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763 Main Church Rd Lot 10 Davie County,NC Tax Parcel Report Wednesday, October 19, 2016 5762X677 653 617 � 5 ti 693 ti t r �Q. t`5 701 Z 812 + �J�G `�763 72 9 G 113 � 169 , 809 \823 �� 141 872 r 845 855 791 865 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G409OA0010 Township: Mocksville NCPIN Number: 5739499635 Municipality: Account Number: 82532269 Census Tract: 37059-806 Listed Owner 1: HUTCHENS THOMAS W Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 763 MAIN CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: LOT 10 BARNHARDT ACRES Fire Response District: MOCKSVILLE Assessed Acreage: 5.16 Elementary School Zone: WILLIAM R DAVIE Deed Date: 912010 Middle School Zone: NORTH DAVIE Deed Book/Page: 008380136 Soil Types: MrC2,MrB2,MsC,ChA Plat Book: 0008 Flood Zone: Plat Page: 032 Watershed Overlay: DAVIE COUNTY Building Value: 153500.00 Outbuilding Extra Freatures Value: 6240.00 Land Value: 32340.00 Total Market Value: 192080.00 Total Assessed Value: 192080.00 101 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 NC or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT /J ' Environmental Health Section P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990003369 Tax PIN/EH#: 5739-49-9635 Billed To: Statesville Housing Center Subdivision Info:-B-ar% 4- f,-5. 1.,-4 )b Reference Name: Location/Address: Main Church Road-27028 Proposed Facility Residence Property Size: 5 acres ATC Number: 3891 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 WASTEWA S IS V D PERIODOF FIVE ARS. Environmental Health Specialist's Signatur : Date: CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate eA30 , scr bed on Improvement/Operation Permit has been installed in compliance with Article 11 of G.S.Chap r i n.1900"Sewage Treatment and Disposal Systems,"but shall in NO WAY be taken as a guar tem will function satisfactorily for any given period of time. Septic System Installed By: eP Ys Environmental Health Specialist's Signature: Date: DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section P.O.Boa 848/210 Hospital Street / ` - Mocksville,NC 27028 (336)751-8760 lv `ys 'v IMPROVEMENT/OPERATION PERMIT Account #: 990003369 Tax PIN/EH M 5739-49-9635 Billed To: Statesville Housing Center Subdivision Info: T� Lo 4- /o Reference Name: Location/Address: Main Church Road-27028 Proposed Facility Residence Property Size: 5 acres ATC Number: 3891 **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 A #People #Bedrooms�_ #Baths sZ- Dishwasher: Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: .Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size S't,'°'C��S Type Water Supply WELL Design Wastewater Flow(GPD) --2*ACQ Site: New gr Repair❑ , 1 System Specifications: Tank Size[ GAL. Pump TankIC� GAL. Trench Width-'2-Io"► Rock Depth 12i a Linear Ft.4M Other: I S'f(Zj t,'"ri8t� Required Site Modifications/Conditions: 1rsfs[-Nu— 0 -3 ��0 �0 og N[PROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER. RISER(S) IF 6"BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health DeQartment for final inspection of this ystem 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. Teleph is(336)751-8760.**** 1 M"�• ,SPP' y, I0 ��' 01 UP alp 1 rn► CES*�CTO-e-- CXWTaC T `Mle, CFC IC-ts P94 De —To 8O-Ga 4,24a6 WrW-X Oj Environmental Health Specialist's Signature: Date: DCHD 05/99(Revised) ALii� i t VOy 7a P4 vrT 104 ST" t APP-IC OR SITE EVALUATION/IMPROVEMENT PERMIT&ATC D Davie County Health Department SEP Z 9 nvironmental Health Section P.O Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 OP ***I *** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. .Name to be Billed !1 e Contact Person 1 Mailing Address I I's mug,YIPc� � Home Phone l r1 (� City/State/ZIP Q ST\1 �L y I� u� 1� Business Phone 1 1�� J qQ�-9 I�� 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ❑ Site Evaluation Improvement Permit/ATC ❑ Both 4. system to Service: ❑ House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. Type