419 Ijames Church RdDavie Countv. NC
I Tax Parcel Report 060 Thursday. September 29, 2016
WARNING: THIS IS NOTA SURVEY
Parcel Information
Parcel Number:
G30000002405
Township:
Mocksville
NCPIN Number:
5820103973
Municipality:
Account Number:
8302016
Census Tract:
37059-806
Listed Owner 1:
NAGEL ROBERT E
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
2308 ELGIN STREET
Planning Jurisdiction:
Davie County
City: MUSKOGEE
Zoning Class:
DAVIE COUNTY R -A
State:
OK
Zoning Overlay:
Zip Code:
74401-5567
Voluntary Ag. District:
No
Legal Description:
5.913 AC IJAMES CHURCH RD
Fire Response District:
CENTER
Assessed Acreage:
5.95
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
3/2013
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
009180919
Soil Types:
PcC2,CeB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
121410.00
Outbuilding & Extra
Freatures Value:
3770.00
Land Value:
53820.00
Total Market Value:
179000.00
Total Assessed Value:
179000.00
161 1�T lldataIsprovided 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 webslte 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
1\ C or arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMITLJ i
-**NOTE** This improvement permit DOES NOT authorize the construction or installation of alseptic Yank 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)
NAME PROPERTY ADDRESS Gt�'n�� (,`!!�I�C �CJ:. DATE
LOCATION to 0 SUBDIVISID NANIE LOT LIMBER SEC. /BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS 4 # BATHS # OCCUPANTS S GARBAGE DISPOSAL; Ye No
COMMERCIAL SPECIFICATION: FACILITY TYPE ' # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Ye'/No
n
LOT SIZE `TYPE WATER SUPPLY W DESIGN WASTEWATER FLOW (GPD) •_ NEW SITE L' REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE ao GAL. PUMP TANK a `GAL. TRENCH WIDTH ROCK DEPTH LINEARi'fT. I30
4
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: y
*e*THIS PERMIT IS SUBJECT TO�REVOPATION IF,SITE PL.ANS'OR THE INTENDED USE CHANGE. YOUR•WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIIT BEFORE INSTALLING THE SYSTEM.
OV
,S4;1
r
IMRROVEMENT PERMIT _BY
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN
8:30-9:30 A.M. OR 1:N-1:30 P.M. ON THE DOS OF INSTALLATION. TELEPHONE #.IS (704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLEDBY`� �^' S• 1 • LJCr
+�. vrla.�
S
l
AUTHORIZATION NO. D Cfl OPERATION PERMIT BY (V DATE
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH
ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS', BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 10/95
Ir t? `�-,'l �y T 3 v"� 4 r r.� y } •5+-i " °
�'^N j.i3's ., Davie County Health Departeent�
ENVIRONMENTAL HEALTH SECTION
P.O. Box 665
Mocksville, N.C. 27028,
' AUMIZATION FOR WASTEWRTER SYSTEM CONSTRUCTION .
i' (Issued incompliance with Article 11 of
. t1 G.S. Chapter 130A, Wastewater Systems)
***Th%s Authorization For Wastewater System Construction oust be issued by the Davie County Environmental Health Section prior to
issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County_Building Inspections
Office when applying for Building Permits.***
RMDRIZATION NUX
NWME �e Ac.' o N 2 DATE I_ N2 0 w 0 0? .
NAME ON IMPROVEMENT PERMIT (If;different than above)
SITE LOCATION F0 es\ (Z00F,
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
i-
**OWICE*** THIS AUTHORIZATION FDR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ram 96
ENVIRONMENTAL HEALTH SPECIALIST DATE
�..,u DCHD',40 -,95 r wr -•x �wew+w�e r v t r.a »M�.e. .wR ....,w ... rM �« „. M
'
.. . - 1'.n - ax.: ` l`<�,.- ,.'.+c.r •,,,.:Rr k f '°,rf+r' a, , . mt . w w\ w' %! i'�',�. ,..) � .rtF ^f rt=.- m...w..
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & AT c�
Davie County Health Department
Environmental Health Section f �✓
P.O. Box 848 c� q
Mocksville, NC 27028
(704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed . Contact Person \-)O— C—J
Mailing Address Xr490 a,6JAJtAQ60 Home Phone q/ qg5-- L.��D
City/State/Zip Business Phone /f Ifas — M!5-
2. Name on Permit/ATC if Different than Above
Mailing Address
3. Application For: [ ] Site Evaluation
City/State/Zip
[ ] Improvement Permit & ATC M Both
4. System to Serve: M House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other
5. If Residence: # People # Bedrooms # Bathrooms Z [ ]Dishwasher [ ]Garbage Disposal
[ Washing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing
6. If Business/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 [ell [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [ ] No
If yes, what type?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: - q % 3 K� WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
1
Tax Office PIN: # l O ZO - '5q2a�, ;--fl AL. Za��6AJ ZIM22 6Z -
Property Address: Road Name lan 'J Om
city/zip X111 J AL 2`,Z000 f= zmt-a -10.AP
If in Subdivision provide i FNrmation, as follows:
Name: IDI ?::�-
Section: Lot #: 146eloETR,ifC 6.03
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
DATE_ �Q
Revised DCHD (06-96)
as necessary to determine the site suitability.
DAVIE COUNTY HEALTH DEPARTMENT
= Environmental Health Section
Soil/Site Evaluation (� I o/
NAME DATE EVALUATED 1 1 6
ADDRESS PROPERTY SIZE J —{
PROPOSED FACIILTY C O'Q LOCATION OF SITE
Water Supply: On -Site Well V Community Public
Evaluation ByCgv Auger Boring Pit Cut
FACTORS
1
2
3 4
Landscape position
S
S
Slope Z
v-
O -9<7-
8i-HORIZON
HORIZONI DEPTH
/p'
Texture group�--
Consistence
"I.
Structure
Mineralogx
VI
�'•
HORIZON II DEPTH
Texture group
Consistence
3.
Structure
Q
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
—
_
--
SAPROLITE
--
--
CLASSIFICATION
.S.
.S.
.S
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION:
i_nm _-TRAM And vu'r&
NCE R
REMARKS:
ATE.
EVALUATED BY: o
OTHER(S) PRESENT:
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 <;lay loam SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C=Clay
CONSISTENCE
Moist
VFR- Vc-y 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
3C -Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky
SBK-Subangular blocky PL -Platy PR -Prismatic
Mineralo¢y
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 (01-901
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