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1819 Hwy 64W Davie County, NC Tax Parcel Report 4,1 Tuesday, September 27, 201 E -�-�: - ! 1851 ���`�'-,�'�...�~ 125 ++r 18 22 CODBEY RD- GODBEY RD 1-139 151--'I 143 ..r', .,\ �• 1819 11, r 64 v f .............. - WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: 130000001101 Township: Calahaln NCPIN Number: 5729003433 Municipality: Account Number: 63824000 Census Tract: 37059-801 Listed Owner 1: SEAFORD JEFFREY DEAN Voting Precinct: NORTH CALAHALN Mailing Address 1: PO BOX 998 Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY H-B,R-20 State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag.District: No Legal Description: 3.415 AC HWY 64 Fire Response District: CENTER Assessed Acreage: 2.89 Elementary School Zone: WILLIAM R DAVIE Deed Date: 4/2015 Middle School Zone: NORTH DAVIE Deed Book/Page: 009840951 Soil Types: PcC2,CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 125090.00 Outbuilding&Extra 0.00 Freatures Value: Land Value: 276950.00 Total Market Value: 402040.00 Total Assessed Value: 402040.00 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 NC 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 1 Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990000708 Tax PIN/EH#: 5729-00-3433 Billed To: F1111PXa01ANeFks Subdivision Info: Reference Name: f4wA-Falter Location/Address: 1819 N.C. Hwy.64 K-27028 Proposed Facility: Business Property Size: 3.498 Acres ATC Number. 2137 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: a Date: 1004 qW. l�All(, /00 R l;ti0 CERTIFICATE OF COMPLETION **NOTE**The issuance of this Certificate of Completion shall indicate the system described on hn ement/Operati n P mit has been installed in compliance with Article 11 of G.S.Chapter 130A,Sectio 0"Sewage tment d Disposal Systems,"but shall in NO WAY be taken as a guarantee that the system will satis or y given period of time. d e r- Septic System Installed By: Environmental Health Specialist's Signature:. d&-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 IMPROVEMENT/OPERATION PERMIT Account #: 990000708 Tax PIN/EH#: 5729-00-3433 Billed To: Fuller Earthworks Subdivision Info: Reference Name: Chad Fuller Location/Address: 1819 N.C. Hwy.64W.-27028 Proposed Facility: Business Property Size: 3.498 Acres ATC Number: 2137 **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 f #People #Bedrooms #Baths Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type's #People_� #People/Shift_� #Seats Industrial Waste: ❑ Lot Size Type Water Supply Design Wastewater Flow(GPD) lb?b Site: New;Repair❑ System Specifications: Tank Size 12M,0 GAL. Pump Tank GAL. Trench Width��� Rock Depth _,2 Linear Ft./,�90J Other: 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.**** 1� Environmental Health Specialist's Signature: � /J , Date: J DCHD 05/99(Revised) r �n APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC @ a v Davie County Health Department Environmental Heath SecUon �'�L� AUG 4 ! P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 t ;,� L .:. wr- •. �. ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed Fuller Earthworks Contact person Chad Fuller mailing address 855 Salisbury Rd. Some Phone 751-3712 city/statenip Mocksville, NC 27028 Business Phon&751-3712 2. Name on Permit/ATC if Different than Above Mailing address City/ t•/Zip 3. Application For: Site Evaluation Improvement Permit/ATC X/Both 4. System to Service: ❑ House ❑ Mobile Home Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms # Bathrooms ❑ Dishwasher ❑ CarbaQo Disposal ❑ Washing Machine ❑ Basement/Plumbing ❑ Bassment/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: 1 County/City ❑ Well ❑ Community S. