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823 Main Church Rd Lot 7 Davie County,NC Tax Parcel Report Wednesday, October 19, 2016 812 Lit 701 '763 729 �h 113 169 809 '' y $23 �y5 672 ''` a 845- 944 855 791 ' 665 1 j` s' 956 'fi 924 5 r I WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G409OA0007 Township: Mocksville NCPIN Number: 5739494124 Municipality: Account Number: 82524453 Census Tract: 37059-806 Listed Owner 1: DODSON TIMOTHY WAYNE Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 677 MAIN CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-5849 Voluntary Ag.District: No Legal Description: LOT 7 BARNHARDT ACRES Fire Response District: MOCKSVILLE Assessed Acreage: 5.01 Elementary School Zone: WILLIAM R DAVIE Deed Date: 5/2005 Middle School Zone: NORTH DAVIE Deed Book/Page: 006080702 Soil Types: MrB2,MsC Plat Book: 0008 Flood Zone: Plat Page: 032 Watershed Overlay: DAVIE COUNTY Building Value: 75910.00 Outbuilding&Extra 6120.00 Freatures Value: Land Value: 30300.00 Total Market Value: 112330.00 Total Assessed Value: 112330.00 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 �oUty S� NC or arising out of the use or inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boa 848/210 Hospital Street �. Mocksville,NC 27028 (336)751-8760 Account #: 990003523 Tax PIN/EH#: 5739-49-4124.07 Billed To: Timmy Dodson Subdivision Info: Barnhardt Acres Lot#07 Reference Name: Location/Address: Main Church Road-27028 Proposed Facility Residence Property Size: 5 acres ATC Number: 4073 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s)(in compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE(YEARS. Environmental Health Specialist's Signature: Date: CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit has been installed in compliance with Article 11 G S.Chapter 130A,Section.1900"Sewage Treatment and Disposal Systems,"but shall in NO WAY bet as a guarantee that the system will function satisfactorily for any given period of time. I � Inv t �4 Septic System Installed By: Environmental Health Specialist's Signature: Date: G(1 Y i. DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT _ . Environmental Health Section • P.O.Boz 848/210 Hospital Street • — • Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990003523 Tax PIN/EH#: 5739-49-4124.07 Billed To: Timmy Dodson Subdivision Info: Barnhardt Acres Lot#07 Reference Name: Location/Address: Main Church Road-27028 Proposed Facility Residence Property Size: 5 acres ATC Number: 4073, **NOTE**This Improvement/Operation Permit DOES NOT authorize the construction 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type #People 'r,? #Bedrooms <,V #Baths Dishwasher/ Garbage Disposal: ElWashing Machine:X" Basement w/Plumbing: 13Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply 41P//Design Wastewater Flow(GPD) ,�O Site: New Z Repair❑ System Specifications: Tank Size 6ID15GAL. Pump Tank GAL. Trench Width"Rock Depth (Linear Ft.�� Other /Z Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER. RISER(S) IF 6"BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m.to 9:30 a.m.or 1:00 p.m.to 1:30 p.m.on the day of installation. Telephone#is(336)751-8760.**** 5 Environmental Health Specialist's Signature: OVA// Date: jf S DCHD 05/99(Revised) r AP LIGATION FOR SITE EVALUATION/IMPROVEMENT PERMIT D /� Davie County Health Department !C Environmental Health Section Mq ,�✓ P.O. Box 848/210 Hospital Street R 7. 