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130 Annie Ln Davie County,NC i Tax Parcel Report Wednesday, October 12, 2016 PC-oPLES k Rb 'QF0 � � o I G t 2 0- WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: H800000037 A Township: Shady Grove NCPIN Number: 5789319412 Municipality: Account Number: 8300223 Census Tract: 37059-804 Listed Owner 1: BODENHAMER JANE H Voting Precinct: EAST SHADY GROVE Mailing Address 1: 1207 HOPPER RD Planning Jurisdiction: Davie County City: SALISBURY Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 28146 Voluntary Ag.District: No Legal Description: 78.25 AC HWY 801 Fire Response District: ADVANCE Assessed Acreage: 78.18 Elementary School Zone: SHADY GROVE Deed Date: 11/2010 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 2010E0187 Soil Types: PaD,PcB2,PcC2,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 99020.00 Outbuilding&Extra 1240.00 Freatures Value: Land Value: 623830.00 Total Market Value: 724090.00 Total Assessed Value: 284510.00 C ILLVwI� All data Is provided as Is without warranty or guarantee of any idnd 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 Countys 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 r'o N�4 NC or arising out of the use or Inability to use the GIS data provided by this website. - '-'r ..,.J....i�� -._. _;..; ?a r d . .._tit#F .:.. ... .-..,. r='.q.; y. .. -' ... - __ _ y .-,. .. : . -„ .. _ ,-• DAVIE COUNTY HEALTH DEPARTMENT . IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT 13D �N **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 11 of 6.5. Chapter 138A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) NAME PROPERTY ADDRESS DATE Jj LOCATION iL- A I> -� Jl Yz'r� :/ ,� / / /,�y SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE f# BEDROOMS # BATHS o2 # OCCUPANTS �Z GARBAGE DISPOSAL: Ye COMMERCIALSPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE Al TYPE WATER SUPPLY ��_ DESI6N WASTEWATER FLOW (GPD) —. 0 NEW SITE t---- REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIIE 0P GAL. PUMP TANK GAL. TRENCH WIDTH ��� ROCK DEPTH /�� LINEAR FT. �dG OTHER 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. V; r IMPROVEMENT PERMIT BY �� **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 SYSTEM INSTALLED BY �W eo C/N AUTHORIZATION NO. OPE TI PE IT BY �C_ 1f C�G(� ✓ DATE **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 FICTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 10/95 ' rfN 14- '7- Davie ta'7Davie County Health Department ENVIRONMENTAL HEALTH SECTION P.O. Box 6b5 /3D Alvo� 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,Fore/Authorization Number should be presented to the Davie County Building Inspections Office when applying for`Building Permits.*** _. NRME �/II�' l •lC��� DATE AUT}ORIZATION NUMBER ' N2 J 1 4 2 NAME ON IMPROVEMENT PERMIT (If different than above) � I SITE LOCATION COMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM j **00TICE*** THIS AUTHORIZATION FM WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. IROplENIAL SPECIALIST .DATE DCHD 10/95 .r. _ _.. _ • a ... _ _ .:.. ., x � .... .. - __-7' .,_ . . ..; .... .__.• i t . . .ivy. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMI a Davie County Health Department JAN —5 19% j Environmental Health Section t P. O. Box 665 ' 4 Mocksville, NC 27028 :. o/ DAVIE Colif iTYY' +� 1. Application/Permit Requested By Mailing Address P &OA 3/00 Home Phone&/-(:22 292?-2-# Vance NG 704 Business Phon �//D 7-le-%x.5`.3 2. Name on Permit if Different toan Above 9/D S S -5,V-5 o 3. Application for: ❑General Evaluation iCl Septic Tank Installation Permit 4. System to Serve: ❑ House 2 Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown ` 5. If house, mobile home: Subdivision Section Lot # ❑ Basement/Plumbing No..of People !!Z ❑ Basement/No Plumbing No. of Bedrooms 3 D-Washing Machine No. of Bathrooms C-Dishwasher Dwelling Dimensions 5a x 2 F ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type t No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers . No. of Showers Water Usage Figures 7. Type of water supply: []"Public ❑ Private ❑ CommunityIs r, 8. Property Dimensions Sewage Disposal Contractor ' j 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes R—No • i If yes, what type? 't `NOTE: . . Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. 1 PROPERTY INFORMATION REQUIRED: t. Directions to Property: y Tax Office PIN 1157�9-3►-9�1� U / G✓jtil 7Ci��/ f v Road Name 011050,4 Box # (if available) city Qef�;,,cl 6 a7S/ Fol eAll 7, - 110ne Y11 k This is to certify that the information provided is correct to the st of my know edge, and I understand I am responsible for all charges incurred from this application. DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. I 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 scene &tev jam& 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) m o 9.51 Aa.� '� o 2575 117 560A �: _ 712. 04 w , ,• Y M A � 34 . 2135.93 SC EOp Es f } 115.14 Ac c, o N p o EK R� a A ; 117.6 Q' ; I ^ i. n ttl rt r a ,Q_37.01 s '4 6.48Ac . " .. ' 1.99Ac SS � ! l."is N• 5�i !�+� • 7`' m h46.7 �. F,� r R: . . ;,fit��. +c 5�' � .• ,: 1 , :'��. r � 66 4 � ' j. ,..' ..i i ,u 621. 80 52 — — -- ' ' 37.02 < Y' 41.05 :„ a 7 B 25 Acjx k 11 40 t0 16 Ac . xow 3 8 (� 3 �6 80JA j,..l c ,039 '. r .50 Ac. / N , x DAVIE COUNTY HEALTH DEPARTMENT •- = Environmental Health Section Soil/Site Evaluation NAME J`)'!�' DATE EVALUATED ADDRESS PROPERTY SIZE /��� PROPOSED FACIILTY LOCATION OF SITE —2&_Slouy tJ Water Supply: On-Site Well _ Community Public Evaluation By: Auger Boring ,/ Pit Cut FACTORS 1 2 3 4 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure 122- Mineralogy CMineralo 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 �c / SITE CLASSIFICATION: EVALUATED BY: LONG-TERM ACCEPTANCE RATE: > 7 OTHER(S) PRESENT: REMARKS: 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-Ve.-y friable FR-Friable FI-Finn 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 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 DCHD(01-901 ■■■■■■■■■■■■■■■■■.■■■.■■■■■.■■■■■■■■■■■■ ■.■■■.....■.■.■ .sir...■ .......■...■.■......■■■..■■■■■■■ NOON■.■ ■ ■..............■■■■ON ■■■■■..■■■■■■■.■■■■■■■■■■.■■■■.■■■..■■EEE��MME■M■■■.E..■.■■■■■NNEN ■■■.....■......■..■■...■...■..■■.■■.■■.■..■■/■..■■■/■■■.■//.■■■■■■ ...........................................�........MONSOO........ .......................................... ........ ............. ■.■.■.■■...■.■.e....■■...■...■......■.■■......■■■■■_ ■■M■■■■.■.w■■ ■■.■■■.■.■.■..■■■....■.■.■■..■■. ........■■■■■..■■ ■E■E■■■■■■E■■■ ■■■■...........E■.E■■■..■■■�■.....■■.E...N■■■.■I■EOMI■■ENO■■■■■■.. ■.■.■■■■..■■....■■..■■.■..■ ■.■■M■■■■..N■■■..E. ■■EN MONSOON No ■.■.■.....■■./■..■■■■.....■.■■//..■■././�■■■ IN EEO�..//.■/ ■■ ■...■■..■.■......■■■...■...■... 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