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809 Main Church Rd Lot 8 Davie County,NC Tax Parcel Report Wednesday, October 19, 2016 1 701 812 763 729 \� 113 169 G� 809 5' 823 e4 � ��y 872 r ' ` 845' , 44 855 791 ,. . 865 r 924 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G409OA0008 Township: Mocksville NCPIN Number: 5739496216 Municipality: Account Number: 82523338 Census Tract: 37059-806 Listed Owner 1: CANNON JILL A Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 809 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 8 BARNHARDT ACRES Fire Response District: MOCKSVILLE Assessed Acreage: 5.04 Elementary School Zone: WILLIAM R DAVIE Deed Date: 2/2006 Middle School Zone: NORTH DAVIE Deed Book/Page: 006470877 Soil Types: MsC,ChA Plat Book: 0008 Flood Zone: Plat Page: 032 Watershed Overlay: DAVIE COUNTY Building Value: 119750.00 Outbuilding&Extra 6870.00 Freatures Value: Land Value: 28340.00 Total Market Value: 154960.00 Total Assessed Value: 154960.00 101 All data is provided asis 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.Ail 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 NCor arising out of the use or inability to use the GIS data provided by this website. DAVIE CO ALTH DEPARTMENT �u, Environmen d' Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account M 989900158 (. ANN�''� Tax PIN/EH M 5739-49-9635.08 Billed To: Richard Hendricks Subdivision Info: Barnhardt Acres Lot#08 Reference Name: Location/Address: Main Church Road-27028 Proposed Facility Reisdence Property Size: 5 acres ATC Number: 4147 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 1 I 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 YE RSA Environmental Health Specialist's Signature: Date: 7A�; ,A25 &d(ao lo J CERTIFICATE OF COMPLETION u **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit u has been installed in compliance with Article 11 of G.S.Chapter 130A,Section.1900"Sewage Treatment and c�S 0. ellDisposal Systems,"but shall in NO WAY be taken as a guarantee that the system will function satisfactorily for any G%`t given period of time. tY S )c ;" bc- ,r Ito C10 Ktz ►-1 s, amu. T/a(4V-bA7-G -&-Z2 { Septic System Installed By: 1 ` LAtLe,°' Environmental Health Specialist's Signature: te: DCHD 05/99(Revised) ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section --� P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account M 989900158 Tax PIN/EH#: 5739-49-9635.08 Billed To: Richard Hendricks Subdivision Info: Barnhardt Acres Lot#08 Reference Name: Location/Address: Main Church Road-27028 Proposed Facility Reisdence Property Size: 5 acres ATC Number: 4147 **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 _ #Bedrooms #Baths o� Dishwasher Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing:7r, Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply L/ Design Wastewater Flow(GPD) Site: New e Repair❑ ri ',�� 11 System Specifications: Tank SizeGAL. Pump Tank GAL. Trench Width Rock Depth� Linear Ft.60 Other: 15A NCAC 18A.1969(5) �s�1110 m iso a use 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.