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes ❑No If yes,what type? ***IMPORTANT***CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PL/AN MUSST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: 2,� '7 n�/7c1'(f WRITE DIRECTIONS(from MockrAlle)to PROPERTY: Tax Office PIN: # 5q2,9-Q0 -,9q3'-?) '�forne r 07r Property Address: Road Name 18191,�NC HWY. 64Wy p City/Zip Mocksville, NC 27028 If In a Subdivision provide Information,as follows: Name: Section: Block: Lot: Date Property 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 am 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 suitab DATE T 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• Account No. Revised DCHD(07/99) Invoice No. �' Now or Formerly Center Methodist Church ; 1 � _ ... � i _.... . / ; _ _ ;, -. , .._ ,� .._ r� .. �. .__ . _..- , l �� � ...... .. S �,�54 , S -. E_ ._. .. ._... ., » _..,. 31%el2 _ ....� � Godb y _ Ro4 �z _ T�t$1 _ ._... ; � . , ad , . . (s R. , , ,; 6 3� No � or Form erlp ��J� �y , Ophelia Ferebee ►1, <y Deed Book: 53 Pege: 609 '�,�� � ,� �'�'�oO�M � �ti o � � � 0� ;; ,.. � /, 0� ti'�' I,,` �. 0� F ' �r%.Oo''\ , �¢ 15 ��IP ,` 1,2'Z S � 6000 Sq.Ft. Tota/ B/dg. , ' ; N�� �,�� �A� .. --. ' 1 �9 4,2 No �r or Form erly Ophelia Ferebee Deed Book: 53 Page: 609 NOTES: 1) Property Zoned HB 2) Minimum Building Setback Lines: 30' Front yard, 10' Side yard and 20' Rear yard. 3) lmpervious Limits: Tofa/ Building Areo: 6,000 Sq.Ff. Area in new Grave/ Porking 12,040 Sq.Ft. Total lmpervious A�eo: 18,040 Sq. Ft. (Toto/ Site A�ea: 3.498 Acres = 152,372.88 Sq. Ft.) Percen t o f Co verage = 0.118 9' SO 1150� �s oo _ . .... .__ .� . _ _ � . . � _. _,�8 8p - . ,� � —� . . / rovel Park� 12, 0 0+/— Sq. Ft. ln Pork ng Area dt Orive / GRA� 25 50 � ( 1 ir —.. �': 3.498 Acres (A�eo by Coo�diote Method) S88"02'21 "i� 122.21 � Ll N89"09':�7"iY 97.37 / O� No w or Form e. I,y �,�� CI em en t Cem e��a y �• Map Book: 1 Pa�-s: 2 � r �'�V � ,�� � f� . '�'~ . � ' IC SCALE 100 FEET ) = 50 ft. S84" 3 z4 "r s4. aa � S89"32'57"if 334. 06 No ir or Form erly Williem R. Clement Deed Book: 119 Page: 373 PRELIMINARY PLAN NOT FOR �'��^?DATION, CONVEYA��i�_S OR SALES , 1 o ,�� � � ' , Dc � 6 ' J ' ; � l ; ;' �� , �� �� �� ; � "� ,�5 % ,�� ; ,� 1 LlNE TABLE LINE LENGTH BEARING L 1 15.12 S84 44'41 'E JOB NAME: Si t e Pl an for zoo "����e1� �E �9 � � � � � � o ��,s PA TTERSON, BREWE �c ASSDCIA TE,�', P.A. ENGlNEERING * SUR EYING * PLANNING P.O. BOX 1387, Mo esville, N.C. 28115 (�04) ss2-o�o0 # F X (�04) ss2-o�o� � LOCATION: CALAHALN TOWNSHIP, DAVIE COUNTY, NC OWNER/DEVELOPER: rULLER cAP.THWORKS DRAWN BY: PAF SCALE: 1 " = 50' DATE OF FIELD SURVEY: CHECKED BY: JHP DATE OF MAP: AUGUST 3, 1999 JOB NUMBER: IBOOK N0: 99171 • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation • APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990000708 Tax PIN/EH#: 5729-00-3433 Billed To: Fuller Earthworks Subdivision Info: Reference Name: Chad Fuller Location/Address: 1819 N.C. Hwy. 64 K-27028 Proposed Facility: Business Property Size: 3.498 Acnes 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 Texture group Consistence Structure Mineralogy HORIZON II DEPTH 241t 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: EVALUATION BY: i 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 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) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■gin■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■LCA■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MENNENM ENNENMEMNONMENNEN ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■e■■■■■■■■■■■■■■ecce■ee■■■e■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■