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221 Dreamscape Ln (2)Davie Countv. NC Tax Parcel Repart Wednesday, October 12, 2016 WAK1Vll�l�: lrila 1� 1VV1 A �U1tVr.Y _. , Parcel Information Parcel Number: 630000004706 Township: Clarksville NCPIN Number: 5823245931 Municipality: Account Number: 65312140 Census Tract: 37059-801 Listed Owner 1: SHIRES TRICIA RENEE Voting Precinct: CLARKSVILLE Mailing Address 1: 221 DREAMSCAPE LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: 4.00 AC OFF FOUR CORNERS LOT 4 Fire Response District: Assessed Acreage: 3.87 Elementary School Zone Deed Date: 3/1995 Middle School Zone: Deed Book I Page: 001790857 Soil Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: 119000.00 Outbuilding & Extra Freatures Value: Land Value: 27630.00 Total Market Value: Total Assessed Value: 150250.00 No COURTNEY WILLIAM R DAVIE NORTH DAVIE EnB,MdD DAVIE COUNTY 3620.00 150250.00 9 Ati ��, AII data Is provided as Is without warrenty or guaranteo of any kfnd either expressed or Implied including but not limited to the Davie County� Implied warrantie3 of inerchantability or fitness for a particular use. All users of Davie County's GIS webslte shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all clalms or causes af action due to no��N,�'; NC or arisfng out of the uso or inability to use the GIS data provided by thls website. ,. . . , , - .. . - , . . _ .,_.a,. .. _ ,. � . .- �,. � t , ,. ��0�. AUTHORIZATION;ivo: Q$ � � DAVIE COUNTY HEALTH DEPARTMENT -' �� Environmental Health Section PROPERTY INFORMATION Pe�nittee's� jy P.O. Box 848 Name: ��Cl/C/� ,f��(-�'� _� Mocksville, NC 27028 Subdivision Name: � Phone #: 704-634-8760 Directions to property; `(��;;: �f,:y ; r� �di�r� Section: Lot: �� /" ' AUTHORIZATION FOR ��r �/ /"�^i. � r , r� WASTEWATER. 6'��'.� � � st _ . �� I SYSTEM CONSTRUCTION Tax Office PIN:#..� r�'� c1- v`T � r1 Road Name: �r'"F_�:a Yl i$C.�'Gi.�:J�ip: �7 r."1J (.%�� **NOT'E** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts. 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) ;,,.��t"4��p i. ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCITON ;°�.�,,, 7�� ,��`:t�� % ti"i' '' � IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED +/ - . . � .., � , , . . , . , . . . . . . . � . .. , . - , . � - � � � � ' . . � � . _ -� �� " . . . . ' . • " "�" 'r � ` DAVIE COUNTY HEALTH DEPARTMENT _�;��.��';�� . ti� � HS ,- IMPROVEMENT AND OPERATION PERMITS PROPERTY INF�RMATION Pe�mitfee's _ �' � ` ,+ Name. :� �A.��f ('�t � ; .��/(�,�E_' � - . ,;, Directions to property: r;��'!"'�- , ,`; , . , ,�!�,l.,. � � � - � F.. � ' ��l ' r'�� 0 IMPROVEMENT PERMIT Subdivision Name: - Yl.r �U: Section: Lot: ' ��, . . -, ,, ` .�, ;t / �� t .. Tax Office PIN:#.�'� ✓J%:':� :%`� � �°�'� � � �' � ' �' Road Name: ��'`�~'� - ')'•' 1 ='t``� ��' �ip; :� 's't.`' (' f : **NOTE** This Impmvement Pernut DOFS NOT authorize the construction or installarion of a septic tank system or any wastewater system. An ALJTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building pernut. (In compliance with Aficle 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) .', ,� -, �. ***NOTICE*** THIS PERNIIT IS SUBJECT TO REVOCATION IF SITE '�; . �;' � c r:.�"r� ,_' i"' y' ;;'' PLANS OR TI� INI�NDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE T�II.S PERMIT BEFORE INSTALLING TI� SYSTEM. .:: , RESIDENTIAL SPECIFTCATTON: BUILDING TYPE �� # BEDROOMS �-"'%�� # BATHS -�- # OCCUPANTS � GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACII.ITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No < LOT SIZE �C� TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) �= �G� NEW SITE REPAIR SITE �. SYSTEM SPECIFICATIONS: TANK SIZE G�OGAL. PUMP TANK GAL. TRENCH WIDTH -� � ROCK DEPTH �� LINEAR FT. '��d � OTHER� J %� ,! REQUIRED SITE MODIFICA I IMPROVEMENT PERMIT LAYOUT ��s ��` �� ,�' `� /j a 5 C I'�' v 7 /l�n �l **CONTACT A REPRESENTATIVE OF'Tf� 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. I OPERATION PERMIT 8WN � � \`a�'� 'EM INSTALLED BY: _�� yv� ---� �� fl��—� % %Oi. � AUTHORIZATION NO.O� 1� OPERATION