279 Jack Booe Rda
Davie County, NC
Tax Parcel Report 67 �,o Thursday, September 29, 2016
t v All data Is provided as Is without warranty or guarantee of any kind either expressed or implied Including but not llmlted 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 Davis, 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.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
C300000105 A
Township:
Clarksville
NCPIN Number:
5812981141
Municipality:
Account Number:
8304818
Census Tract:
37059-801
Listed Owner 1:
REA RICHARD L JR
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
279 JACK BOOE ROAD
Planning Jurisdiction:
Davie County
City: Mocksville
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
5.53 AC JACK BOOE RD
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
4.76
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
3/2015
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
009820386
Soil Types:
MnC2,MdB,MdE
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
0.00
Outbuilding & Extra
Freatures Value:
1580.00
Land Value:
42500.00
Total Market Value:
44080.00
Total Assessed Value:
44080.00
t v All data Is provided as Is without warranty or guarantee of any kind either expressed or implied Including but not llmlted 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 Davis, 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.
%t Y
:-IAUT IORII�ZJATION NO: O 2 O DAVI_E COUNTY HEALTH DEPARTMENT
t\l �. L'1 Gt Y ' �.`9-1, Environmental Health Section PROPERTY INFORMATION
�PermittQe,s{ r� ItiC
t"1 y Ct`t�� . ksvi Box 848
Name: b N q 1 � � Mocksville, NC 27028 Subdivision Name:
Zvi r� Phone #:
Directions to property: �1 Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# -5 tl,A
SYSTEM CONSTRUCTION
Road Name--SVt)� orad ', Zip: b:&I
**NOTE** This Authorization for Wastewater System Construction MUST 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.
(In compliance with Article 11 of GS. Chapter 130A; Wastewater Systems; Section. 1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST' i '. DATE ISSUED
�'+.. t.�a Pk. 'th�s'� � d .;t Y� 3 ?.(-Fv �T�.}—ts_k,�+,t�•�.*.iri �'�.` '4 +�'"�,"N�bi .. ��.y; ; �s w .� _ :. - is ', :
DAVIE COUNTY HEALTH DEPARTMENT
VEMENT AND OPERATIQN,P,ERMITS PROPERTY INFORMATION
`Pe
Name i"t t' 1 r't� t�+1",; ✓ Subdivision Name:
Directions t property: \ Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN•#
`'. Road Name: � a Zip: -1
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation 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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
I LI PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH'SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYP tl # BEDROOMS # BATHS # OCCUPANTS _ GARBAGE DISPOSAL Ye or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE:,Yes or No
Y
LOT SIZES 533'— TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)3(-()' NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK S12E492 GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
' OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: _ b • �� w `'`-� 0th
1'RIVQ wAy o aosp y
. F H
e
"CONTACT A REPRESENTATIVE OF THE DAVISCOUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 -1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
AUTHORIZATION NO.O ` OPERATION PERMIT BY: - 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 05/96 (Revised)
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC
" Davie County Health Department n
Environmental Health Section 0 v
P.O. Box 848
D
Mocksville, NC 27028 SEP 2 51996
(704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed AnQ 1 e BodP.nhame r
Mailing Address 261 Jack Booe Rd,
i
City/State/Zip MOCkSV 1 11 P, NC 27028
ContactPersonAnaiP leadPC1ilamer
Home Phone 704-492-2204
Business Phone 704-634-3511
2. Name on Permit/ATC if Different than Above Richard L Rea & Joyce E. Rea
Mailing Address lack BOOB Rd, City/State/Zip Mnrksyi 1.1 P. Nr 27028
3. Application For: [" ] Site Evaluation [' ] Improvement Permit & ATC K] Both
4. System to Serve: [ ] House M Mobile Home [ ] Business [ ] Industry [ ] Other
5. If Residence: # People --2— # Bedrooms— # Bathrooms_ [X] Dishwasher [X Garbage Disposal
[X] 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: XXCounty/City [ ] Well [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [A No
If yes, what type?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
S•53 SUBMITTED WITH THIS APPLICATION.
Property Dimensions: 61o?f.0-1 X .767.3 X '610,1ID X x13.1 ; WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
Tax Office PIN: # 5812. 98 - 1141 N nn 1n01 . obotj+ arn: P- S From ka" . R. iJayfe_
Property Address: RoadNameJark Rnne Rd- S a \K� ok E�
emel-
city/zip Mac k sV i l l e 2702 — ; sub c+SO;C�'r . we- ac -e- z� "Z�ewe- CDV-\
If in Subdivision provide information, as follows:
Name:
Section: Lot #:
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
to conduct all testing procedures as necessary to determine the site suitability.
DATE 9-25-96
Revised DCHD (06-96)
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` . DAVIE COUNTY HEALTH DEPARTMENT
r Environmental Health Section
Soil/Site Evaluation
NAME N a� C�2Qi `(��•C� DATE EVALUATED rr� - 1 • 1
ADDRESS ��'a PROPERTY SIZE O
PROPOSED FACIILTY �'�e LOCATION OF SITE 7:XPc� \:� bog Read
Water Supply:
On -Site Well _
Community
Public
Evaluation By:Ct1L
Auger Boring 1.1/
Pit --T'S9- Qm-
Cut
Sloe Z
-3u°
S --3D
l5" "
FACTORS
1
2
3 4
Landscape position
5IS
Sloe Z
-3u°
S --3D
l5" "
HORIZON I DEPTH
"
Lo"
�u
Texture group
Consistence
3
F"S
Tov—
Structure
Mineralo
)
ED
i ;1
HORIZON II DEPTH
L12"
2`\Z
Texture group
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
.5.-S
S
RESTRICTIVE HORIZON--
SAPROLITE
—
—
—
CLASSIFICATION
S
.S•
.S
LONG-TERM ACCEPTANCE RATE
-.4
SITE CLASSIFICATION: _ IQS• EVALUATED BY: C��� ���
LONG-TERM ACCEPTANCE RATE- Q OTHER(S) PRESENT: '000a
REMARKS:
LEG D
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- Vf--.-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
Mineralog
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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