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209 Howell RdDavie County, NC Tax Parcel Report 0 61'1 Thursday, September 29, 2016 9kw r� 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 Counlys 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 npUNq� 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 Information Parcel Number: D300000045 Township: Clarksville NCPIN Number: 5822545168 Municipality: Account Number: Census Tract: 37059-801 Listed Owner 1: Voting Precinct: CLARKSVILLE Mailing Address 1: Planning Jurisdiction: Davie County City: Zoning Class: DAVIE COUNTY R -A State: Zoning Overlay: Zip Code: Voluntary Ag. District: No Legal Description: 3.72 AC HOWELL RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 3.50 Elementary School Zone: WILLIAM R DAVIE Deed Date: 1/1990 Middle School Zone: NORTH DAVIE Deed Book / Page: 001520545 Soil Types: Mr132 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 45630.00 Outbuilding 8r Extra Freatures Value: 0.00 Land Value: 34550.00 Total Market Value: 80180.00 Total Assessed Value: 80180.00 9kw r� 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 Counlys 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 npUNq� NC or arising out of the use or inability to use the GIS data provided by this website. 5 ^• 'uu"s ;i LA'r..{`" iw,r i2' rS ��✓ i r yr •'r'! :1tr`r> �...°":; �' i�;i'' .�«;}i�?u yw? ;��tr'+.r, ya,`ia'�� *.e. t'. �, ,� s i . r Davie County Health Department ENVIRONMENTAL HEALTH SECTION P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article it of G.S. Chapter 130A, Wastewater Systems) ***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.*** AUTHORIZATION NUMBER. NAME / �!'��!/Y//� DATE �� �� N2 % r NAME ON SITE LOCATION above) COIENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTMTER SYSTEM d DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT' **MOTE** 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) NAME � At/,`97 ,/ ,/ . !/P 4//Z PR ADDRESS 0� 69 Lt�G!/ CX– - DATE //;/W LOCATION � i�v- �>� �� r�i✓ (. �f.�(� /t�' 1 Gl�K �� /ylz, /r1/ SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE (M BEDROOMS '�_ (M BATHS # OCCUPANTS j_ GARBAGE DISPOSAL: Yelfoi COMMERCIAL SPECIFICATION: FACILITY TYPE# PEOPLE (M PEOPLE/SHIFT (M SEATS INDUSTRIAL WASTE: Yes/No //A,// LOT SIZE TYPE WATER SUPPLY vv�&._ DESIGN WASTEWATER FLOW (GPD) �-//J NEW SITE +—REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIIE 1&2 GAL. -.PUMP TAME( GAL. TRENCH WIDTH - T�-/-'/ ROCK DEPTH .,,V "' LINEAR FT. 3r,4 OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MIST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. IMPROVEMENT PERMIT BY Z./ **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 R, SYSTEM INSTALLED BY AUTHORIZATION N0. V d L OPERATION PERMIT BY DATE 6 �� **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 136A, 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 i Mocksville, NC 27028 1*. Application/Permit Requested By Z11 I Mailing Address +Y'�� Home Phone 49p- 6-.4 'P S_ � ti� • (7- z 7 d L F Business Phone 7 7 % 2. Name on Permit if Different than Above 3. Application for: d General Evaluation QSeptic Tank Installation Permit 4. System to Serve: R<Ouse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms ❑ Washing Machine No. of Bathrooms .Z. ❑ Dishwasher Dwelling Dimensions 2— ZSR ❑ Garbage Disposal 1. 6. if business, industry, place of public assembly, other: Specify type No. of People Served z No. of Sinks —3 No. of Commodes •Z No. of Urinals ; No. of Lavatories No. of Water Coolers. No. of Showers Water Usage Figures 7. Type of water supply: ❑ Public Private 8. Property Dimensions 3 .'� z Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes If yes, what type? ❑ Community t `NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvementd Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. YKUEhIC11 1NrU1i1?1A11UN Xhqu1KL'U: Directions to Property: j Tax Of f ice PIN #S S 21 — 541 — _5• /.8 8 Road Name zj�D VJ G ,f` Box // (if available) ..2 a Q J '�D ` it, 4f City G d . �t , le - ed 4le-F2 d 4) gd 1C yrs >, �,se a „V This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. Z a z'r, p.!r, c44�� / DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1. I 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 representativf the� Davie CouoWHealth ,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. / z e.L DATE SIGNATURE DCHD (1193) _ DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section_ Soil/Site Evaluation NAME ADDRESS PROPOSED FACIILTY Water Supply: On -Site Well DATE EVALUATED PROPERTY SIZE 3�4C LOCATION OF SITEl�R°, Community Public Evaluation By: Auger Boring 41_11� Pit Cut FACTORS 1 2 3 4 Landscape position .L. Sloe z HORIZON I DEPTH Texturegroup_ Consistence Structure Mineralogy HORIZON II DEPTH +' Texture group Consistence r Structure i 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:f _ / EVALUATED BY: LONG-TERM ACCEPTANCE RATE: 7 OTHER(S) PRESENT: REMARKS: DCHD(01-901 LEGEND Landscave 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 :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 Mi neralolry 1:1, 2:1, Mixed Notes Ilorizon 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 ■EN■ ■ON■ ■ ■ ■