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446 Jack Booe RdDavie Countv, NC Tax Parcel Report 1'2( 41 Thursday. September 29, 2016 WARNENU: THIS IN 1VUT A NUKVLY 101 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 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. ParcelInformation Parcel Number: C20000004003 Township: Clarksville NCPIN Number: 5812686657 Municipality: Account Number: 8300101 - Census Tract: 37059-801 Listed Owner 1: BUCHANAN TAMMY JONES Voting Precinct: CLARKSVILLE Mailing Address 1: 1 478 JACK BOOE 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: 3.00 AC JACK BOOE RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 3.06 Elementary School Zone: WILLIAM R DAVIE Deed Date: 5/2010 Middle School Zone: NORTH DAVIE Deed Book / Page: 2010E0223 Soil Types: MnB2,MdB Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 154070.00 Outbuilding & Extra Freatures Value: 0.00 Land Value: 30530.00 Total Market Value: 184600.00 Total Assessed Value: 180050.00 101 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 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. ds tm�-�r ,�� _. _ ; . � Y = . � . , yr, . t . . . t' ^ . . � .✓ ,.,- �s 3�. v l-� �"`k` :L k�{ 4td' In'�t r � . �t a:�:"` �:2 '�' Y i N e"i: ���., v �ir.�:`y' ,Fa�.:�y- -.i';,,,. �ap a ` `� K �� � P.� `1 "�. 1 ,-::�3"}ay �-t,R�'"`i y "� � �fi ,�," � - . �., s '� �~��' . ' �z� y�lG%�� /%ao � f�R�TIOI� NO: '�'� �� DAVIE COUNTY HEALTH DEPARTMENT �; ,;; :�.�' • .; . ,. .��; . ,. `: Environmenfal Health Section PROPERTY INFORMATION , ` Permittee's �``., , -. . ,, , ". . : P.O: Box 848 Name: ' ` � � -� � Mocksville, NC 27028 . ' ` � . Subdivision Name: ' � , __ „ , _ / Phone #:704-634-8760 � .� Directions to property: < �-,�:�7r'' ��, ",�,� :�'`'"�r1' ` Section ` Lot: AUTHORIZATION FOR �a� / ,/ WASTEWATER Taz Office PIN:# ��� O� - +[!� � ' ' v✓ � � ,, , SYSTEM CONSTRUCTTON . , Road Name: �' �' ��� �ip:.�l.��� **NOTE** This Authorization for.Wastewater System Constiuction MUST BE ISSLTED by the Davie County Environmental Health Section prior _. � to issuance of any Building Pernuts. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permifs: . ', (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ; p ***NOTTCE**.* THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION , „ � .� �� -9Q ,, IS VALm FOR A PEWOD OF FIVE YEARS: >� � ENVIRONMENTAL HEALTH SPECIALIST, , DATE ISSUED � + _ . . . , _ . . __ _ .. - ,.; ,. . .. :. , � , .,. ..,: . .. , .: . P a4k y. ♦ 1 „� i ay tr..y, `'°a'l .t' •` '� ,r ,.. ,fir-�t ep. -y. s• r`4 �4 .. a'1t.:s. i Jar=i'ti y +'> a, p 4's t•r 1w'<: .�r-, roti •+`v; t jy. �./ . / 0 1 x DAME COUNTY HEALTH DEP�AR'MNT 'IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION permittee'se� Subdivision Name: J Directions to property: - •' % Section: Lot: ' IlIIPROVEMENT c " r G PERMIT Tax Office PIN:# a Road Nami'pSLvc��• r r� E-�!*�40TE!*is Improvement Permit DOES NOT authorize the constriction or installation of aseptic tank system or any wastewater system. An THORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the . struction/installation of a system or the issuance of a building permit.with Article 11 of G.S. Chapter 130A; Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) p ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE. IC �'j� / c� 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 TYPE # BEDROOMS # BATHS _,=Z&# OCCUPANTS LT GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE/ # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE ' / C TYPE WATER SUPPLY C DESIGN WASTEWATER FLOW (GPD)NEW SITE_ REPAIR SITE` SYSTEM SPECIFICATIONS: TANKSIZE/_Z2d_GAL. PUMPTANK GAL. TRENCH WIDTH '''ROCK ,DEPTH _4722— LINEARFT/ OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY 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. OPERATION PERMIT SYSTEM INSTALLED BY: WHD 05/96 (Revised). r J APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie County Health Department Environmental Health Section P. O. Box 848 Mo606 1- 760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. /1 -j� ..,� 1: Name to be Billed / 0 d� 1/i�/ q n i� Contact Person / 6 v, V Mailing Address 131 A I CO llf 1-4h t--1 Home Phone V/ -,S-YIO City/State/Zip %�D�CS(>� Af N- C. 2-7®2 Business Phone -72 -18r-E 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: ❑ Site Evaluation , City �/State/Zip Improvement Permit & ATC 4. System to Serve: 0"IHouse ❑ Mobile Home ❑ Business ❑ Industry 5. If Residence: # People 