system requested: •Er Conventional ❑ conventional modified ❑ innovative 6. if Residence: # People 3 _ # Bedrooms _ TLD '}# B� athrooms ,1Dishwasher ❑Garbage Disposal OWashing Machine ❑Basement/Plumbing ,05asement/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 Pf Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes Ca No If yes,what type? ***IMPORTANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a yP�LAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: ' ) QC(ZPS WRITE DIRECTIONS(from Mocksville)to PROPERTY: Tax Office PIN: # q— q�n 5 yl` `,� l3 �I � anci Property Address: Road Name rnQ�r� ( ,hurC k--R2\. 419,0 �T) I a m, ,e -1�-t\' y\ City/Zip M oc k5u,1\e NC C�.lY b,'� ma,r. C h•��' Q b 1 1 I If in a S'ubbddivision provide information,as follows: �7 M� )P S � [-n St l wAe-A Lt' }" Name: duc\ ori s' 'Vq- Section: Block: Lot: G Q Date home corners flagged: q--5 oll- 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 aan responsible for all charges incurred frons this application. I,hereby,give consent to the Authorized Representative of the Davie County Health De art ent to enter upon above describe property located in Davie County and owned by 1 i 1 I n moor. � ��Q�S0' 1� to conduct illlttestirn�g proced res as necessary to determine the site suitability0\ 'ting Ce n DATE 1 d SIGNATURE THIS AREA MAY BE USE FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Datc(s): Client Notification Date: ec.G� EHS: Sigiven O Account No. gn g / Revised DCHD(05103 ��� � Invoice No. Q'4 (17 26A) a fi693 ,r' �'¢� � 'd`: "a',,.�. rrMl u a t .���,a ia<< ;��,r ;=r�$h�" � t, r¢ d ° ��a �t a 1 ^�: v a t�'•� '�� x •k �''c _ ac�p��f ' €�� �� a � s x. �Q «£v � 2 ;. R % Y✓v., /t Y�0 r�7!� M ��r w@`.x �. � `; �,� 3"d� 1u M �f Y �k.�".�yff P* i; ���Wt v� Nw �,`Y :0) CD �� ♦ is � € r '���,�, ., I€�' �����" ©� € r'r i +` �r � , ♦ „a 3 �x..a eoCx� � ' a y :n v x �'°x:, IDIOM j�z„�w+i � ' � isry f„i� v b '',"�� '� � b �K€ 03 CO a r w s a yah i 2.40A 3 S IMAP- 'APA AP- r h a ,; �- •qm���i'�a,�2�� - y x r, aa, r w O) OD �IqR is ra � ri 1g 5.403A......;..:; 39G !. 5.174A 9635 p ::. .jj !� . .. . ,o '11 ........1.:';: 6 965A 5 C177A....' 7376 '�� �3 'L414 0 r� �. 5:02 4A 0 S.00ZA.. 4124,.:.:.:.:.:: 9 x ......:.............. a . , r ..:..:..... .......:...... 0 C f 21b ..,... ....:.1.............. a z I APPLICATION FOR SITE EVALUATION/IMPROVEMENT PFER • _w Davie County Health Department !'1 EnvironmentalHeaith Section (J ly P.O. Box 848/210 Hospital Stree Mocksville, NC 27028 (336)751-8760 AUG -9 2004 ***IMPORTANT***THIS APPLICATION CANNOT BE PROCESSED UNLSS ALL UIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLE or 31 Pq 1. Name to be Billed L!/ ! Contact Person 2 / Mailing Address (/ �l/ G Home Phone •C�7�—/ City/State/ZIP G I e &1 Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: [5/Site Evaluation ❑ Improvement Permit/ATC ❑ Both 4. system to Service: 19/House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. Type system requested: ❑ Conventional ❑ conventional modified ❑ innovative 6. If Residence: # People _ # Bedrooms # Bathrooms WDishwasher ❑Garbage Disposal 02W'ashing Machine ❑Basement/Plumbing ffB_asement/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) S. Type of water supply: 13County/City LSI' Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes W-KO 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. Property Dimensions: 7,1 WRITE DIRECTIONS(from Mocksville)to PROPERTY: ' Tax Office PIN: # �✓ C�j L/ �� Property Addres s: RoadName.Nd i 11/ CI'J� d GYUSS LVO y 2_6byAV City/Zip0061J11i ! 'Q pl_/ya D /T L v I✓ 'P If in a Subdivision provide information,as follows: Name: J/ig/l�/IJ'r///J D IG'es 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 lam 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 SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Date(s): Client Notification Date: EHS: w Sign given Account No. -7 / Revised DCHD(05/03 Invoice No. 3 y i j . S� �5 2.40A 9159 CO 5 300 5.174A 9635 �o �. 