify type 6At7A # People S� # Sinks
# Commodes _ # Showers # Urinals # Water Coolers
If Foodservice: # Seats Estimated Water Usage(gallons per day) 14QLr
7. Type of water supply: County/City ❑ Well ❑ Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes o
If yes,what type?
Z
OPERTY INFORMATION REQUIRED: ***IMPORTANT***A PTHE PROPERTY MUST BE
�� 0/'-'5-e
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: .3 1 WRITE DIRECTIONS(from
1 Mocksville)TO PROPERTY:
Tax Office PIN: # 57 1 f7 _ - baa
Tay-map U-34-0t71
Property Address: Road Name 09aUtsL L2if /i0�" 1
1 1A1-
city/zip
A1-city/zip 1 uctm6& Y1 eX7029 1
If in Subdivision provide information,as follows: ; back,
1
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 Qe• to conduct all testing procedures
as necessary to determine the site suitability.
DATE �- 9g SIGNATURE CA::g6� ,
Revised DCHD(06-96)
YOU MAY USE THE 13ACK OF THIS FORM FOR bRAWING YOUR SITE PLAN.
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• • ' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAMEDATE EVALUATED
PROPOSED FACILITY PROPERTY SIZE_ 0`2,`7 e-y_ .
SUBDIVISION ROAD NAME
Water Supply: On-Site Well Community Publicy"
Evaluation By: Auger Boring r/ Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position ,L
Slope% 7
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
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: Z4' ' o Y5h3✓ EVALUATION BY:
LONG-TERM ACCEPTANCE RATE: 1 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-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
SC-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(01-90) .
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