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415 Gordon DrDavie County, NC Tax Parcel Report 661 Thursday, September 29, 2016 t v♦ All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 9 �n� 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 webs@e. WARNING: THIS IS NOT A SURVEY Parcel =Information Parcel Number: D70000002001 Township: Farmington NCPIN Number: 5862750390 Municipality: Account Number: 82524978 Census Tract: 37059-802 Listed Owner 1: BOWLES JENNIFER LYNN Voting Precinct: SMITH GROVE Mailing Address 1: 210 BALTIMORE DOWNS ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 1.884 AC GORDON DR Fire Response District: SMITH GROVE Assessed Acreage: 1.74 Elementary School Zone: PINEBROOK Deed Date: 8/2005 Middle School Zone: NORTH DAVIE Deed Book / Page: 006190891 Soil Types: GnB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra Freatures Value: 4500.00 Land Value: 34870.00 Total Market Value: 39370.00 Total Assessed Value: 39370.00 t v♦ All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 9 �n� 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 webs@e. ;,,+:i..=�1-Y,t.i_ 9. AUTHORIZATION NO; Q 5 18 DAVIE COUNTY HEALTH DEPARTMENT ` Environmental Health Section PROPERTY INFORMATION Permittee's Fq P.O. Box 848Name: .�:ir, '914111,�- Mocksville, NC 27028 Subdivision Name:. _. �Phone #: 704-634-8760 Directionstoproperty: Section: Lot: AUTHORIZATION FOR p (fir/f� �`✓!' l%.v �� �%te t/d�� ll:7.,/-4,rj WASTEWATERSTEMCONSTRUCTION Tax Office PIN:# SY. Road Name. 40 /PFJ D fl be Zip: oq % � lc **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*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION r L IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL'HEALTH SPECIALIST ' -` DATE ISSUED . '..S 6 /k{Y:: h. .4.(L, `�,� LNK�=u:\.1 ••-�.,q. 1\ r w._.;a A C:yv'`` Ki ♦ h. ys 2- l.. .. y _I'FL Y s .. - _ DAVIE COUNTY HEALTH DEP , 1R AV ENT -r IMPROVEMENT AND OPERATIO PERMITS PROPERTY INFORMATION /D - ? • 5h Perin W8 A Subdivision Name: OK I I-b-9� Direction§ to property: `► ! �, .^ �` Section: Lot: Web a EIAPROVEMENT PERMIT Tax Office PIN:#' '� Road Name. �.,,'r` r:,t /`' Zip: ::x Vo 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/mstallation 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 Ik/tf # BEDROOMS # BATHS , # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE AC- TYPE WATER SUPPLY �® DESIGN WASTEWATER FLOW (GPD) LZ," A NEW SITE !% REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE eb GA©©L. PUMP TANK GAL. TRENCH WIDTH ��� ROCK DEPTH �,J , LINEAR FT., s'Dd 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 SYSTFM TNSTAT J.RT) RY ,/00 eiaee AUTHORIZATION NO.OPERATION PERMIT BY: � _ DATE:j "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 PERMIT & ATC \W'4W ,fin ****IMPORTANT**** Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 THIS APPLICATION CANNOT BE PRO THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed G% b�t-- % r M'. f 2e " Contact Person .5'ex -�WZ Mailing Address Home Phone !29 1r— 4?4 %- City/State/Zip L Business Phone %% J—,2220 2. Name on Permit/ATC if Different than Above SQ✓' --r' Mailing Address SA ^.e-- City/State/Zip 3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC [--rB'oth 4. System to Serve: [W House [ ] Mobile Home [ ] Business [ ] Indus [ ] Other 5. If Residence: # People --/J— Bedrooms _ # Bathrooms' - [,415ishwasher [ ] Garbage Disposal M"Washing 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 [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes - Ud No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE h SUBMITTED WITH THIS APPLICATION. Property Dimensions: �i p . WRITE DIRECTIONS (from Mocksville) TO PROPERTY: _ Tax Office PIN: # - - Lo S b'' ,/ ,/ Property Address: Road Name ro viz /9/1 � � Y�r'/ // 7�l •C City/Zip If in Subdivision provide information, as follows: Name: ; r.hl t 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 to conduct all testing DAT,2, r �'L SIGNATURE Revised DCHD (06-96) P as necessary to determine the site suitability. DAVIE COUNTY HEALTH DEPARTMENT �Environmental Health Section Soil/Site Evaluation NAME AA�/C_ ADDRESS PROPOSED FACIILTY �. Water Supply: On -Site Well Evaluation By: Auger Boring DATE EVALUATED PROPERTY SIZE LOCATION OF SITE Community Public Pit Cut FACTORS 1 2 3 4 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH --9c ."s Texture groupr �— Consistence - Structure h S` 4% Mineralogy Al l' 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: REMARKS: DCHD (01-901 EVALUATED BY: Aw OTHER(S) PRESENT: LEGEND Landscape Position R -Ridge S7 -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 ;lay loam• SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- Vc.-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 wateP 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/f12 ■■..■■....■...■...........■■.■■.........■■.■....■..■■■...■.■.■■.■ ■■..■.■..C■ ■..■.■.........■....■C■.....■..■■...■.....■.■...■■.e■ Ciiiii'■'iCiiiiiiiiiC.iiiiiC"CCCiiiiiiiC'Ciiiiiiiieiiiiiiiiiiiiiii ■..■...........n■..■..■.■ ■■■...■.■■■C...■...■...■....■■....■.■ CCCCCCCCCCCCCCCCCCniiC'CCCCCCCCCCCCCCCCCCCCCiiiiiiiiiiiiiCCCCCiiei O'NoommmmmommomNECCC�'='llCiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii CCCCCCCC:::i::C� ........... :CC::CCCCCC:CCC:::C:::CC:CCCCC::::C::CC:CCC: CCCCC:CCC=CCCCCCC'CCCCC:CCC:CC=CCCCCC:CCCCCCCC:CC:C:CCC000CCC: ■■■......COMEN ............................... .■C...i■i...■......■ ■■■....n.■■■..C■■...........■■.■ ............................... 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