208 Edward Beck RdDavie County, NC Tax Parcel Report I WN Friday, September 30, 201E
9 PIS All data is provided as is without warranty or guarantee of any kind either expressed or 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 the
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Number:
E30000001302
Township:
Clarksville
NCPIN Number::'
5811785097
Municipality:
Account Number:
47962250
Census Tract:
37059-801
Listed Owner 1:
MAURER TERRI D
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
208 EDWARD BECK ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
6.604 AC EDWARD BECK RD
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
6.10
Elementary School Zone: WILLIAM R DAVIE
Deed Date:
6/1992
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
001640182
Soil Types:
MnC2,MnB2,MdD
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
133970.00
Outbuilding 8r Extra
21480.00
Freatures Value:
Land Value:
56960.00
Total Market Value:
212410.00
Total Assessed Value:
212410.00
9 PIS All data is provided as is without warranty or guarantee of any kind either expressed or 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 the
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or inability to use the GIS data provided by this website.
R'd
Davie County Health Department
APs I� Environmental Health Section
'ti F P.O. Box 848
210 Hospital Street
O U'� Courier # : 09-40-06
Mocksville, NC 27028
Phone: (336) - 753 - 6780 ON-SITE WASTEWATER CERTIFICATION Fax: (336) - 753-1680
(Check One) Replacement Remodeling Reconnection
Name: -90 v ]�({ t' % A) f 7P 4 L S Phone Number (Home)
Mailing Address: �. 0 . So X 2 -4-1-7 `7 g Y - L/- 7 '- 01 (Work)
W i �J S % O41 S' L45 /t-7 A/ e- Email Address: 59 4'_ ro 0 t c � /.7 -r -t, A)& o
t 2 7// 4�
Detailed Directions To Site:/M/ A/ / J J-�` " `� /CGS/. 045s 1Jl.,GG / dk' (%k. &V M
Address:
Please Filln e o e/ STING Facility:
Name System Installed Under: A re. Type Of Facility: 4101 -
Date System Installed (Month/Date/Year):yu 0 3 Number Of Bedrooms: '3 Number Of People:
Is The Facility Currently Vacant? Yesf /N0 If Yes, For How Long?
Any Known Problems? Yes No If Yves, Explain:
Please Fill In The Following Information About The.NEW Facility:
Type Of Facility: POO/ Number Of Bedrooms: Number of People
Pool Size: Z' Garage Size: Other:
i
Requested By: 3< Date Requested:
For Environmental Health Office Use Only
Approved Disapproved
ents:
I,
Environmental Health Specialist t I I, 0 t Date: (2 //Y/ ZQ
*The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a guarantee
(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payment: Cash (,Check Money Order #
Paid By: _j - V49 %Me, 6
Account #:�
_Amount:$ It)() .0 U Date: &-141-11
Received By: �/='•Aj/ )!��
Invoice #: % / /
AU�hH TION NO: DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section . PRQPERTY INFORMATION
Permitte,'s P.O. Box 848 d y—" Cl S
Name: Mocksville, NC 27028 Subdivision -Name:
f Phone # 336-751-8760
Directions to property: z / Section: Lot:.
AUTHORIZATION FOR
WASTEWATER
Tax O
SYSTEM CONSTRUCTION Office PIN:# - -
Road Name: , 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)
` r # ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
-DAVIE LUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PRgPERTY INFORMATION
Name '' Subdivisio4ame:
Y
'bisections to property:'" u> ` Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#*Ile
Road Name: `
**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 SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMSti ? # BATHS –f — # OCCUPANTS "C GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY C DESIGN WASTEWATER FLOW (GPD) � NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZ GAL. PUMP TANK GAL. TRENCH WIDT ROCK DEPTH %' LINEAR Fr. b
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
"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.
