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1166 Eatons Curch Rd� Davie County, NC � -- Tax Parcel Report, fb��i�il�l`y � r 1 ; � � "� i.-�7 i .�3. 1�:1.�� l. z1u� Wednesdav. October 12. 2016 ; , ,.,..�.� , : , ;,, �� : :.. :.. . . � r t�.......... � .}. �......„.,,�..�,,,.. .. .......... .f Y.......� ,�, � ('-3 .. f f _ r .................._.._....i !` i i (� 3 � ( ; � ".' _ � : .... .��, � f 4 �^ � � 1 �.: � �_^ _._ � r� � �t�.`j ��;i:�r��...� � 3jjj � ' . �. .:3 �/ � � � .... . ., .AC��7,...�f W j ... . '.� 1 4.f V "F' ' � ` , _. 1 1�� u �1�� "v� �: �r, . , t � j� ('t Y_ �V � .. . ... � li J V ,...,� 1€1 r, 7 l - ;1. (.i :? i f _ i ^�.r _.� ._� �1n��10 r�~. � r'. , ,� � � � ��, WARNING: TIIIS IS NOT A SURV�Y _ __ _ Parcel Information Parcel Number: D300000041 Township: Clarksville NCPIN Number: 5822431305 Municipality: Account Number: 82524197 Census Tract: 37059-801 Listed Owner 1: JORDAN LANCE HARDING ETAL Voting Precinct: CLARKSVILLE Mailing Address 1: 1166 EATONS CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27028-4742 Voluntary Ag. District: Yes Legal Description: 27.998 EATONS CHURCH RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 22.72 Elementary School Zone: WILLIAM R DAVIE Deed Date: 3/2004 Middle School Zone: NORTH DAVIE Deed Book / Page: 2004E0180 Soil Types: MrC2,MrB2,MnB2,GnB2,MsD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 44760.00 Outbuilding & Extra 2870.00 Freatures Value: Land Value: 193670.00 Total Market Value: 241300.00 Total Assessed Value: 72910.00 9P°°'F Davie County, �o�,N�� NC . � ,' .. ,. i � � . .:_ . _ _ ,. �; , ... _ .: . _ , _ Ai�THORIZATION NO: Q% 6 8 DAVIE COUNTY HEALTH DEPARTMENT � � ` �' Environmental Health Section P�rmittee's � � . P.O. Box 848 . � �vX� �ac�.vv 3�,�c� PROPERTY INFORIVIATION Name: _'1`tNC s�.. b\'.� �� Mocksville, NC 27028 Subdivision Name: : io�J 1`� "�� C�� ' Phone #: 704-634-8760 Directions to property: Section: Lot: � �,,, � j 1 � � � AUTHORIZATION FOR _, _:._}'�-t`,�'` ��.� � �-E.v.ri�• WASTEWATER �. : � � `, � SYSTEM CONSTRUCTION Tax Office PIN:# ��'.... -�- ��t � Ci`��r°�� _ ��. .��>.r.,� �c.�,�..C,s. "~- f` � j �, �- Road Name �-:ca'�..rrc•�;-�r, r�� Zip: ..._ �i�.%, **NOTE** This Authorization �or Wastewater System Construction MUST BE IS$LTED by the Davie County Environmental Health Section prior to issuance of atiy Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections ' Office when applying for Building Pernuts. ' (In compliance with Ar[icle 11 of G.S. Chapter 130A; Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) �� •., � -'y ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION '�� `; � -�'_� �� `� . ��':�•y� �. � �� ^.� / IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED _. . - --. : � , . , � � ,Y � � . . , ��Q ,"_'�'-. � , ` ,� � , �,:a r:3 �) '� C�. , - DAVIE COUNTY HEALTH DEPARTMENT � � ' - � � � - ;. - �.::; `j '`�ti �' � IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORIVIATION „�erniitte'e�s � _ '`�,. S r Name: �'"Y 1't 1 '�„ , v,.w .`Y \ /! \ §_'. S.`� .,- hDirections to property: �' � 1 t J _.. �', ', ;,, `-.+ „ �.F..`� � �'�../'��..7 � , {.�- � � �" �l Y�u � ._.