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167 Dusty Hill RdDavie County, NC III 541 583 634 Tax Parcel Report Q b y Thursday, September 29, 2016 163 09 gUSjY.HILL R 164 179 t 180 161 N^ M data is provided as Is witlrout warranty or guarantee of any Idnd either expressedor Implied including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless theCounty of Davie, North Carolina, Ifs agents, consultants, contractors or employees from any and all claims or causes of aWon due to Cor arising out of the use or inability to use the GIs data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: F500000010 Township: Mocksviile NCPIN Number. 5840385784 Municipality: Account Number. 48524000 Census Tract: 37059-806 Listed Owner 1: MCCLAMROCK GLENAS M Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 179 DUSTY HILL ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-5751 Voluntary Ag. District: No Legal Description: 13.719AC DUSTY HILL RD LIFE ESTATE Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 13.72 Elementary School Zone: WILLIAM R DAVIE,PINEBROOK Deed Date: 12/1993 Middle School Zone: NORTH DAVIE Deed Book / Page: 1993EO236 Soil Types: MrB2,EnB,MsC,MsB Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 58040.00 Outbuilding & Extra Freatures Value: 440.00 Land Value: 83630.00 Total Market Value: 142110.00 Total Assessed Value: 81000.00 161 N^ M data is provided as Is witlrout warranty or guarantee of any Idnd either expressedor Implied including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless theCounty of Davie, North Carolina, Ifs agents, consultants, contractors or employees from any and all claims or causes of aWon due to Cor arising out of the use or inability to use the GIs data provided by this website. r Ts' i �''"q r { S,•. r � s ~w 6'fi ont. .t +' 1 ...r. t ".A;j A(J, *ORIZATION NO: 0584 DAME COUNTY HEALTH DEPARTMENT �' ' / bO • D 0 Environmental Health Section PROPERTY INFORMATION Permitt e's P.O. Box 848 Name! �`� �'`a� \xi Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property: Section: Lot: �`` AUTHORIZATION FOR `G�+ xS" ?s:� •: ' ?...j 5r� WASTEWATER Ta Office PIN:# 7+ V)� �y SYSTEM CONSTRUCTION Al .w" }.7�r �t `'s+i3." ~ ,1� �s ` . Road Name: t..> u ... � ��� Zip:. **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*** NOTICE THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION , ` y 1 ' 1Ip IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST' DATE ISSUED jt f� DAVIE COUNTY HEALTH DEPAIh!V NT •�, IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permit ,. Name1 e "�- �b"'� '' ' �, �`�"a Subdivision Name: r Directions to property: 'V4 `� 3' Section: Lot: t ''� - 1 °x �. • ��. • IMPROVEMENTPERMIT Tax Office PIN•# S`i- t z5r Rolad 7ame: L �VA Z i p: 152 �0-, **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 t ' » ! ~% ' 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 TYPElA SSL # BEDROOMS 5 # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes o COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZES TYPE WATER SUPPLY �� DESIGN WASTEWATER FLOW (GPD) 0 NEW SITE V REPAIR SITE 2 )� �► J SYSTEM SPECIFICATIONS: TANK SIZE SOU GAL. PUMP TANK GAL. TRENCH WIDTH 5 ROCK DEPTH —'W LINEAR FT. 3oa OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: "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 ' SYSTEM INSTALLED BY: A C 43 Z a p 7 w a ---,.DATE: ^ q AUTHORIZATION NO. v o l 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 05/96 (Revised) APPLICATION FOR SITE EVALUATIONAMPROVEMENT Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 ' & ATC NOV 1 3 1199�97'653 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED.1I�, 1 j� 1. Name to be Billed �' � u V`L' 0����� ''rodc Contact Person Mailing Address 7 �j 1AS-�n 1�'c it ad Home Phone C1 01 S - 3 S c3 City/State/Zip MUNG 91 UJ -g Business Phone 2. Name on Permit/ATC if Different than Abo``ve m ' ko" S. 13 '0-0'V"'0-0'V"Mailing Address 163 n US6 4J U Q& —City/State/Zip 3. Application For: [-T'S-ite Evaluation [ ] Improvement Permit & ATC Ate—. N C— [ ] Both 