1716 Godbey RdDavie Countv, NC,
Tax Parcel Report 6 8 9� Thursday, September 29, 2016
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161 AlldataIsprovided 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 webshe 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
77
Parcel Irif77777orrnation,
Parcel Number:
110000002902
Township:
Calahaln
NCPIN Number:
5708377281
Municipality:
Account Number:
46326000
Census Tract:
37059-801
Listed Owner 1:
LOOPER KEITH GRAY
Voting Precinct:
SOUTH CALAHALN
Mailing Address 1:
1716 GODBEY ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-8251
Voluntary Ag. District:
Yes
Legal Description:
38.010 AC GODBEY RD
Fire Response District:
COUNTY LINE
Assessed Acreage:
37.09
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
6/1997
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
001950650
Soil Types: PaD,ApB,PcC2,CeB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
109550.00
Outbuilding 8r Extra
Freatures Value:
38950.00
Land Value:
192870.00
Total Market Value:
341370.00
Total Assessed Value:
179120.00
161 AlldataIsprovided 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 webshe 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.
'0iV 4r > r '§ SY P7'"'"t -r,.' ;a:` . t , ,h'' ' h-. {�'.' • t.' N' -t" 7 7 ';sir* , ,f;_: a-� -...' x,.:�a+../'
AUTHORIZATION NO:.0 8 8 5 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Per
ndittee's P.O. Box 848
Name:jrj l.F ' ,%Q��l��i2 Mocksville, NC 27028 Subdivision Name:
p Phone #. 704-634-8760
Directions to property: rd► .>� Section: Lot:
AUTHORIZATION FOR �.t �J
WASTEWATER Tax Office PIN:#�- / - vel
SYSTEM CONSTRUCTION
Road Name: dCL �- • Zip: 'Q70
**NOTE** This Authorization for Wastewater System Constriction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/AuthorizationNumber 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*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
sad':. �=•..�r 4-� gy.y ,y i ,4,t". i'•q d -4.,� rip .._2"r `.,,,
+'L44 t.• VC v
}, ! li'. i •ti � 7—ir 4 ih 7{ 1•;r}1 ' �•. a,•..' jt r l.. T'h p ,
} `r O F4
DAVIE COUNTY HEALTH DE NT
{ - IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Pern.- '1r
rl
Name: Subdivision Name:
Directions to property:e4112xe e Section: Lot:
I114PROVEMENT r
PERMIT Tax Office rIN:#-e.Vae -
Road Name: t "aa_ - Zip:
**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. I I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
jr f r h r 4 ***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_ # BEDROOMS _ # BATHS _ # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE-? � r TYPE WATER SUPPLY ay DESIGN WASTEWATER FLOW (GPD) ,,- NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR Fr,, ( 11'
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) 6348760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
�CID
\
AUTHORIZATION NO. OPERATION PERMIT BY: DATE: e5
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN
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 PE MIT
Davie County Health Department Q
Environmental Health Section D
P.O. Box 848 MAY L 8 1997
Mocksville, NC 27028
(704) 634-8760
+I
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed L i
Mailing Address isu </
City/State/Zip�j u v i 11 L- 14 dd-X
2. Name on Permit/ATC if Different than Above
Mailing Address
Contact Person 4Yht
Home Phone *�n 0 14- e--710
Business Phone
City/State/Zip
3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC
4. System to Serve: [l.]') louse [ ] Mobile Home [ ] Business [ ] Industry [ ] Other
[0-goth
5'. If Residence: # People_ # Bedrooms_ # Bathrooms [dishwasher [ ] Garbage Disposal
[t^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 [L4 *ell [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [,]moo
If yes, what type?
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** SOF THE PROPERTY MUST BE
SUBMITTED WITH APPLICATION.
Property Dimensions: ,��� �k _ , WRITE DIRECTIONS (fromIotcksville) TO PROPERTY:
Tax Office PIN: # 5 7 o - �_ - 7
Property Address: Road Name
01
City/Zip C ✓/
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
of the, Davie County Health Department to enter upon above described property located in Davie County and owned
by_ l ductl to tingdnpro res as nece to determine the site suitability.
DATE � —1 SIGNATU E i/ l_-1 Y \� CJL1^�A�%
Revised DCHD (06-96)
THIS AREA MAY $E USEb FOR DRAIVINC� YOUR SITE PLAN:
T DAVIE COUNTY HEALTH DEPARTMENT
r"
Environmental Health Section
Soil/Site Evaluation
SECTION LOT
APPLICANT'S NAME A,t/f / DATE EVALUATED.?—�7
PROPOSED FACILITY/�— PROPERTY SIZE
SUBDIVISION / ROAD NAME
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring ✓ Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure c -'S
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: %)�
LONG-TERM ACCEPTANCE RATE: I V
REMARKS:
DCHD (O1-90)
EVALUATION BY: 44,
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
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
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