� _ , ,-•, ',., � . �` :.t,,. IMPROVEMENT PERMIT Subdivision Name: � Section: Lot: Tax Office PIN:# � � '' 's ~ 3'..' �� Road Name ,�* �*'' �`4 � Zip: � - **NOTE** This Improvement Pernut DOFS 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 pernut. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ;r, �...��, _�,; -'7 ***NOTICE*** THIS PERNIIT IS SUBJECT TO REVOCATION IF SITE ; � PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TEIIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENfIAL SPECIFICAI'ION: BUILDING TYPE �� ,s� # BEDROOMS ��_ # BATHS � # OCCUPANTS '' GARBAGE DISPOSAL: Yes o No COMMERCIAL SPECIFTCATION: FACILI'fl' TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE � C�c_;::t.'I'ypE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) r 1� .�i NEW SITE �'/ REPAIR SITE =� � t► I SYSTEM SPECIFICATIONS: TANK SIZE ��b GAL. PUMP TANK GAL. TRENCH WIDTH �-> ROCK DEPTH �� LINEAR FT.c� �� OTHER REQUIRED STI'E MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT �- ��.�.��, L� - � �y - �r � � m � G�� , **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 930 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. I OPERATION PERMIT � SYSTEM INSTALLED BY: E�-�tvv.- � CS� �G� r v ,� �,,� AUTHORIZATION NO �� OPERATION PERMIT BY: � - DATE: ` �� `� **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WTTH ARTICLE 11 OF G.S. CHAPTER 130A, SECI'ION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT TiIE SYSTEM WILL FUNCTION SATISFACTORII.Y FOR ANY GIVEN PERIOD OF TIME. DCHD OS/96 (Revised) APPLICATION FOR SITE EVALUATION/IMPROVEMENT �� e• �' Davie County Health Department �. � i��,� Vv�� Q�� Environmental Health Section � P.O. Box 848 � � P�C� Mocksville, NC 27028 � y (704) 634-8760 I �i�� C'�� ; � ��1AR 2 719�7 l i � aisa _ ��lP�. �; �***IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. '�� N� l. Name to be Billed � Gt n C.-2 U O'2f'� A Y� Contact Person �L7 /'l C P. �a L C� Q Yl �� Mailing Address % � 1� �D �Q�nn ��'1. I"�('� Home Phone �9/ �� 99� '�� fi %;S City/State/Zip ��.SUI iiE . N� a�oa� Business Phone 2. Name on PermidATC if Different than Above �arr�P r� S rt__�D[1-2. • �. Mailing Address City/State/Zip 3. Application For�.'�] Site Evaluation [] Improvement Permit & ATC ,� Both 4. System to Serve: [] Hous��] Mobile Home [] Business [] Industry [] Other SU. If Residence: # People # Bedrooms 2 # Bathrooms � [] Dishwasher [] Garbage Disposal [] Washing Machine [] BasementlPlumbing [] Basement/No Plumbing �C��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 suppl�] County/City [] Well [] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes ] No If yes, what type? L'LA L ULC J L L C CL.t�IV PROPERTY INFORMATION REQUIRED: *** IMPORTANT *' *�;�k�T OF THE PROPERTY MUST BE SUBMITTED WITH�I�IS APPLICATION. Property Dimensions: � ��" ��'��000�/ � W�TE DIRECTIONS (fro Mocksville) TO PROPERTY: Tax O�ce PIN: #� - �_ - / � � �d� /i� . tS� (�j �A�ol� 5 �li lpC'! . PropertyAddress: RoadName�/o�r �i:�a/2� �'�7, �C% � �h ��Ol��. 6dt/ .L/ • Alrrinn�c� c�cy�z�p m��,�s l�, "/l.e . IV r� �a :� �' � CoI� �.. 1 �ai.� ��, ,��Tr.