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Davie County, NC I_ _ Tax Parcel Report ... r �..\��'^ +-{ '�i'� .c��� 1 , �E . ��F11 �f .. �.�.',J J �i: Wednesdav, October 12, 2016 � �: .� ; w; �: i S'"' ( ' FL j� ' ,i � ! � � WARNING: THIS IS NOT A SURV�Y Parcel Information Parcel Number: K50000008306 Township: Jerusalem NCPIN Number: 5747611993 Municipality: Account Number: 82522301 Census Tract: 37059-807 Listed Owner 1: CARSWELL REX A Voting Precinct: JERUSALEM Mailing Address 1: 131 CHILDRENS HOME ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-12 State: NC Zoning Overlay: Zip Code: 27028-2715 Voluntary Ag. District: No Legal Description: .618 AC OFF WILL BOONE RD Fire Response District: JERUSALEM Assessed Acreage: 0.59 Elementary School Zone: CORNATZER Deed Date: 3/2004 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 005380670 Soil Types: Ce62 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra 6800.00 Freatures Value: Land Value• 9500.00 Total Market Value: 16300.00 Total Assessed Value: 16300.00 °"°°F Davie County, �oi,p�c� NC �II data Is provided as Is without warranty or guaranteu of any klnd efther expressed or implied including but not limited to the nplied warrznties of inerchantability or fitness for a particular use. All users of Davie County's GIS v+ebsito shall hold harmless the ;ounty of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all clalms or causes of action due t �r arising out of the use or inability to use the GIS data provided by thls website. . tg � �,s,, �,.- , ��r z� - �I�ROVEl�NT' PERMIT DRVIE COUNTY F�AITH DEPRRTMENT IMPROVEl�1T PEAMIT and OPERATIDN PERMIT �*FIDTE�� Thrs i�prove�ent per�it DOES NOT authorize the construction or installation of a septir tank syste� or any NasteNatei syste�. RN RUTHORIZATIDN FDR 41A5TEWRTER 5Y5TEM CDNSTRLICTIDN �ust be obtained fro� this Depart�ent prior to the construction/installation of a syste� or the issuance of a building per�it. lIn co�pliance with Article il of 6.5. Chapter 1�A, IJasteNater Syste�s, Section .1900 Sewage Treat�ent and Disposal 5yste�s) ,..�--- � � / NA� %!' �' � ,��'�,r,."'�^ �� �� PRORERTY RDDRE55 -11'Gt �.t � t � f�il . " � rI G';�+ DATE ti ;.!%'r/.�',-. LQCATION f.%�R�-�� ,;; ,rr.m,._.�.;, �.�'1/',�;� � -; ,.�' �, .,t', i �,' -... , .-Y! SUBDIVI5IDN NAME LDT NUMBER SEC./BLDCi( MJMSER RESIDENTAL SPECIFICATION: BUILDING TYPE � i BEDR�MS �� N BRTHS � N OCCUPANTS _`%� 6ARBAGE DISPOSAL: Yes/No� COMiN�RCII� SPECIFICATION: FACILITY TYPE � PEDPLE � PEDF�LE/SHIFT � 5EAT5 INDl15TRIRL NASTE: Yes/No LOT SIZE ./�,��< TYPE WpTER SU�LY �{ DESI6T1 WASTEUATER FtON (6PD) _��=�r> I�N SITE ��REPAIR SITE 5Y5TEM SPfCIFICATIDNS: TWJI( SIZE; �%�% 6AL. Pl� TRFAt 6AL. TAENCH WIDTH r— l ROCK DEPTH � LIt�AR FT. �1.'f> � OTHER REQUIRED SITE MODIFICATIOMS/tXINDITIDNS: *��THIS PERMIT IS SUBJECT TO REVOCATIOM IF SITE Pt.ANS OR THE INTENDED US� CHANGE. YDUR WA5TERWATER SYSTEM CONTRACTOA p�1ST 5EE THIS PERMIT BEFORE INSTALlIN6 THE SYSTEM. .:"e.".,,. �. `""r.,,.., �„�, �, �� „�.��...��, � '"..'°'�°'.,�",�,q � �� z.�,�nr�+ao: �+ew,a. ve�.,l.+�.+�+,a+t��«:� "�."'° �,,,,,,".�.."„��.�..«` �_ 0 IMRROVEMENT PERMIT BY •�" �`.�"o°�.✓�/ �*CONTACT A REPRE5ENTATIVE � THE DAVIE COINJTY HEALTH �EPAATl�NT FOA FIt�L INBPECTION DF THIS SYSTEM AETWEEN 8:30-9:3@ A.M. OR 1:�-1:30 P.M. UN THE DAY OF INSTALLATION. TELEPHONE # IS i704) E34-87E0. �ERATION PERMIT ,p'� � �; ��1-- \�' �� � � p /� 1� INSTALLED BY 7b ,�cr�a J /_"/�;.-% AUTHORIZATION N0. .� �� OPERATIDN PERMIT BY ��''�'��.p`��.�°"'� DATE _,,.