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208 Deerfield Dr Davie County,NC Tax Parcel Report 0(� Monday, September 26, 2016 3 234 M / -208 , f; t ti� 204~ WARNING: THIS IS NOT A SURVEY _. Parcel Information_ Parcel Number: B60000001801 Township: Farmington NCPIN Number: 5853670477 Municipality: Account Number: 27559630 Census Tract: 37059-802 Listed Owner 1: FRANK EDWARD G Voting Precinct: FARMINGTON Mailing Address 1: 208 DEERFIELD DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: 9.460 AC OFF SPILLMAN RD Fire Response District: FARMINGTON Assessed Acreage: 0.92 Elementary School Zone: PINEBROOK Deed Date: 3/2003 Middle School Zone: NORTH DAVIE Deed Book/Page: 004710004 Soil Types: AaA,GnC2,GaD,ChA Plat Book: 11 Flood Zone: Plat Page: 62 Watershed Overlay: DAVIE COUNTY Building Value: 88530.00 Outbuilding&Extra 0.00 Freatures Value: Land Value: 18250.00 Total Market Value: 106780.00 Total Assessed Value: 106780.00 161 All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to theraDavie County, implied warnties of merchantability or fltness 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. -,_ DAVIE COUNTY HEALTH DEPARTMENT 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 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 1E`t'nQ R-'�r Z QC,1,XX& Na � N PROPERTY ADDRESS off, $ Q J�>-T, 1.IQ\ R DATE j p � — TqN o tX, v, a x N ( , LOCATION SUBDIVISION NAME "'"� LOT NUMBER SEC./BLOC{ NUMBER IESIDENTAL SPECIFICATION: BUILDING TYPE u so # BEDROOMS a # BATHS # OCCUPANTS Q� GARBAGE DISPOSAL: YeGcN COMMERCIAL SPECIFICATION:'FACILITY TYPE" # PEOPLE # PEOPLE/SFIFT # SEATS INDUSTRIAL WASTE:cYgs/No LOT SIZE L\3i c3� TYPE WATER SUPPLY 'W DESIGN WASTEWATE'A FL0W UP ��s:NEW SIX REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIIE)bO0 GAL. PIMP TANK GAL. TRENCH WIDTH ROCK DEPTH ?a n LINEAR FT. r 'i 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. / C)4D BY **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FIM. INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M. OR 1:N-1:30'P M. ON THE,DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. tIR OPERATION PERMIT �' SYSTEM INSTALLED BY. it ry, ,QL. ,OL.-J 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 FUNICTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. I DCHD 10/95 { '�`..y� `r^.f :� :. .. .� ...:,i.:,_ .A .. .,. r rt. '.r ..Yr •.,.'. t� .., i-c., .. .,. t _, ,.P'"�. , t. Davie County Health Depart' w ENVIRONMENTAL HEALTH SECTION f ap, ova P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRl1CTION (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***This Authorization For Wastewater System Construction must be issued by the Davie County Environmental HealthrSection 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.*** \c�i �\�Q tJ DATE AUTHORIZATION NUMBER NAME �� cc�e(Z 26-GeR� �NQ U ' N2 00 13 NAME ON IMPROVEEMTT PERMIT (If different than above) SITE LOCATION i CDKWS/CONDITIQE ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM *H N9TICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. z6 ENVIRONMENTAL HEALTH SPECIALIST DATE DCHD 10/95 VJ db� APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER N s�' Davie County Health Department ^re m Environmental Health Section Off — 2m P. O. Box 665 Mocksville, NC 27028 i 1. Application/Permit Requested By f� -v b -P��d-�,+� Mailing Address— AO ce {g >z.L�zP�i �L Home Phone(q AP ) 9'19-594S— A, '19-594S—, . `,n . C. a-7 d QBusiness Phone 2. Name on Permit if Different than Above r 3 Application for: ❑General Evaluation erSeptic Tank Installation Permit 4. System to Serve: 0;K House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home:Subdivision Section Lot # ®'Basement/Plumbing No.of People ❑ Basement/No Plumbing No. of Bedrooms C'Washing Machine No. of Bathrooms R"Dishwasher } Dwelling Dimensions ❑ Garbage Disposal 6. If business,industry, place of public assembly, other: Specify type No. of People Served No. of Sinks 4 No. of Commodes No. of Urinals t: No. of Lavatories No. of Water Coolers r No. of Showers Water Usage Figures 7. Type of water supply: ❑ Public lid Private ❑ Community ' 3� 8. Property Dimensions 4 . L'G• Sewage Disposal Contractor k' 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes KrNo i If yes,what type? ! f 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements'Permits are subject to : revocation, if site plans or the intended use change. Effective October 1, 1989. ; PROPERTY INFORMATION REQUIRED: Directions to Property: Tax Office PIN 775 a S 3�$ '] —�l Uzk Road Namezo? p.` i E Box 77 (if availa e) R.(11L", a-A-- ow�. City n f This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. /J I DATE y SIGNATURE ! CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: V1. I 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 Coyy��n'ty Health Department o nter upon above described property located in Davie County and owned by i D. ,f A�,f'�,Hp� n. to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD(1193) f 4 • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME trne� �- �@ 1� lAl� ` ° DATE EVALUATED D - ' ADDRESS S PROPERTY SIZE PROPOSED FACIILTY OySLOCATION OF SITE �E Water Supply: On-Site Well _ Community Public Evaluation BytLL.. Auger Boring Y Pit Cut FACTORS 1 1 2 3 4 Landscape position Slope % - O' HORIZON I DEPTH Texture group C L I C L Consistence Fa F Z Structure R MineralogX :I HORIZON II DEPTH 1 2 Texture group Consistence Structure 5 C Ot 'S Q_ Mineralogy ' 1 HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS S RESTRICTIVE HORIZON SAPROLITE S S CLASSIFICATION .S S LONG-TERM ACCEPTANCE RATE . 1 SITE CLASSIFICATION: IQ'S - EVALUATED BY: LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS: 3'. _ `- 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 :lay loam, SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-Vi---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 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 watef 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 ■■■■■■.■.■.■MMMM.■■■E■.■■■■EEM.■■■■.■..■■■.■■■■■.■.■■.■■■■■■.■■..■ IMEMEMEM M M. iiiiiiiiiiiiiiiiii�iiiiiiii'iiii■■iiiiiiiiiii�M'iii�i'iiiiiiiiiiiii ...........................C■ENN■M■■■EM■M■EM■ENNONE=MMEMMEM.■N■■■ ■■■.■■■..■■■■■■■■■■■■■■■...■■■.■..■■■..■ MEN INEMMEMSENMEN ■■ ■■■..■...■E■M■■.E■■■E■■.■■■.■■■m■■■.■■■..■.■■■.....■■■NEEM■■..■■ ■■■.■/....■.■■■■.■■.■■■.■■■■MMM.M■■■■■■■■.■..MN■�■=■■■■■■M.E■..■.■■ ■■..■■■E..E■■c■■e■../■..■..■■■EE�1\.c■cEMM■N�M■M.NN/MMMM■MMM. ./■ ■■■■■■.■.■/■■■■■■.■■■►�.■■■■■■■■■ MENMM ■ •■ uMMMMMMMNMMMMMMMM om loommomom ■■E■■MEEu■■..■■■.■eee\re■.�E■eie�EM■E■M■■....■■■■. ■■.. 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