**** Environmental Health Specialist's Signature: Date: QS DCHD 05/99(Revised) Cal PLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT& Davie County Health Department �it it O Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 PL8 1 (336)751-8760 jUt 5' ***IMPORT(ANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS AL14LTHE INFORMATION IS PROVIDED. Refer to/,theme, INFORMATION BULLETIN for i H 1. Name to be Billed // r >Z£/��/-�-moi- Contact Person kMailing Address � 2y/ //.�► ,. , �if((r Home Phone 3J .�- 7S/- 3;"y-Pe City/State/ZIP �C�rb.',/e_ .���.1_ >6��� Business Phone 336- 94 P 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: 1t-Site Evaluation E3Improvement Permit/ATC tv" ❑ Both 4. System to Service: M/House ❑ Mobile Homo ❑ Business ❑ Industry ❑ Other 5. Type system requested: l.-60nventional ❑ conventional modified ❑ innovative MaCCepted 6. If ;Residence: # People y # Bedrooms # Bathrooms — ODiahwasher ❑Garbage Disposal ,clashing Machine lGbasement/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: ElCounty/City 2 Well ❑ Community ' 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 2' 0 If yes,what type? ***IMPORTANT"**CLIENTS MUST COdfPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client ivitli THIS APPLICATION. Property Dimensions: q�e��S. WRITE DIRECTIONS(from Mocl(svilic)to PROPERTY:' Tax Office PIN: # ,1732- It l (O 3 5 151< Xiin e151'.� /:-d Property Address: Road Name IhAo I dwe,4 3 iC? lei 0/1 le f+ CitylZlp/l�U :���t.� /V e, J-12le L-16 r 4 Adrl AILS b If in a Subdivision provide information,as follows: Name: _ �l r► 4"7 Section: Block: Lot: y Date home corners flagged: This Is to certify that the information provided is correct to the best of my knowledge. I understand that any permits) issued hereafter arc 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. 1,also,understand that I am responsible for all charges incurred frons this application. I,hereby,give consent to the Authorized Representative of the Davie County IIealth Department to enter upon above described property located in Davie Comity and oi7q by to conduct all testing procedures as necessary to determine the site sui ab'it p DATE � S S SIGNATURIJ Z//z 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). y Site Revisit Charge f ,�oma- Datc(s): Jfjv Client Notification Date: 1;13 70 MIS: oQ 0 Sign given Account No. Revised DCIiD(05/03 Invoice No. ---E�— w of - //- _x-C. !Mot YtNi. O CCU/-W ertd!u!v---e. Tiot the Woimetich emV:Sle to this salveey"cthw faeepl a to tr:e WAR;G 0.a wt,.s sTzn.. 4 U '' `•"-'••- n / e. i'il r'/J �:'i✓- ih a the.......-......._...CeY=r............_................................_...1C.x.�! ------ --...r --- ------------ Ys b rich Uct 1 em oreble la moles e O'(NERS DATE delermirctton 1e the best o..my 0.0'eeflonol eb2ity os to provisions eentoned in .tiix4'�sssz.'f•7 - A �,t• t..✓ v7wh �e•�..C�e . L-5185 •C�JAf�O ddJJy , �-Y-- '�"�_-�--_..-___.-=___-�-__ SV'vlyY ........ LICMS!NVmbM ...-«. .. DA �O,eGeasS HZ/+ SSSS1Seaseieee .- ( . 4==i= ,I.AA CA OPERTY IS EXEMPT F.-ROM DA.tE COUN7 t = D�O.•RpItSSrpy+,, L ' VOI. RECULATIOMS BY SECTION 154.01 L 3163 1 REVEWO.MCER•S CEPTIFICATE - DAr,E COUNTY COD_ =�( 4 yOR:V4"t`/OFFICER OF DAYIE COUNTY �j p �,SUBY4,7'v ♦+ CERTIFY THE PLAT TO t'+ilC-i HiS CERTIFICATION 7$ATTACH :� L x7163 i T MAL iS REOUIP.ED BY THE 'O.�2fF ' " \ass'♦ J).-ET, 7HE c'AiU ORY P.E�a2"trENTS FOrT PECO°DI.nG. r� !6-D *- rJ OUNTY PLA.M1?•;NC DE?AR7,!ENT ii,z,, R�Ni� ries � oe,.