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1109 Eatons Church RdDav MR - WARNING: THIS IS NOT A SURVEY All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Implied warranties of merchantablllty or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the Parcel Information County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to Parcel Number: D30000005502 Township: Clarksville NCPIN Number: 5822522019 Municipality: Account Number:. 18301597 Census Tract: 37059-801 Listed Owner 1: ANDERSON MARTY Voting Precinct: CLARKSVILLE Mailing Address 1: 1109 EATONS CHURCH RD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 270284742 Voluntary Ag. District: No Legal Description: 4.850 AC EATON CHURCH RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 4.85 Elementary School Zone: WILLIAM R DAVIE Deed Date: 10/2006 Middle School Zone: NORTH DAVIE Deed Book / Page: 2006EO321 Soil Types: MrC2,MrB2,MnB2 Plat Book: 11 Flood Zone: Plat Page: 146 Watershed Overlay: DAVIE COUNTY Building Value: 69200.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 40420.00 Total Market Value: 109620.00 Total Assessed Value: 109620.00 9 P Davie County, All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Implied warranties of merchantablllty 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 NCor arising out of the use or inability to use the GIS data provided by this website. .-(i4-.•Y.,x - v 4 t - A-UTHORIZ.TION NO.1667 DAVIE C,LINT"Y HEALTH EPARTMENT EALTH DEPARTMENT)(O r Environmental Health Section PROPERTY INFORMATION _Permittee's P.O. Box 848 Name: (r �•IAIQ�L�rt%j'j�. Mocksville, NC 27028 Subdivision Name: Directions to property: 1�! � J Phone # 336-751-8760 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Section: Lot: Tax Office PIN:# �/0 1 rr,�, �r Road Name: �Jd ToS f:H �ip: �Oot? **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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) • ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONtv�fb -LTH SPECIALIS DATE ISSUED LTH DEPARTMN1' LL 1667 DAVIE OUNTY HEA IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION _Permtttee's ` Name." GRA��Ct %�'. Subdivision Name: Directions to property: Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:#' Road lme: 0 f r o Zip: r 6 A **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 SPECIALI�rT , DATED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE "� ...`= INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE � # BEDROOMS # BATHS J� # OCCUPANTS GARBAGE DISPOSAL: Yes No COMMERCIAL SPECIFICATION:FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE `t/j(/–;Y>PE WATER SUPPLY IA- LL DESIGN WASTEWATER FLOW (GPD) -4 D NEW SITE ✓ REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTHROCK DEPTH �_ LINEAR FT. 7Ct OTHER ' t Yl.S`(Q e2) 1 K l � n REQUIRED SITEMODIFICATIONS/CONDITIONS: �`TQL�- C�rJ C-Uci2 , i�Llr,fl Q�F Ia�J�. kl�c F1 LSM. ISE -1-1.r IMPROVEMENT PERMIT LAYOUT it73 _ --- /UO /x3', 112- /U0, /2- / /ua , t-jbc) ►SS "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. IOPERATION PERMIT