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612 Howardtown CircleDavie County. NC s Tax Parcel Report 6'%73 Thursday, September 29, 2016 WAK LNG: THIS IS NW' A JUKVLt' Y Parcel Information Parcel Number: F60000010603 Township: Farmington NCPIN Number: -5860099854_ Municipality: Account Number: 6497800 Census Tract: 37059-803 Listed Owner 1: BENSON RONALD PATRICK Voting Precinct: SMITH GROVE Mailing Address 1: 612 HOWARDTOWN CIRCLE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 9.56 AC HOWARDTOWN Cl LOT 4 ALLEN Fire Response District: SMITH GROVE Assessed Acreage: 9.34 Elementary School Zone: PINEBROOK Deed Date: 6/1994 Middle School Zone: NORTH DAVIE Deed Book / Page: 001740878 Soil Types: EnB,MsC,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 72640.00 Outbuilding & Extra Freatures Value: 0.00 Land Value: 90390.00 Total Market Value: 163030.00 Total Assessed Value: 163030.00 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 rp L7N �a NC or arising out of the use or Inability to use the GIS data provided by this webstle. a�-w ♦'.iiEI-- � AA Y3°.i :'y .♦ w .,. ti b 3 DAVIE COUNTY HEALTH DEPARTMENT' IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT **NOTE** This improvement per' it 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 138A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) NAME l v`1r1 1 f� i/'% PROPERTY ADDRESS 1- ,A Ja V -d- VJ1'%. �..•1 v''• " D TTEE� ��f>iY LOCATION'S/lG�r»rn'lt/�� SUBDIVISION NAME x s :- LOT NUMBER SEC./BLOC( NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE ,AJ # BEDROOMS # BATHS # OCCUPANTS 3 GARBAGE DISPOSAL: Yes/No COMMERCIAL SPECIIFFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SITE ? 3G TYPE WATER SUPPLY lex,011 DESIGN WASTEWATER FLOW (GPD) , NEW SITE j, REPAIR SITE SYSTEM SPECIFICATIONS: TAPE( SIZE 14Y)6 GAL. PUMP TANK GAL. TRENCH WIDTH ^Fe- ROCK DEPTH /�' �LINEAR FT. �✓,.l OTHER at- rpt,( REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. 1455�T PERMIT BYkA - **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 )lOwh�i/')Oscr�- r AUTHORIZATION NO. O —/Ib� SYSTEM INSTALLED BY z - ITE **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 10/95 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By 'U V _ v ° " ,5 O fJ Mailing Address `-LW4 M M WPW G Home Phone Ynoo 5 l� �-Lr°, J 0, 1) (/ � Business Phone 'k7d 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation )0 Septic Tank Installation Permit 4. System to Serve: ❑ House Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown _ �5. If house, mobile home: Subdivision Section Lot # I� I� ❑ Basement/Plumbing M (� No. of People No. of Bedrooms No. of Bathrooms R.. Dwelling Dimensions \V,� N If business, industry, place of public assembly, other: �NNo. of People Served No. of Commodes IV) No. of Lavatories No. of Showers Specify type No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: ❑/ Public X Private 8. Property Dimensions 9 /!A aeaeo Sewage Disposal Contractor ❑ Basement/No Plumbing A Washing Machine ❑ Dishwasher ❑ Garbage Disposal 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes j& No If yes, what type? ❑ Community *NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: I r/Or7 rn06/<5v,LL-e: PoLdij f.,g .sr 0 N #70,,,J�J . 