OPERATION PERMIT
SYSTEM INSTALLED BY: teeo
r
00
AUTHORIZATION NO. OPERATION PERMIT BY: / DATE:
-7-
"THE
"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)
APPUCATION FOO SITE EVAUTATION/IMPROVEMENT Pmmiy & AJ M
.;,� Davie County Health Department R 0 v R
Environmental Health Section
P.O. Box 848/210 Hospital street2 8 Bhp
Mockaville, NC 27028 0%
(336)751-8760
ENVIRONMENTAL HEALTH
IE
***IMPORTANT*** THIS APPLICATION CANNOT IM PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed !`� If,�`}"�y-rer Contact Person 1 llu km ogL1 D tk l I
Nailing Address 10D 1 e fl [ a rr' lis ka Home Phone —5-3 (o - �7 Z - 7 73 g
City/State/ZIP ar I 1 cL ► I 1-1 (QS �(p Business Phone
i
Name on Permit/ATC if Different than Above
Nailing Address
3. Application For: Vs"ite Evaluation
City/State/Zip
wiy/u'provement Permit/ATC
UlAoth
4 • System to Service: Gi'House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
a. If Residence: # People_ # Bedrooms � # Bathrooms]
9Dishxasher 0 Garbage Disposal [B'iiashing machine 918asement/Plumbing 0 Basement/No Plumbing
S. If Business/Industry/Other: Specify type # People # Sinks
# Commodes # Showers # Urinals # Nater Coolers
IF FOODSERVICE: # Seats Estimated slater Usage (gallons
per day)
7. Type of water supply: t3-County/City ❑ well
❑ Community
e . Do you anticipate additions or expansions of the facility this system is intended to serve! ❑ Yes WNo
If yes, what type'
'IMPORTANT " CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: 6. � a C VQ 5 WRITE DIRECTIONS (from Mocksville) to PROPERTY:
Tax Office PIN: # I I - 8- 509`7/, ,000414 01 lel 46 1-,'bor. 4 ck , ,fid
Property Address: Road Name I d wa rd beck P -c1 I 'IZ rm [e 5 1p EdGuQrd Bede ,d
city/zip �' jV o eks v -1 I o . a70RV Y _ 3/, a 56 dor. X 13 . Pd
If in a Subdivision provide information, as follows:
Name:
Section: Block: lAt:
6'N r,9ti�, bole ,barn o -r7 pyop,r.1
PJ'J'Pr✓lg, k 04 houses i 5 slak ed .
,Fa)% .+- 0611os5 rd • is c% /'V-rsu-r-
Date Property Flagged: /12 - -201>4 dt-
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permits)
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 ani responsible for all charges incurred frons
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
to conduct all testing procedures as necessary to determine the site suitabilih-.
DATE I % Z- 87—/ cSIGNATURE
�-
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.
Revised DCHD (07/98) Invoice No.
t. TI312.74 rr+� r 13
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DAVIE COUNTY HEALTH DEPARTMENT
!! Environmental Health Section SECTION LOT
y
" Soil/Site Evaluation
APPLICANT'S NAME DATEEVALUATED
u
PROPOSED FACILITY f _ PROPERTY SIZE
SUBDIVISION ROAD NAME f -Q%P
FACTORS
1 2 3 4 5 6 7
Landscape position
Z,
Water Supply:
On -Site Well
Community
Public
Evaluation By:
Auger Boring
Pit
Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
Z,
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Y, fl
Texture group4`
Consistence
f
Structure
Mineralogy,
-
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: (✓S EVALUATION BY:
LONG-TERM ACCEPTANCE RATE:
OTHER(S) PRESENT:
REMARKS:
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 'i M - Massive CR - Crumb s GR - Granular ABK - Angular blocky
SBK -Subangular,blocky PL - Platy PR - Prismatic
Mineraloev
1:1, 2:1, Mixed M
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 - Inch"es from land surface to free water or inches from land surface to soil colors with chroma 2 or less I'
Classification - S(suitable), PS(provisionally suitable) U(unsuitable)
LTAR - Long-term acceptance rate - gal/day/ft2
DCHD (01-90)