��'�� . }+�THE IS�10E OF THIS OPERATION RERMIT SHALL INDICATE THAT THE SY5TEM DESCRIBED ABOUE HW.S BEEN INSTAU.ED IN t�M�LIANCE 41ITH AATICLE 11 OF G.S. CHAPTER 130A, SECTION .19� "SEWF�E TREATMENT AND DISPOSAL SYSTEMS°, BUT SHALL IN NO WAY 6E TAKEN AS A 6UARANTEE THAT TF� SYSTEM WILL FI�JCTI0P1 SATISFACTO�ILY FOR ANY 6IVEN PERIOD � TIME. DCHD 10/95 �` " ~ � APPLICATION FOR SITE EVALUATION/IMPROVEMENTS � � ' Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 � c� �-a�� I�1AY 2 2 I�9� 1. Application/Permit Requested By /-PiNlI �1 /'�n Il�c:� y Mailing Address �-3�l0 .I'J. /�IA�/� ST. Home Phone G�3'i ���� /'�DG✓.Si�e�1�e nl, �. � �0,2� Business Phone 99f -[�G� 7 2. Name on Permit if Different than Above 3. Application for: 4. System to Serve ❑ Business ❑ General Evaluation ❑ House ❑ Industry 5. If house, mobile home: Subdivision C�eptic Tank Installation Permit p�Mobile Home ❑ Place of Public Assembly ❑ Other No. of People � No. of Bedrooms �. No. of Bathrooms % � � Dwelling Dimensions � �2n 6. If business, industry, place of public assembly, other: Specify type No. of People Served a- No. of Sinks No. of Commodes No. of Lavatories No. of Urinals � No. of Water Coolers ❑ Unknown Section Lot # No. of Showers � Water Usage Figures 7. Type of water supply: C� Public O Private 8. Property Dimensions �� ���� Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes If yes, what type? ❑ BasemenUPlumbing ❑ BasemenUNo Plumbing [�Washing Machine ❑ Dishwasher ❑ Garbage Disposal Q'No ', / O Community '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. Directions to Property: �� ��-nA— j� � ,� i�vrvlcn�ni iv�v Tax Of f i ce PIN: #� 7�� — �i /�) qt1,? „/)J��,„,,1i_ � � PROPERTJ AbbRESS, as foliows: 5�- s.�.�-�.,� Road Name: �Q,Q/�(,(G%'l� � 1� . City: �DcKS�i�.1�F �►1. C . SU$MIT tt PLAT WZTH THIS ttPPLZCtITZON. Revisions e,f,fective October 1� 1995. 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. �.�-��,x - g� �%.�.,, `��� _ DATE SI ATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: C� 1. I OWN the property. ❑ 2. I 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 County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. � DATE DCHD (1/93) SIGNATURE '�"�"-�;`. o- `n �c: •.i ,: ': �' . �I�n 44 ;3 15. � R�� - - =..t . 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"' 2 - -- -, - _ �.� .Y-� � �-�r�:+� t�- a� ir,-�i \ �� 3._ � � �+ _. � . �ti�'�1 . _ t _ . . � ,: - - � � � DAVIE COUNTY H�.ALT%I DEPARTI+IIIENT ,• ,. +,, : : � Environmental Health Section Soil/Site Evaluation � NAME � B DATE EYALUATED �/��/�� ADDRESS PROPERTY SIZE .�.G /�e PROPOSED FACIILTY LOCATION OF SITE �![GJ//,i� ;,�.H � Water Supply: On-Site Well _ Community Evaluation By: Auger Boring � Pit FACTORS Landscape position 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 CL�SSIFICATION LONG-TERM ACCEPTANC 1 I 2 � RATE I , �/ I. � [c7 4 SITE CLASSIFICATION: EVALUATED BY: _� LANG-TERM ACCEPTANCE RATE: ' y OTHER(S) PRESENT: REMARKS: LEGEND DCHD (O1-9o� Public �� Cut 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-Silt,y -:lay loam• SIL-Sil[y 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 ficm Wet NS-Non sticky SS-Slightly sticky S-Sticky VS-Very Sticky NP-Non plastic SP-Slightly plastic P-Plas[ic VP-Very plastic Structure ,iC--S•ingle grain M-Massive CR-Crumb GR-Granular ABK-Angulur biocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralo�y 1:1, 2:1, Mixed Notes H orizon 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 wate�` 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 ■���������������������������N���������� ������� �■���■�� �� �� ■���������������������N�����������n��� ����������������������� ■��■�������� ������������/������ ■����/r ��/���� ����■�������■�� ■�������������������������������������������������������������� ■���������������\����/��������������■��� ���� ���� ������� ��� ■�����■���������������������������������������������■�����������■ ■���■���������������������U��������������■�����■����������������� ■����N����������������������������� ������ ■ ���� ������������■ ■�����■����������������\��������i���■�����■�������������������■� ■r■����■■�������������������■�����0� ������������■� ������������� ■��■�����■�����������������������N������5����������/�■��������� ■�������������������o����������� �������� ������ ■ ��������■���t� ...........................