SYSTEM INSTALLED BY: t–&. l A a w...Z-- 181 AUTHORIZATION NO. Irl OPERATION PERMIT BY: DATE: tt "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 05/96 (Revised) APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMITFrSP Davie County Health DepartmentEnvironmental Health SectionP.O. Bos 848/210 Hospital Street Mocksville, NC 27028 6 (336)751-8760 ***ZMPO.RTANr*** THIS APPLICATION CANNOT BE PROCESSED UNLESS L INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed C 1A 2 z AX e -:D2 , y Le._ /A. Contact Person C �i� � pNC c Td -)v{4 Nailinq Address bD a. /_ A �)N S Ck . kc Bome Phone 33f- 99 �- 3 3 a � ,/ City/state/ZIP 1 � \ oc k"vi c .j c an () Business Phone S,�j m e 2. Name on Permit/ATC if Different than Above Mailing Address City/state/zip 3. Application For: J4 Site Evaluation improvement Permit/ATC XBoth 4. system to service: ❑ House * Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People_ # Bedrooms 3_ # Bathrooms _;_ 0 Dishwasher ❑ Garbage Disposal A Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: specify type # Commodes # showers # Urinals # People # sinks # Water Coolers IF FOODSERVICE: # Seats Estimated Hater Usage (gallons per tray) 7. Type of water supply: ❑ County/City xWell ❑ Community e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes XNo If yes, what type? ***IMF,9RTAN7'*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED 3111"y. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. 2ne ler y kaensions: 5 A c k Q s WRITE DIRECTIONS (from Mon aville) to PROPERTY: Tax Office PIN: # SB a a - .5 a - a o 3 8 �000,EP� )� i l� U I A +o E Aqb A)s C 2� Property Address: Road Name FA �o�J G4, . 2 ��� ✓r i r r2. c !1 f City/Zip � o C- k -s v% I I t 01 `) 0 a'? If in a Subdivision provide information, as follows: Name: Section: Block: Lot: Date Property Flagged: 7 % 7 ` a r This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) im-ed 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 Dave County and owned by to conduct all testing procedures as --ecessary to deter.:Jne the site suit2Wlity. 7-77T, DATE 9 -15-- 9 F SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Account No. IV6 Revised DCHD (07/98) Invoice No. 14,3 % Zai 3 LOI a, 1.46�C- 2?0 1413 47 - sa r\SN 347.62 O � o 1424.28 �- - �_ m M q TOry 41 rec 29 Ac. 3g pNjj v 6.78 Ac '` RAN 580.14 N POAD 1 579.48 I ;f Ac -AC.) (i7.8AC.) 57 79 403.92• 38; 15AAc. ' I I OD 5 8 Ac. f 1 1 156.98 544.5 I 4 v3.9 2 392.96 1.06 60 1038.84 8646 -� 101.64 co., ti\�. -t 422`L° �o (1.55) c`'D 2�6 L__ a 1461.9 13.27 Ac. ,-,,50-- 460.08 � 554.68 00 26*4 (8.4Ac) cu_ 1� 00 ?37 N 702.9 5 1 M (6.2 Ac) 16.15 Ac ° V 5'3.01 N n? X83 �e �° `, 5.4 7 A c 17,171 708.18 300 528 1503.5 \ N00 / N a LO cv 56.10■! f 16 t4 980.1 (7Ac.) 660 57Ac.) `_� f �s^4.8 c6 co 950. 