•,� � Faed to -4snueise= _ • / '♦gyp 4^,8 C-S-zcy3 ,d9�♦,surra, ,�4 c. h the- ---------------- DATE )"AIN CHIUMCH ROAD FUlry RIBBON PAtiEMENT SR 2 1405 PUBLIC 1 q-__-1247 52'-5T' ".8 +wJ .E — N 53'-11-10 E — N 54'-Ol'-t0" C_ — 904.06' 70TATAL C� a� y 17x.25' 73.21` '172.33 125.G566.8f' 13203' i25.00' 150.63' 175.00' 200.20 733.00' �~ C3 ►y^ I CL / ggi j � ? 1p T � 2• � t g�Yon T-?AP.fOUro W/ � h� ►' DtSTi1R3cD ,/ O a 7•iA3A7NA BAP.V4AFDT h*RMAN `c•1� C3TAX6PPAP•cR9 r tA O i 'OC C-4-3-1'05 �R0mN P-WE SARmmARDT I C Da 176 PC too wf / / TAX PARML . j 1 h. (11D7 5 6 7 8 9 0 clo <_33D4 / / i ^ h� o u 2 w tA �' N 63-399Z7' cq.Ft. a 41 v ti r . c o $ T-eAP.FCJNO / 5-40-F aAR fottra h n C i i I m L5 - //63' X0.75' TAc. 219386 Sq.Fi. W W I 1 i x 40 Li ct225330 SG.Ft. 0 4$'50'F` �3A.R FCVIC y h °' En 5.174 Ac. h C 1 5.013 Ac. h J O O O "� O Or 1 r ( 226092 Sq.Ft.�o (f O o o i _ ; ' 5.190 Ac. j I j I ( m m j m w i 235316 Sq-Ft. i 5.403 Ac. v i ti Ati/ y to •^ �'� 1,n ;' ea _r ♦ ----..-. i r 1L4 ta Nf 1; i 217906 Sq.Ft. 1217867 ScFt. 218655 S^,.Ft. 303362 Sq.FI. 5.002 Ac. 5.002 Ac. 5.024 Ac. / 6.955 Ac. 217927 Sc.Ft. 213001 Sq.F'. }"") / 213.30' 2 564.62' f �? 5.003 Ac. 5.000 A.C. j�� �- �. -c SAMIA 1 N,rf N 52'-30'-50 E 777.91' TOTAL h. 00P15 r BA DaCF 117 1 �•.?.T' / PI.RT T../ i sot 1 221141 Sq.FLd%`•;o 5.077 Ac 6'A v0 �9 ?O! "04' � J3hi' n!Fa•M1D h 4_.97 . _ _ 795.03' 220.27' 23653• 2'15.50185.53' _ . immo r-a_ AR Fairt7__ ---- ---- -__•X c 51'-1d-2O 'Y! X 1.0 TOTAL �•FC'.tr.D — S 52'-_34'-10_ IN "000.83' 70TA� 54'-0-'-30- 'NF77TOTAL— S . .34' ,� = S 52-30'-50" N 353.30 COr!RDL MRrrR a fD aV _1 itrJ`J care_ eD=r:Ei CONTROLLED ACCESS ` CM FCIJND 1 LOWE Lle.trt!ON N 79"0326.34 !• D°53 r•, til f�*,,��A� t 'j 7ix PA3M 9 'it E 15332t 3.16 S f�i � L 1 S S 1 1 E A. c s-ze ti ------ DUAL LANE COMCR= - R.330't PA.!ZV_NT y - DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMAJION PROPERTY INFORMATION Account #: 989900158 Tax PIN/EH#: 5739-49-9635.08 Billed To: Richard Hendricks Subdivision Info: Barnhardt Acres Lot#08 Reference Name: Location/Address: Main Church Road-27 28 Proposed Facility: Reisdence Property Size: 5 acres Date Evaluated: Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut_ FACTORS 1 2 3 4 5 6 7 Landscape position Slope% HORIZON I DEPTH a / Texture groupL Consistence (' Structure Mineralogy - HORIZON II DEPTH Texture group (i Consistence Structure < 7- 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 e SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: 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 Textus@ 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 a'IQ1St VFR-Very friable FR-Friable F1-Firm VFI-Very firm EFI-Extremely firm )3.e' t 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 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■■■■■■■■■see■■e■■■■■■■■■■■■■■■■■ii■■■�■■■■■■ee■e■■e■e■■■■■e■c■■cc■■ MEN No ■■■■ee■■■■cc■■■■■■■■■��■■■i■ce■■ecne■■■■cc■cc■■■c■■■eee■■■■■■■■■e■■■ ■■■■■■■■■■■■■■■■■■■■■t1■■elf■■■■�■ii��■_■_�_��_._.�..