14 Ir0 T e 1°asi, This is to certify that the information provided is correct to the best incurred from t is a plication. DATE INFORMATION / Tax Office PIN: #' ADDRESS, as follows: Road Name: HOL-0, 4,0 )-Dw''y CJ City: K,5 L4 SUBMIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. �ny k/now edge, and I understand I am responsible for all charges SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: A 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: 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 said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (1193) '. Ri { rtV . j � �,f ^1 J�.i !� T�/•�' .J i !A Yry,�f, � ��"•--nat,,[ !,�,'' Y��.";:� + J r� aft !, tP, f •f rJF:.,� N_. ,o': r f. � ,�, _ � y�r f~•r r ?\ ki s,J�'�ycy''�'�,Jy'" ti �k � a� r:R4'�� Drr�r��" � �'f 4 >os r •{ h } 1' Q' r N• . .r'�.fiC.�i� ��,µ r1'• � , � ;, `h 6�r' •1.+. ;x1 F fi X x. i � r d p 'K•�a ^ . ✓ iy1 l Y :.j r f.N I`•*r iYff�.''. tea. Aod-.... ,Sija• + f .:D' i'� �'� ' � ;J'�f��i � a'` .+..rte• Y 01 ,;.. fl ✓ .i✓' FS`r ��-,, Y•)'r• tri .. Aj � � JI�.�V'+j( .fit?aJ� A!T' , ^• •f *��^ �; j?`"R�l�,�... � .� I - i4'Ilk�b7�Y .rrmL'rQ•l1AilL` j.' � ✓w:��. ,r li. IJ!, � i kll, 71 y Ji ��• V , � �t' st1y b�a �r • i'`r', � � R �l±•{ {. �'r".�� '°,wnll .ij,2y'.1t � { 1 � �. ,, {. f/' _ • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME �1f fQT� DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY !!/ ,,�2 /y LOCATION OF SITE /�/B1v �O� ��,1�• v Water Supply: On -Site Well f _ Community Public ,Evaluation By: Auger Boring dl Pit Cut FACTORS 1 2 3 4 Landscape position 4 L Sloe 7. HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC C Consistence - Structure b/1 /1/) Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION 1-17 LONG-TERM ACCEPTANCE RATE , SITE CLASSIFICATION: _/� &/ %I__ LONG-TERM ACCEPTANCE ATE: REMARKS:!-s/�?V-,/�•b i , i"G LEGEND DCHD (01-901 EVALUATED BY: w� OTHER(S) PRESENT: Landscape Position R -Ridge S -Shoulder L -Linear slope FS-Footslope N -Nose slope CC -Concave slope CV -Convex slope T -Terrace FP -Flood plain H -Head slope 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- V�_- 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 Mineraloiry 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 n�� ■ ■��■■ ■��a��■��s�■ ■��■�■ v�� o��■■��a��■ ■��u��n��o�s�s��s��■ ■��e��■ ��n��■ ��s��=��v�■��■�■��va��■ ■��a0��0��ao�t■ ��_��ov��e�■ ............. ...C■..... . ..................... .. ................................. �� _� ��■ ��=�e��■��■ ■�� t�� i o�� ■■ u ��u■�� ■e��■ ��e��_� ��iQ �=�t�� =��i� _��i=��■��i��■ ��n��■ n ��n�� ■��■��■��■ ::�::��n� �n ��=n=i�� s�� ■��■e��■��■ :::�:�:: :...............�..E. .. .......6............... ��n�� ■ ■ �� i� ��■ ............ ........ ...CC.C. _ .:::::o:::::::C::::::::C:::::::::::::C::::: ■��i ��i �i�� ■ __��■ ■��a��■ iiiiiiiCi��isiiiiiiiiiii�i �iii��i��iiiii�"iiiCi=i�iiiii■■�'��"""""""""""■ ....._..� ...... ....=�=.L:=C� ■■_......�.....�........:::C:::C:::::C:::C::GC:::::: ..■.. .■ ■■..■... .■■ ■ . ■=.�.■. ■ ■.. . ■..■....■....■.■..............■... ......... ....... 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C....:............................... ...� ...■........... ��■�� i�=��e��u�a��s��e��o�i��i��s� ■�N��o��=i=i�� ■��s��u��u�o�� . ��■��a��e�ao��e��■ ��■��0■ ■ v��/��u�Nv��n�//��v��■ + 'Y^' "" r s�' '.b „ y.. 'a� YkitisD h`4 _ Y .i..`M S a '[.Jt ' _ . f:•, i t : ter... Davie County Health Department 4 ENVIRONMENTAL HEALTH SECTION P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with.Article 11 of G.S. Chapter 130A, Wastewater Systems) ***This Authorization For Wastewater System Construction oust 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 applyingforBuilding Permits.*** NAME �'IO/i�J I�/%r��'7 DATE �/� /�� AUTHORIZATION 0 83 ZNUI'BER