6.965A 7376 09 s 5.024A 6216 -------------- s . 1 (1]28A may ' I�� 6693 X5 1373 1373 _ MPS 5�1��5 sP C 2322 � M 240A 9159 9 � m » M rB 5174A 9635 9676 rB B M 141 W RO5 5 02a 5, 6216 g 5 41122 A d G C d 1 V g S OOZA 2053 a5"A ' M V S . 8096 C sn3A 9971 M s C 669 5013A 4667 / f W. 1566 (069A) 1 9478 5101 "0A N.C.D.O.T. PROJECT 10035 /� #8.1732503 J SHEETS 5,6,7 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990001679 Tax PIN/EH#: 5739-49-9635 Billed To: Edward Barnhardt Subdivision Info: Reference Name: Location/Address: Main Church Road-2.7028 Proposed Facility: Residence Property Size: 5.17 acres Date Evaluated: a7`' Water Supply: On-Site Well ✓ Community Public Evaluation By: Auger Boring Pit Cut FACTORS COT- 2 3 4 5 6 7 Landscape position L V_ Sloe% 7C, 3 4�, (�,Vv HORIZON I DEPTH D -l 0_210 (O Texture groupC C L. CL_ Consistence ; ; S.,V WSS Structure MF Sri. .Mineralogy m b HORIZON II DEPTH. Q Texture group C Consistence Structure G MineralogyMd HORIZON III.DEPTH t-1 20- —Zb Texture group 4- Y Consistences Structure L Mineralogy HORIZON IV DEPTH y. -4 Texture rou Consistence' Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE O.2 0•�Z_ U• o. E SITE CLASSIFICATION: ;s EVALUATION BY: C LONG-TERM ACCEPTANCE RATE: O. 5 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-Very 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 SC-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 05/99(Revised) ■■■■■■■■■■■■■■■■■■■■■■■■■■■E■■■■■■■■■■■■■■■■■■■■■■■■■■■■■Nee■■■■■■ ■■■/■■■/■■/■EEEE■NNE■/■E■■EE■EENE■■■■■/■■■■■■■/■■■■■/■■ENEN■E■EEE■ UMMENNE Bosoms EMEMENMEMEMEiiiiiiiiiiiiMOMMENiiiiii ■■■■■■■■■■■■■■I1■N■N■■/N■EO■N■e■■E■■/NOON■■■/NOON■/■/■■/■■■■■■■■/■■ ■■■■■■■/■■■s■r�EEEE/■NEE■NE■■■EEN/■■■NNNNNNNENNEN■/NNENNNNENN/■■■■■ ■/■■■/■//■■■Ir,N■NN■E■E■ENEE■■EEE■/E■/■■■■/■EENE■■NEENNENNNNNN/■EEN■ ■■■■/■■E■■■►SEE/NNN/NE■■E■W■EENNN/E■■EENNENEENE/NNENENENNENNE/■NE■■ ■/■/■■//■��■■■�.�i�!l►NN■NN■NN■■■■■■■■/■■■■■■■■■■/■■/■■/NOON/■■/■■■/■ ■/■■E■NIS■/■■/■/■■■/■■■��/■■/■/■■■ ■■■■■/■■/■■/■■■■/■■■■/■■■■/■NONE ■/N■/■■■■N■■NEE/■N■■■■nE■■■■E■■E�■■■NNE■■■NNE/ENEENNN■EN/EN/■NNN■ ■�■■■■ri■N■■E■■■■■E■■EE�i■■E■■E■■E■■■NOON■NE■■■■EE■N■E■■■■E■ENE■EN■■ ■■E■■■r�■■N■■■■EE■■/E■E�iE■■■■E/■E/■■■■■■EEE■■■■■■NNEE■■NNE■EEEE■■■■ ■■■■■■SNE■■ENEE■■EEENN�i■■ENN■■■■■EE■■N■■N■E■E■EE■ENE■EE■■/EN■■ENN■ ■/NEEI/■N■E■■N■N/NEEEEN�IENE■E■/NESE■N■NE■■EE/■■EE■N■E■EE■E/E■E■E■E■ ■■■■■►�N■■■■E■■O■■■■■E■�1■■■■■N■■■■■■■■■■E■■■■■■E■■■E■N■■N■■■E■■■■E■ ■■N■/NEVE■■■■■■■■■■■■EIIN■■N■■■N■ ■■■■■■■■■■NN■■ENO■■■■■■■N■■■■■■■ ■/■Nr�ENENE■N■■EEE■■■■■�i■■■■■■/■■Iii■■■E■■N■N■■■EN■N■NENN■N■E■/■■■E■ ■/E■rrA.N■NEE■■N■■■■■■■■�►a■■■■■■■■■■■■EE■■E■E/EEEEEEEEEEENN/EE■■NN■■ �e■Nee■■■■■■■■■■■eye■■■■■■■e■■■e■■■■■■■■■■E■N■■■■E■NE■■N■■ DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PO Box 848/210 Hospital Street Mocksville, NC 27028 Phone: (336)751-8760 /Fax: (336)751-8786 August 16, 2004 Edward Barnhardt 677 Main Church Road Mocksville,NC 27028 Re: 2- 5+Acre Tracts/Main Church Rd Tract 3 Tax PIN#: 5739-38-6765 Tract 10 Tax PIN#: 5739-49-9635 Dear Client: As requested, a representative from this office visited the above site(s)August 12 and 16,2004 to perform site evaluations. Based on information provided on the Application for Site Evaluation and results of the evaluations,both tracts are classified provisionally suitable for the installation of on-site wastewater systems. It should be noted that a pump station may be required on tract 10 due to topography, soil conditions and/or house location. System design will be determined at the time an Improvement Permit is applied for and issued. Before a representative of this office will revisit the site to issue an Improvement Permit/Authorization to Construct,the appropriate application must be completed and submitted to this office. The location of the facility the system is to serve must be staked. off. If you have any questions, feel free to contact this office at 751-8760. Sincerely, Jeff . Beauchamp,R.S. Environmental Health Section Enc(s)