4. System to Serve: [ ] House [Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People a # Bedrooms 3 # Bathrooms -"I-- [w,15'i'shwasher [ ] Garbage Disposal [ ashing 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 f Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [1-140 If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: A4 WRITE DIRECTIONS (from Mocksville) TO Tax Office PIN: #SSV 0 - 39 - -�8' � / � � � Xty� Val -L2 Property Address: Road Names tl2L- C 1t City/Zip /10 Lk' /VC. a?0;)..0- If ;)-.0'If in Subdivision provide information, as follows: Name: Section: Lot #: ; 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 7� t /Ci1GC� / .SCO �iJ%�'� c,,,�,to cond ct all testing rocedure as nece ary to determine the site suitability. DATE-//-/-;- �'I SIGNATURE_ &�1 a Revised DCHD (06-96) �aA�J �fJ�GI�R . _ � .� 1. �� � �'�/ � �� � r .,�. � � �Q � ^ �ti��/ �'� 5 J . . �`. , / �l �� �%/ - _ � �- � j . / / ,.__. ..� _ �; . i� .. �� J / :i � � _ --- .. ` ! ; 1 . . ' . . � � � . . . . . w , �. �',. ' . � - � . . � . � .. � . � . � l�� . - . . . � . . . , . _ . . , . . . . . . . . . : , lt.oasl � . .. ' ��� . � � � � .. . 8100 . ..�SY , �� � .. � . . . � . . . . . . f� . . . � . . . . ' � . . . . � 6017 . . � � . � - ' ...�.. ' � . . . . � � . � � � � ' • � � ' O O . » $ , sa saeo � DUS'iY NILI ROAD � � DUSTY HILL ROAD "'� • . � Y I � . 1 ____�.�r--.__.___ � ; ; , ,:� z . . ; �. :y �, � . . , . . . � SNOEXED ON 58�0.06 � . . � � . �. ._ _ . Y.Yi A .� . . � ' ' � . � ' � � � . 719! . � . � � . . . .. . ' � ... .� . . j . . ' ' � . . ' . . . � . . �_� . o . . . . . � . � . . . ... _ .. M � . . . . . � . . „ . , � . . . ...__._ ¢ . . � . . . . . � . � . , � . N '.. . '. . ._ '�_'�-' . . . . . . . T�.. . ' . - . ' . , ' . �.. .� . ... .. .� ... . � .. . � � . � � . , � � � . � � � , � . �S h h DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME •�• `'`o �"�-�t ��� ��Q�- DATE EVALUATED ADDRESS S Atr.o PROPERTY SIZE os_yy PROPOSED FACIILTY b ft\o LOCATION OF SITE Water Supply: On -Site Well V _ Community Public Evaluation ByQk LAugerBoring ✓ Pit Cut FACTORS 1 2 3 4 Landscape position Sloe Z4 - HORIZON I DEPTH " Texture groupL Consistence Structure L�2. Mineralogy1'• \ \'•1 HORIZON II DEPTH ETA 2% Texture groupC Consistence Structure AF3�c Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS S SS RESTRICTIVE HORIZON -- — SAPROLITE -- CLASSIFICATION .5. •S LONG-TERM ACCEPTANCE RATE 1�{ SITE CLASSIFICATION: V '-:> LONG-TERM CCpEP ANCE RATE: REMARKS: 16� DCHD(01-901 EVALUATED BY: 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- V, ---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 3C --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 ■■.......■.■.......■//..■■■■■■■■■■■■■■■■ ■E■■■■■i■■■■.■■■ ■■MEMO■ ■■.■..■■..■■......■■/.MEMO/MEMO■ ■■■.■/.�/.�■■.■■/■/■.■■■■■■MENEM ■■■■■.■//■■.■■■■■■■■■■■■■//■■■.■■■■.■.■■■ ■. ..■■■.■■■/■■/■■/■■■ ■ ...../.....................................�........ ...........■O ................................/......... ....■... ■■.■■N■■.■■■■ ................................ ................. .............. ........................... ...................=...5=.....■■■.■■■ ■MEN■EMMEME■MEMEME■ MEMO . .••.•••••••..••••.......... ■OMMEMMENNEE■ ■..■■■■■■■.......■E...■...■■.■■E■EEM■■■■�.■■_�■�■_■■■��■■■■■.■_.■ ■.■■E■■■■■■■■■■O■■...■■................■ .ME ■ ENO ■■■■■.■. ■■ ■■...■■.......■■■■■■■■..■■■.■■■ ■■■DOM■■EOMO■.■EEEEEMEEMMMME■.O■ ■■■......N.......■■..■..■■....EEO■�O�O■■■EEMM■■ ■ MEMEMEMEN■OMMEN■ ■■•■■■■■OO••■O■■■..■■.■....■■.■■■■ ■ ■■MME■ MMMN■NM■MME ■ ENNE■ ■■.............■■...■■■.■.M....S■E�■ONO■E■■EMHEMME■�■M■MM�■■■E■ ■ ■.■■■■.■■EE.EEE000■N■O■■SEE.■■.O■■■OE.EEEE■E...E.E.E ...■./■..�.E■ ■■■■■■■■■■■■■■.■■■■■■.■■■.■■■■■/ .■■.ENN ■■.■.■/■■■■■/■/.■/ ENE ■.■/............■■■...OO■■■..■■.�MEMMEMEE�EENNE■■.■SEEMEE■OSE■ ■...■■■.■■■.......■■■NS.■...N■..■.NMS■.N..00ENONN.�■E.NE..O/..� .................E■■.■u/MEMO■■/..■■■■E...■S■.... ..■ ..■ .■■■.■� ........N■■.■■E■■............................... 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