4 (50 Ac 59 p P 10 s 182.68 Ac) to (23.75Ac.) I ' pAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT'S NAME &44i2_e4 PROPOSED FACILITY SUBDIVISION Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit SECTION LOT. DATE EVALUATED _ b PROPERTY SIZE Aq-V_Z�:) ROAD NAME t.N ` Q Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position (� Sloe % HORIZON I DEPTH — Texture group C (. Consistence S S Structure Mineralogy 1, HORIZON II DEPTH ( — Cr Texture group Consistence Structure - lk Mineralogy ; k HORIZON III DEPTH — L4 64 Texture group Consistence S /e. Structure Ic Mineralogy:1 HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE &A O, SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: v• OTHER(S) PRESENT: REMARKS: Y_S? C 1 Ay 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 (0I-90) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■See■■NNE■■N■N■■■■■■■■NN■■■■■NN■■NENNN■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■E■N■■■N■■E■■■■E■N■■NNE■N■■■NNN■■■■■■NNN■■■■■NN■■■■■e■■■e■ ■■■■■■N■■■e■■■■■■■■e■■■■■■■■■■■■ ■SSSS■■■■e■■■■■■■■■■■■■■Ne■N■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■NN■■■N■■■■■NNN■■■■NN■■■■■■■■■■NEN■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■Ni�l�s. ■■■■■■■■■■■N■■■■NEN■■e■N■NE■■■e■ ■■■■■■■E■NE■■N■■E■■■■ENE■■NN■a■E■■■■■■■N■■NN■NNN■■■■■■■■■■■■■■■■■■ ■■■■■■■N■■■■■■NN■■■■■e■■■■■■■■�■■■■■■■■■See■■■■■■■■■■■■■■■e■■■■■■■■ ■■■■■■■■N■■■■e■■■■•■■■e■■■■■■■►�r.���■■■e■eH■■■e■■■■■■e■■■e■■■See■■■■■ ■■■■■■■■■■■■■■■■`■■■-.:e■�:■.�.:;�.•�■�.e\�ae■■■■■■■■■■■■■■■■NNE■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■N■■■■■■►��.•:�■■■■■1■■■■■►\NE■N■■■■■■■■■SEEN ■■■N■■■■■■■■■N■■■■■NN■■■■e�.�NE■■e�n��■�.■■■■■NN■NE■i■NNE■■N■■■■NE■ ■■■■■■■■■■N■■■E■E■■■■■■■■11■■■/_��A�1,'Ri+�JV.■■■■■■■■■SES■■■\`■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■N■■■■■■■i1��I■■r:11i�i■■■SSe■■NS■■■SNSN■■iS■SNES■See■■ ���■���MONSONMEMNONMEMN■N MEMMEMMUMEMEREEMMERIMMEMMEM ■■■■■■■■■■■■■■■■E■■ENE■■■■■■■■■■■■■■■■■■■■■■■■■\`�■■■■■\I■■E■■■NNE■■ ■■■■N■■■■■■■■■■EN■■NNNE■■■■N■■■■ ■■■■■■■■Neu■■\�■ENn■e■IE■■■■NE■■■■ ■■■■■■E■■■N■■■■EN■■■NN■■■■■N■■■■■■■■■■E■■■■■nee■�EE\�■■r�NE■■■■N■■■N; ■■■■■■■■E■■E■■■■■■■■■■■■■■■E■■■■N■■■Esq►�T.e■■N■■■iN■■i■■rN■■NNEN■N■■■ ■■■E■■N■■■■■■N■■ESE■■■■NSE■■NN■■ ■■ENE■■■■NNS■■N■■■■1>tnN►.eE■■■NEE■■ ■■■N■■N■■■■■■e■■■■■■■■■■■e■■NNE■�■ ■NN■■■■■■Ni■NN■ ■■■Il■i■r�1■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■SSE■■■■NSe■■■■■■■■■■■■■NIBS■■■■■II/I■L'i■EEE■■SES■ ■■■■■ENN■■■■■■■■■■■■■■■■■■■■■■e■■■■I■■■■■SSSS■It■■■!■■■11�■[�'iN■■■■■NS■ ■■■■■■■■N■E■■N■■■■■■■■■■■■■■■■■■■NNS■■■■■■E■■■IISSE!■■NIS\E■ �'i■N■■■■■■ ■■■■■■■■■■■■■E■■■■■■■■N■■■■N■■■SSSS,\■■■■■■■■■11■■■I■■■11■1■C! : SSSS■■■ ■■■■N■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ISN■■■■N■Ne�NE■�■5171i�■■NNe■■NNE■■ ■■■N■■Ne■■■■NEN■■■■■■■■■■■■■■■e■■��N■■��::�■■■■■u►E;�■NNNN■■■N■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■N■■N1�■■111■■NN■■N■■N■■ ■■■■>.■■■N■■NNNNE■■■■■N■■■■N■■■■■■■N■■■■NEN■■■■■NNUN■11E■■NN■■N■■■■■ ■■NEN■■■NN■■■■■NEN■■■eN■N■■■■NEN,INN■■■N■■NNNN■NN�■■■llr�■■■NN■■■■N■■ ■■■■■■N■■■■■■■■■■■■■■■■■■■N■■■■■■■■■■■■■■■■■■■■Sri■■■11■u■N■■■NN■■N■ ■■■■■■NN■■■NN■■■■■■■NN■■■■N■■■N■■N■■■■■■■■■■■■■��■E■u■■NEN■■N■■■■■ ■■■■NNNN■■■■Ne■■■■■NN■■■■■■■N■■■�1■■■■■■NNS.■■■NN■■►■NNN■■■■NNNN■N■ ■N■■■■NN■■ESN■E■N■N■N■N■■NN■■■N■■■■�:=:�NNNNN■■N►.N■■■NN■■■NNNNN■ ■NEN■■■■■NN■■■■NNNNN■■■■N■■■■■■N■■■■���■■■�������_.�■■N�����■■N���■