3484 Hwy 801N (2)Davie Countv. NC Tax Parcel Report Wednesday, October 12, 2016
WAK1V11V1�: llilJ l� 1VU1 A �U1�VLY
Parcel Information
Parcel Number: C400000011 Township:
NCPIN Number: 5833206392 Municipality:
Clarksville
Account Number: 25566250 Census Tract: 37059-802
Listed Owner 1: FLEMING PHILLIP A Voting Precinct: FARMINGTON
Mailing Address 1: 3484 NC HIGHWAY 801 NORTH Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
NC Zoning Overlay:
27028-6329 Voluntary Ag. District:
HWY 801 Fire Response District:
6.80 Elementary School Zone
2/1989 Middle School Zone:
001470377 Soil Types:
Flood Zone:
Watershed Overlay:
9970.00 Outbuilding & Extra
Freatures Value:
84470.00 Total Market Value:
102700.00
No
FARMINGTON
PINEBROOK
NORTH DAVIE
EnB,WATER
DAVIE COUNTY
8260.00
102700.00
pv � All data Is provided as Is without warranty or guarantee of any kind either ezprussed or implied Including but not Ilmlted to the
9 i.�e F Davie County� Impliod warranties of inerchantahility or fitness for a particular uso. All users of Davlo County's GIS website shall hold harmless the
N� County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action duu to
�'p��N.t'� o� adsing out of the use or inability to use the GIS data provided by thfs we6site.
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DAVIE COUNTY HEALTH DEPARTMENT 1�
:,
IMPROVEM�NT PERMIT
IMPROVEMENT PEAMIT and �ERATION PE T l 7�
1
, � �d
���3�
.
+�*NOTE�� This i�prove�ent per�it DOES NOT authorize the construction or installation of a septic tank syste� or any NasteNater
syste�. AN AUTHORIZATI�I FDR NASTEWATER 5Y5TEM CONSTRUCTIDN �ust be obtained fro� this Depart�ent prior to the
construction/installation of a syste� or the issuance of a building per�it.
tIn co�pliance with Article il of 6.5. Chapter 130A, Naste►►ater Syste�s, Section .1900 SeNage Treat�ent and Disposal 5yste�s)
�
NA� ' � � T/ PR�ERTY ADDRE55
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L�;ATIDN __�
�'o�N - a 70��
�a!]/!% �"i'Y/ ~ � ��.1�
DATE ,/-,l ��
SUBDIVI5ION N�FIE LOT NLJ�IBER SEC. /BL�1( NUMBER
RESIDENTAL SPECIFICRTION: BUILUING TYPE 1��_ � BEDR�MS �# BATHS � t OCCIJPANTS � 6ARBf� DISPOSAL: Yes/No
CDMt�RCIAI SPECIFICATION: FACILITY TYPE � PEDPLE # PEDE'LE/SHIFT � 5EflT5 INDUSTRIRL 41ASTE: Yes1No
_;., LOT SIZE �JC� TYPE WATER SUPPLY /1/f// DESIE�I i�15TEV1ATER FLOW (C,PD> �U T�LI SITE r� REPAIR SITE
5Y5TEM SPfCIFICATIDNS: TANK 5IIE �Gt�l7 6AL. Pl� TAF6( /ODI� 6AL. TRENCH WIDTH c�a ROCK DEPTH �� LII�AR FT. �!''6Cs �
OTHER �Ci�� !� u�v ` � !._! ' �64a'r"S`�
REQUIRED 5ITE MDDIFICATI�15/CmJDITI0N5:
+���THIS PERMIT IS SUBJECT TO REVOCA7ION! IF SITE �ANS OR TF� INTENDEO USE
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. /
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IMPROUEMENT PERMIT BY ��'���/
**COMTACT A REPRESENTRTIVE �' THE DAVIE CQLNJTY NEALTH DEPARTMENT FOR
8:30-9:3@ A.M. OR 1:�-1:30 P.M. ON THE dAY OF INSTALLATION. TELE
�ERATION PERMIT
AUTHORIZATION N0. � yC6�
SYSTEM INSTRLLED BY .
�l'�� L�"`— ~
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DPfRATIDN PEI� T BI Y
;
INSPE ION DF IS SYSTEM BETWEEN
� IS 1�4f E34-8 60.
tS`'T �`-
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�a�
h�JST
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� DATE � Y � �
}�THE ISSUANCE OF THI5 �ERATION RERMIT SHALL INDICATE T}1AT THE SYSTEM �SCRIBED ABOUE HAS BEEN INSTt�.LED IN COMPI.IANCE WITH �
ARTICIE 11 OF G.S. CHAPTER 130A, SECTION .1988 "SEV�iE TREATMENT AND UISPOSAL SYSTEMS', BUT SHALL IN NO WAY BE TAKEN AS A
b�JARANTEE TNAT TF� SYSTEM WILL Fl�TION SATISFACTOj�ILY FOR �IY 6IVEN PERIOD � TIME. ' r
DCHD 10/95
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_ �� ,� - _ �� _ , � Davie County Health Dep�art�ent /� � I � • � � ',
�' —" J 2 `� �= ENV I ADNR4ENTAL HERLTH SECT I ON ��j �� �
r . � y� � �
r. , �.- .