�:�:iiii■■■■■■■■■■■■■■ ■■■■c■■■■moi:::■■■■■c■■■■enc■■■���■■■■■�■■���■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■c■■■■■■c■eee■■■■■■■■■■■■■■■■■■■■■■■■■■■■■c■■eee■■■■■■eee■■■■ ■■■■■■■■e■■■■ecce■■■■■■■e■■■■■■■■■■■■c■■■■■■■■■■■■■■■■■e■■c■■■■■■■ ■cec■■■■■■■■■e■e■e■■e■■c■■e■eee■■■■c■■■■e■■■■■■■e■■■eecec■■■■■■ee■ ■■■■■■■e■■■■e■■■■■■■■e■■■■e■ee■ecc■e■■eee■■■■ee■■eee■■ce■■■■■■■■e■ ■ee■e■■■■e■ee■e■eee■■e■■■■■■■■e■■e■■■ee■eee■e■e■e■■■■eee■e■e■ee■■■ ■■■c■■■■e■■■■■■ecec■■■ec■c■■■■■■■■■■ccs■e■■■■■■■■■ccccc■■■eccec■■■ DAME COUNT�ALTH DEPARTMENT Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 989900158 Tax PIN/EH#: 5739-49-9635.08 Billed To: Richard Hendricks Subdivision Info: Barnhardt Acres Lot#08 Reference Name: Location/Address: Main Church Road-27028 Proposed Facility Reisdence Property Size: 5 acres ATC Number: 4147 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 YE RS. Environmental Health Specialist's Signature: /1 Date: S T� CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit v 2 has been installed in compliance with Article 11 of G.S.Chapter 130A,Section.1900"Sewage Treatment and ;1✓. y12 Disposal Systems,"but shall in NO WAY be taken as a guarantee that the system will function satisfactorily for any given period of time. d �Y i� Septic System Installed By: 1 ` LA V-( Environmental Health Specialist's Signature: Z/- te: A1041 DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PO Box 848/210 Hospital Street Mocksville, NC 27028 Phone: (336)751-8760 /Fax: (336)751-8786 April 19, 2007 ' Jill Cannon 809 Main Church Road Mocksville,NC 27028 Re: Septic System Dear Mrs. Cannon: This letter is to address problems with the septic system that serves your residence. On December 28,2006,we received a call regarding the septic system stating that"when it rains it floods." A visit to the site on January 4,2007 revealed sewage surfacing at the beginning of the lowest drain line. As a result,two actions were taken: 1. A surface water diversion ditch was installed uphill from the drainfield, and 2. Because the house is served by a private water supply, a meter was installed to gauge water consumption in the residence. The surfacing condition was improved at a visit March 5,2007. The water diversion ditch had evidence of water movement. Average daily water consumption in the residence was within design flow of the wastewater system through the first 5 weeks of readings. A return visit to the site on April 17, 2007 found sewage surfacing, again from the area of the lowest drain line. A heavy rainfall event(>1")had occurred two days prior. Due to the intermittent nature of this failure,the description from the initial contact with our office, and assessments made on site, one of two things may be contributing: 1. Underground lateral water movement is filling up the drain lines, and/or 2. An underground spring may have popped up in the area of the drain field. I recommend that a french drain be installed uphill from the drainfield, in the area of the surface water diversion ditch. The drain shall be at least six feet deep and shall extend ten feet beyond the limits of the septic system, including the tank. There should be adequate fall to discharge the drain toward Main Church Road. A diagram of a french drain is attached. If this is not successful in correcting the surfacing condition of the septic system, an Improveftient Permit will be issued to repair the system. Please feel free to contact us with any questions. Sincer Jeff Beauchamp,R.S. Environmental Health Section