PERMIT BY: DATE: �� O_�� I **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAP1'ER 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 GNEN PERIOD OF TIME. DCHD OSl96 (Revised) ��v "��a� k ak APPLICATION FOR SITE EVALUATION/IMPROVEMENT ; � P \�,�`' ,� Davie County. Health Department ', � v�'� . �'p � 7 � Environmenial Health Seclion D �! -,� � �� P.O. Box 848 S � � /�j Z' I� �~` �y Mocksville, NC 27028 , f � � �,�' (704) 634-8760 �> r �*'�*IMPORTANT'�*** 1. Name to be Billed� Mailing Address �-) � � City/State/Zip 2. Name on PermidATC Di E IVE APR - 71997 I� , THIS APPLICATION CANNOT BE PROCESSED UNLES5 ALL THE REQUIRED INFORMATION IS PROVIDED. 1 Contact Person � 8'�- � � � ��, r Home Phone ��i - �D� - d`% �- 4► I_�lX_�C=+,. fV � C. c�i(75J� BusinessPhone .n Above Mailing Address City/State/Zip 3. Application For: [] Site Evalua6on [] Improvement Permit & ATC [yf Both 4. System to Serve: [] House [�Mobile Home [] Business [] Industry [] Other 5. If Residence: # People � # Bedrooms� # Bathrooms� � Dishwasher �j Garbage Disposal [�Washing Machine [� Basement/Plumbing �J 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 [�Well [] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes [✓j No If yes, what type? EZTHEIZ rl PLAZ 01Z SITE YLtIN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A��`410F THE PROPERTY MUST BE SUBMITTED WITH T TtS APPLICATION. Property Dimensions: �' O�L' 1lQ_ � WRITE DIRECTIONS (from �Iocksville) TO PRO� Tax Office PIN: # �8 2 � - 2 � - .�9 � I ! . � � I ` Property Address: Road Name � � City/Zip l.� , 270aL , O �% �O� If in Subdivision provide information, as follows: �'Ib h.� �RA�IY`N(.?.C.�.-�i.sz� XC�1�J � � j1 OG�d�. r Name: � � � � Section: Lot #: ; This is to certify that the information provided is correct to the best of my knowledge. I understand tha� any permit(s) issued hereafter aze 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 Repre entative of the Davie Cq�nty } . � by�- i�,l�J�.G..� � � �Yl �Ul DATE � -�� I rI 5IGN Revised DCHD (06-96) Department to enter upon above described property located in Davie County and owned to conc�uct all testing pro�ce�ures�s necessary to determine the site suitability. THZS ttltEA h1AJ $E USE� �OR �tttllVlNG JOUIt SZTE I'La4N: i � � . i - �� 1 a. C . RaTL�OG� �.�. a5-288 � � f � � � IRQN FouNo —_ -�_ I /� : � � � �� h M 0 ai � 0 H Z a c� u 0 � M c�..� 1 ON FOUNO � I � � PARCEL 47.C.5 U1� I.LIAM THOMAS WHITAKEii 0. 8. 170- 488 � ?aRC;.L a7.01 K�NNE-H .i. : ��NL�Y D.9 . � 7C- a40 � �\ _ ..:.. . PLAT FOR _ �. � ' �'�:, " � �' . . , .. _ _ �� . - sc�►�: I = 100 - '� � ' .- • DATE: OZ-23-1995 � , J .,•�..._ � ^ - ' 1 =� °;� e� -: -� PaRCE L 47. 07, TAx MAP 8 3 �`�o y'• ._;. OEED 800►c 17p _ 498 � 1,, . �.:� ,-� �'��,�. `� CLARKSVI LLE T(�vN$H� p pAViE G�UrvTY ti�aT . ,H DRAWN BY � ` A DAVIE COUNTY HEALTH DEPARTMENT �. � � Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME G%v�'G�%�i, DATE EVALUATED ,��J< �� PROPOSED FACILITY %%i JC`� PROPERTY SIZE �/�� SUBDIVISION ' ROAD NAME 1C/G'Ai'.snS/19�'�L Water Supply: On-Site Well �/ Community Public Evaluation By: Auger Boring �� Pit Cut_ LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) OTHER(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 SC - Single grain M- Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineraloev 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 - gaUday/ft2 ■■��■■�■ ■■�■■��■ ■■�■�■�■ ■■�■��■■ ■��■�■■■ ■■�■��■ ■■■■■■■■ ■�■��■■ ■■■■■■�■ ■��■ ■■■■■■�■ ■��■ ■■■■■■■■ ■■�■��■ ■■■■■��■ ■��■��■ ■■�■�■�■ ■■■■■■■■ ■��■��■■ ■■■■ ■��■ ■��■ ■■■■ ■■ �� ■■ ■■ ■■��■■■■■■ ■�■■■�■��■■■ ■��■■■�■■■■ ■�■��■�■■■■■ ■�■�■■�■■��■ ■�■�■■��■��■ ■��■�■■■�■■ ■�■■■��■��I'J ■■�■■�■■■■L'iG ■■�■■�■■■■■i(i ■■�■■■■■��■■ ■��■�■■■■■■ ■■■■��■�■ ■�■�■■■�■■�■ ■��■�■■■■ ■■■■��■ ■��■■��■■�■■ ■��■��H��■ ■��■�■ ■■■■■�■ ■��■��■ ■■��■ ■�■�■■■ ■�■■�■■ ■■■■■■■ ■��■ ■��■■■■ ■■�■��■ ■■■■��■ ■�■■■■■ ■�■■■■I� ��■■■■I■ ■■�■■'■ ■■■��■ ■■��■ii ■■��■■■ ■��■�■ ■��■ ■��■ ■�■■�■■ ■■■■��■ ■�■■�■■��■ ��■■■■ ■��■��■ ■��■■■�■�■ ■�■■■�■■■■ ■�■��■ ■�■■■■■■�■ ■■■■�■�■ ■■■■��■ ■��■�■■ ■��■■ ■�■■■�■■ ■■��■ ■ ■ ■