2005 V / , Mocksville, NC 27028 (336)751-8760 EIVV/Rpm DqV ENTq�N ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQ ltgr INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed / v O/7 Contact Person 1 ) M,9,,4-1 ) M,J�L� Mailing Address C1 r C.. n Home Phone (7.7/ 2��Z I City/State/ZIP ; /)G,�w�I Le , /v, �• '/lJ� Business Phon 2. .Name on Permit/ATC if Different than Above Mailing Address /11tvJStat3. Application For: ❑ Site Evaluation provement Permit/ATC ❑ Both 4. System to Service: 113'House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other S. Type system requested: ❑ conventional ❑ conventional modified ❑ innovative 6. If Residence: # People Bedrooms # Bathrooms _ ❑Dishwasher ❑Garbage Disposal 104shing Machine .,❑Basement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /Other: verify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated /Water Usage (gallons per day) 8. Type of water supply: ❑ County/City LrYWell ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes W o If yes,what type? ***IMPORTANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Pronertv Dimensions: Gtr WRITE DIRECTIONS(from Mocksville)to PROPERTY: Tax Oftice PIN: # Property Address: Road Name ml�1f1/ City/Zip 42fl .512 If in a Subdivision provide information,as follows: CG 224 Name: Section: Block: Lot: _ Date home corners flagged: 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 ant 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 procedures as necessary to determine the site suitability. DATE y � SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include�11 of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge /' („� E' � /�e•�,M�y► wQe Date(s): 34 7 s Client Notification Date: EHS: t,roib� 7 �y Sign given Account No, 1� Revised DCHD(05/03 Invoice No. 9 rc- eall l gq -,a M ,PD 2.4i \ a 2. 1 2.40A a+y 9159 .� \ .R y 3� M1y0\ � +o \ 5.174A s 9635 r yqe� e+ II ryy 6.965A 7$76 o� `2I 5.024A 6216 I s.00zA 4124 I "mss 5.002A 2053 \ f s.000A \ 5.003A 8096 \ / \ / \ 5.190A 6669 6765 / 5.013A a / 4667 / (4 44A) OCA / 9476 las goo (3 60A) 5g,67 e6 ` 101 9j / N (': r, O T PRf-I.IFCT DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SoiVSite Evaluation APPLICANT INFORMATION PROPERTY INFORMATION /Account IFT23 Tax PIN/EH#: 5739-49-4124.67 Billed To: Timmy Dodson Subdivision Info: Barnhardt Acres Lot#07 Reference Name: Location/Address: Main Church Road-27028 Proposed Facility: Residence Property Size: 5 acres Date,Evaluated: Water Supply: On-Site Well Community Public Evaluation By: Auger Boring I Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope% HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure L 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: /i" EVALUATION BY LONG-TERM ACCEPTANCE RATE: , 2 OTHER(S)PRESENT: ZZ 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-Very friable FR-Friable F1-Firm VFI-Very firm EFI-Extremely firm Ad NS-Non sticky SS-Slightly sticky S-Sticky VS-Very Sticky NP-Non plastic SP-Slightly plastic P-Plastic VP-Very plastic Structure 'SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prisipatic Mineraloev 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-gaUday/ft2 ■/.■ SEISMIC ■■■.■.■■.a■t.■.■/.■No ONl�.V4it■■ .. ..■...............�ma..■■■. 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Box 848/210 Hospital Street Courier 09-40-06 Mocksville, NC 27028 �r (336)751=8760�� T t t m {5.d�"«,NroTi,+°``m tt7e*Jrcv`.�k5�aR k `x �rraS�° i f ?°.«x �h°' a.;Y 4..!�.:.q,�' F Jk�`� ;�,,h,:.l v.x b e ,I x.� �a,;:'�« �y`• ..t March 22, 2005 Timmy Dodson 677 Main Church Road Mocksville,NC 27028 Re: Site Evaluation/ Main Church Road Tax Office PIN: #5739-49-4124 Dear Client(s): As requested, a representative from this office visited the aforementioned site on, March 21,2005. Based upon the information provided on the Application for Site Evaluation and after an evaluation was completed on the site,the site was found to be provisionally suitable for the installation of an oversized-modified sewage system. Before an Improvement Permit/Authorization to Construct can be issued the appropriate application must be filled out and the house/mobile home location staked off. If you have any questions,please feel free to contact this office. Sincerely, Robert B. Hall,Jr.,R.S. Environmental Health Specialist RBH/dlf Enclosure(s)