.; .� � ' — a.o. eox bbs ;
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_ , • Mocksville, N.C. 27028 -- 1--� ,
�r- . _
w --- _ AUTNORIZATION FOR WASTENRTER SYSTEM CONSTRUCTIQI �. '
;
�- � lIssued in co�pliance with Article il of
-.�'' G.S. Ghapter 13�dA, Wastewater Syste�s) �.
+�*+�This Authorization For Waste►+ater Syste� Construction �ust be issued by the Davie County Environ�ental Health 5ection prior to
issuance of any Building Per�its. This Far�/Ruthorization Nu�ber shauld t,e presented to the Davie County Building Inspections
' Office when applying for Building Per�its.+�+�
`� ALITFDRIZATION M.�`.9ER
NAFE ,F" .' �/ �i > ✓ DATE ��-'� %' /�� � � � E,� 4 r iJ
NRME ON IIPROVEl�NT PERMIT fIf different than above)
� SITE LOCATIW �/�r.7•?/ , t�^i-.._--
(1
CO!lfNTS/I�ITION5 ON RUTNDRIZRTION TO CONSTRUCT WASTEWATER SYSTEM �
�TICE� THIS RUTHORIZflTIDN FOR W TEWATER 5Y5TEM CONSTRLICTION IS VAI.ID FOR A RERIOD OF FIUE t5) YEARS.
4 �
�� � .+'' � � �� BJ��
ENVIROMEMAL FEAL.TN SPECI IST DATE
DCHD 10/95 _
' "� APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
� Davie County Health Department r:-� �.
Environmental Health Section �i i� �"
P. O. Box 665
Mocksviile, NC 27028
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1. Application/Permit Requested By �
Mailing Address �� � � �� .���-�� ��� �� Home Phone 9l0 --55�-2-7 Z�/�
�d�� 2%p 2� Business Phone 7�f — OS8'tf"
2. Name on Permit if Different than Above
3. Application for: eneral Evaluation ❑ Septic Tank Installation Permit
4. System to Serve: ❑ House
❑ Business ❑ Industry
5. If house, mobi�e home: Subdivision
No. of People �
No. of Bedrooms �
obile Home ❑ Place of Public Assembly
❑ Other ❑ Unknown
No. of Bathrooms �
Dwelling Dimensions f� x G`� °1d� 7�
6. If business, industry, place of public assembly, other: Specify type
No. of People Served No. of Sinks
No. of Commodes
No. of Urinals
Section Lot #
❑ BasemenUPlumbing
❑ BasemenUNo Plumbing
❑ Washing Machine
❑ Dishwasher
❑ Garbage Disposal
No. of Lavatories No. of Water Coolers
No. of Showers Water Usage Figures
7. Type of water supply: � Public Private
8. Property Dimensions a�c�� Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to senre? ❑ Yes
If yes, what type?
� •
❑ Community
*NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
�
Directions to Property: Tax Office PIN: #��'�.��-�?O-�,3�i �
/ � • PROPERTJ �Ib�RESS, as ,follows:
/ ir�i l�'�'/lb/ pn �� � NU(�� Road Name: ���..-h c�� �+
� � � u v� � �� � CitJ: t'�c*t�Ls t. i`���
U �' � t�ln �'?"4"1 s.,t�,
� SU$MZT tt PLttT WZTH TIlIS APPLICttTION.
Q �,f nr � l
1`""''� `" <<'`� � � h�EC��i7��'� Revisions effective October 1� 1995.
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�P'1 r" I t i� � a I i' O kJ i/'� /! G �"Q' 'r'i G�C.. LC� � e.�S �h �j--rvy'fT'
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�!�►�s� C�►. I I�, � s� � c�.-n y,,, 1��,�-e, Q
, �-�-�" y av -�
This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges
incurred from this application.
�- � - � 6 �/
DATE SIGNATURE
CONSENT FOR SITE EVALUA�ON TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: �l� I OWN the property. ❑ 2. 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 [epresentative f h 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 said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE SIGNATURE
DCHD (7�93)
. ' ,�, DAVIE COUNTY HEALTH DEPARTMENT
' `- ' � Environmental Health Section
' Soil/Site Evaluation
NAME ��1� DATE EVALUATED �/� %` �
ADDRESS PROPERTY SIZE �/��
PROPOSED FACIILTY _�1`� LOCATION OF SITE �O�i`;s�.��,
Water Supply: On-Site Well _ Community Public
Evaluation By: Auger Boring ;� Pit Cut
FACTORS 1 2 3 4
Landscape position �. L .C._ __ �-- _
Slope 9.
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZ
SAPROLITE
CLASSIFICATION
���
SITE CLASSIFICATION:
LANG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD(01-901
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.,
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EVALUATED BY:
OTHER(S) PRESENT:
LEGEND
Landscape Position
R-Ridge S-Shoulder L-Linear slope FS-Foo[ 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-Silt,y �:lay loam• SIL-Silty loam CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Silty clay C-Clay
CONSISTENCE
Moist
VFR- V��.�y friable FR-Friable FI-Ficm 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
,iC--Single grain M-Massive CR-Crumb GR-Granular ABK-AnQular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Mineraloicy
1:1, 2:1, Mixed
Notes
H orizon depth - In inches
Depth of fiil - In inches
Restrictive horizon - Thickness and inches from land surface
Saprolite - S(suitable), U(unsuitable)
Soil w etness - Inches from land surface to free wate�' 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
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