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.
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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
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