�...........�;...... =.a .... ........ ■■������������������������_ �������a��� �������i����i������������� ■����r���������■�������■�� ������������ �� ��■ ■ ��v H �������� :::::::::::::CC................._......���.._�:�'_�•:��C....��■ ................. .■..... ... � . ■ ..■... . .......................... ...................... ...... ......... ............................■...�....■.■■...■.■......■.S■..■■■■■■ ............................... ...... ......................... ����■������■�����������������������������������������NN������� ........................................ .. .. � .....�........ ...................................�....._..�. ....._.......,■� ..�............................... . ..... . ..._ ..... .��....■� .................................. ........■. . �.�..... �.. ■C'��C ..............................................�... . ........� �������n����■���������N/����������UNv N���������1��� �i�� ■����������/����������M�����■�� ����N�� ���������\I������� ■■������������������■N������■���■�M■���� �■����������������� ...............■...........................■.■. . ...�.�►....��� ■��ss�� N��v������������������������������N ■ ���■ ■ 1���� �������_�����a�����u�������u����������������� ■ �u��t����fl� ����������������������������������������� ��■����i �i�{�� ���s���u� ■����H������������������������M��a���u��� �����������/��9� ■�������������� �u��u����������� ��N� ���■� ���I/�■�i� ■�H������������ ������u������i� ���� ��� ��■��� �u11��� ��� �/�����NH�Mu������������H�����N�u�Ca�h C ��I����� ���■���������■�■�����u�������������r� �N����� ■ �� �li��� ����i��■�������v������■�������� ��� ■ ■ �� ��I����� ■����������������/�� ��������� ��� ��� �����I� ����■��■\�������� �O h■���� ■ ■������������■���u���■� ������ ��� �� � ■ ■ �������1� ������������������.■��� � � N � ■ ���i��� ������ ������ ����u u� ��� ■ ������I����� ����������N� �������� ����� ■� �� �� ��/1��■/' ■■����������� ���v����Hu/�u■� �� ■ ■ ��/1■��[/� ������������ �����������u��■��� B �� ■�Il����� �������������n����N���■ �■���� � �� ����l� ■����������vhu ������� � �� ���� � ��������W�H�������%���� � ������ ������������u� ����N�������� ���� �Il�� ������������ ��Nn� �■� �u �� ��1���'�� �������������W�����■��u ■ �Il���� ■ ��■������ �������N �v ■ y ■ � �Il����,� �����■��■����������� ����� H �� �I�����;I�� ■�������������u�N �������u�� I��■�/1■ ■������������ ■ ����� vu/l� ■�����v��v��U����v ■ //�■�Il� ������������ �n ��������� �� ■����1�� �����u� �N����O�������� I���l�� ...C.��� ��� ��� ■ �N ■ ■ ���j�� .. 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Davie County Health Depart�ent ENVIRONMENTRI HEALTH SECTIDN , , ' � � R.O. Aox 66� . � Mocksville, N.C. 27028 AUiHDRIZATION FOR WASTE4WTER SYSTEM COk5TRUCTI�I lIssued in co�pliance with Rrticle 11 of G.S. Ghapter Is�A, Wastewater Syste�s) +�*+�This Authorization For Wastewater 5yste� Construction �ust be issued by the Dav;e County Environ�ental Health Section priar to iasuance of any Building Per�its. This Fc,r�/Ruthorizatian Nu�ber should be presented to the Davie County Building Inspecti�r�s Dffice,when applying for Building Per�its.+�� �.--�., �,/ / / AU'fHDRIZATIUN I��ER MAME ,�.�t��,F`��7�'J! Aav'�'� DATE �S,✓�.:/_`� /�.� �'�? (� � P' .: NAME �N IMPROVElENT PERMIT iIf different than above) SITE LOCATIOM COMQITSlIX1NDITI�F15 ON RUTHDRIZRTION TO CONSTRIICT {�F15TEWATER 5Y5TEM �NOTICE� THIS flUTHDRIZflTIDN F W TEWATER SY5TEM CONSTRUCTIDN I5 VALID FDR fl PERIDD QF FIVE t�) YEARS. .� � ...� . �/��/�� VIR0�IENTAL TH SPECIALIST DATE _ DCHD 10/95