��h� �-e, S1�ri��z� If in Subdivision provide information, as follows: � Name: � � � Section: Lot #: ; This is to certify that the mformation 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 D� ZJ ��Qk to conduct all testing procedures as necessary to determine the site suitability. DATE � � " � SIGNATURE ��1 �_Q,�1��,�c. Revised DCHD (06-96) THZS tlREft 1�1t1� 13E USEb �OR b1�tWING JOUn SZTE PLfIN: ��► v �°7°-�. g� � v� �' ', s' , DAVIE COUNTY HEALTH DEPARTMENT �" �- Environmental Health Section SECTION LOT SoiUSite Evaluation �_ /� APPLICANT'S NAME � � �� DATE EVALUATED 't . � � % PROPOSED FACILITY �-�� o� R PROPERTY SIZE s,�. � o-�' SUBDIVISION ROAD NAME c� � �� Water Supply: On-Site Well � Community Evaluation By: C�L, Auger Boring ✓ Pit FACTORS Slope % HORIZON I DEPTH Texture group Consistence Structure HORIZON II DEPTH Texture group Consistence Structure HORIZON III DEPTH Texture group Consistence Structure HORIZON IV DEPTH Texture group Consistence 1 2 S _ �� fs- �: �" U � L 1=Z F � C� C � ,� , , � � �� C �C `c X. Public Cut 3 4 5 6 7 � SOIL WETNESS S 5 � RESTRICTIVE HORIZON — ^ SAPROLITE --� — CLASSIFICATION •S . 'Q � LONG-TERM ACCEPTANCE RATE ti �1 L SITE CLASSIFICATION: � • � EVALUATION BY: ��ti.�-�`so ��` LONG-TERM ACCEPTANCE RATE: '`� OTHER(S) PRESENT: �N °`'� R REMARKS: Z�-`� ��"'J\ � '� `��+-�`�' ' � � 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 DCHD (01-90) Moist VFR - Very friable Wet NS - Non sticky NP - Non plastic FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm SS - Slightly sticky S- Sticky VS - Very Sticky 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 Mineralo�v 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 ■��! ■C�i► �� ■\�u\ ■�� ■��■ ■■■ ■■■ ■�■ ii�i ■�■ ■■■�■��■■■■■■�■■t��■�■■�■■��■��■��■�■■■■■■■■■ ■��■�■��■��■��n!�■■■��■�■�■�■■��■ ■�■�■�■��■■��■i�■�■■■■■��I��■■■��■■�■��\■ ■■■■■■■��■■��1��[:�i\�i�1l� P.■■■l�■■��■��■�■��■��■ ■��■■■■�■■��■11�■\�ii\`\ii1�r��11��■■�■�■■■■■■■�■�■ ■��■�■■■■■��11■��■��■��1■l\■�■■�■��■�■�■■��■ ■■■■■■■■■■■��L':��C��r�l■��iiii.�7■C��■�■�■■■■�■■■■�■ ■��■��■��■■■■�■�Ci!\■■■■��■■■\�\��■�■�■�■■��■ ■■■■■■■■■■��li■■■\\■■■■■�\■■�\'\�■�■��■��■ ■■��■�■��■■■■■■■■■■■■■��►\��i�■ 1�■��\'�■■�■■■■�■■■ ■��■■■■■■■��■��■■��■��\�\�■C�■Ei7�■��\��■��■ ■■■�■�■��■■��■��■■��■�■ ■■■��\■��17�e��\��■��■ ■��■�■��■■■�■�■■�■■■�■�■■■■�■■■��■■�!\��■■\��■■■■ ■��0■■■■■■■■■■■�■■��\►��■�i�■■■�\\�■■■ ■■�■■�■��■■�■�■■■■■■��■��■■�■■�■■■��■��\■■c�l■■■■��■■ ■��■�■��■��■■■■■■■■��■■��■■�■��■��\��Iil��r��t�■ ■��■■�■��■��■■■■■■■��■�■■��■■�■■��\�\!!�l��\\■ ■■■■■■��■■■�■�■��■■��■�■��■��■■■■■■\\�■■■�\ ■��■■■■�■■�■■��■�■■■�■��■�\��■�■��\■■�ii ■��■�■■■■■�■■■■■��■��■ ■■■■■■�■■■�■��■■■►\��■ ■■■■■■��■��■�■��■■��■■■■��■■��■■�■■��■■■■■■�\�■■ ■��■■■■■■■■■■�■��■■■�■■�■■■■■■■■■��■��■l\�■ ■�■■�■��■�■■��■��■�■■■�■■■�■��■��■■��■�\■ ■�■■��■■��■■�■■■■■��■■��■��■■��■■�■��■��■■1\■ ��iiiii�■■��■��■��■��■��\1■ � Y��■■■■■.•�.■■■■�■.■■■■■■■ ■�■■■■.■�.■.■■■�■.■■■■�■'■■■■�■■■■.■�I■■■■■■�■ .■■..■■■■■■■ ■■■■■■ 11■■ ■■ ■.■. ■,1■...■„■■■.■..,'■■.■■■■. ■ ■■■■■■■■■��■■�■■■■��■■��i��r��■��r�■ ■�■■■■�■■�■��u��■■�■■�■■■■■►i■■■�■■��■■■�■■��■ ■►�■■��■�■■■■■■■■�i■■■■■■��■�_�■��■�■■�■�r,�■ �iu�■■■�■■�■�■�■�■�..........��■��a•��■�■��■��■ ■i��■■ ■i��■ ■��■■ ■■■ ■�■ ■■■ ■�■ ■�■ ■■■ ■�■ ■�■ ■�■ ■r�■�� ■��r■ r��■��■ r�■■■ri■■ ■■�■�■■ ■�� ■■■�1■■Il ■��1��■ ■■■I�■�■ ■��I�■�1■ ■��I��1■ :��■■■■ ■��■ ■■■■■■■ ■��■�■ ■��■�■ ■■■■■■■ ■��■ ■��■�■ ■i■■