3 # Bedrooms 3_ ❑ Both ❑ Other # Bathrooms 29 Y2— ❑-Dishwasher ELCx&bage Disposal QX-�nshing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type # Commodes If Foodservice: 7. Type of water supply: # Showers # Seats LiYCounty/City # People # Sinks # Urinals Estimated Water Usage (gallons per day) ❑ Well # Water Coolers ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ©--Iqo- If yes, what type? i czcn n rl-AL VLC J1lt PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** AAF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: "' O ���-C 1 WRITE DIRECTIONS (from 1 Mocksville) TO PROPERTY: Tax Office PIN: # JTg �� - �P � - Property Address: Road Name e/4 g w e i 1 City/Zip /Zi I 1 �D` � Mf AIX, + 270 ?-( i 49WK5 CR,0- 0 /TY20"- ypr If in Subdivision provide information, as follows: 1 1 Name: 1 1 Section: Lot #: 1 1 1 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 as necessary to determine the site suitability. DATE `3 — / F- SIGNATURE Revised DCHD (06-96) YOU MAY USE THE BACK OF THIS FORM FOR DRAWINCG YOUR SITE PLAN. conduct all testing procedures 1/ APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Y� ♦D . S Davie County Health Department J Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By Nkf�(!74L E - , TDnl.2S Mailing Address } iN1-()C kS111 t i F . N1 . C, Home Phone 2n Business Phone ('1�� I� (� ��! — "�� L 2. Name on Permit if Different than Above 3. Application/Permit for: General Evaluation ❑ Septic Tank Installation 4. System to Serve: ❑ House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other [� Unknown 5. If house, mobile home: Subdivision Section Lot # No. of People No. of Bedrooms No. of Bathrooms Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Sinks No. of Urinals No. of Lavatories No. of Water Coolers _ No. of Showers Water Usage Figures _ 7. Type of water supply: ❑ Public . [f Private 8. Property Dimensions 3 a ere.5 Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes If yes, what type? ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal ❑ No ❑ 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: li,y�o1�J el S Q v it % �' , i� r0 .� r�i %i r✓ Q� r�� woo This is to certify that the information provided is correct to the best of my incurred from this application. DATE SIGNATURE I am responsible for all charges CONSENT FOR SITE EVALUA N TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1. 1 OWN the property. ❑ 2. 1 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 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 said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (12-90) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME V 6/"C� DATE EVALUATED ADDRESS PROPOSED FACIILTY n v PROPERTY SIZE �Al° /, e / LOCATION OF SITE CrA17_ � {)r Water Supply: On -Site Well [/ Community Public Evaluation By: Auger Boring L/ Pit Cut FACTORS 1 2 3 4 Landscape position 1. L .4 - Slope % ._ HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group► C Consistence 77 Structure 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 S SITE CLASSIFICATION: EVALUATED 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 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(01-901 ■■■ ■�■ ■�■ ■�■ ■�■ ■�■ ■ ■■ w■ e■ ■■ ■ r rDw e County Nealbf D artrnent Nealt§ Aen and .dome y cy 210 HOSPITAL STREET/ P,O. BOX 665 MOCKsvILLE. N.C. 27028 PHONE: (704) 634-5985 Keith R. Jones Rt. 8, Box 362-3 Mocksville, NC 2708 September 17, 1992. Re: Site Evaluation Jack Booe Road Dear Mr. Jones: As requested, a representative from this office visited the aforementioned site on September 16, 1992. The site was found provisionally suitable for the installation of a ground absorption sewage system. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hal 1, Jr. , R. S. Environmental Health Section RH/wd Enclosure rDw e County Nealbf D artrnent Nealt§ Aen and .dome y cy 210 HOSPITAL STREET/ P,O. BOX 665 MOCKsvILLE. N.C. 27028 PHONE: (704) 634-5985 Keith R. Jones Rt. 8, Box 362-3 Mocksville, NC 2708 September 17, 1992. Re: Site Evaluation Jack Booe Road Dear Mr. Jones: As requested, a representative from this office visited the aforementioned site on September 16, 1992. The site was found provisionally suitable for the installation of a ground absorption sewage system. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hal 1, Jr. , R. S. Environmental Health Section RH/wd Enclosure \�\ PRELIMINARY No OR RECORDATION ` CONVEYAHES \ AR SALES \ \ \ \ \ \ \ \ 1 \ 1 \ 91 � N1 1 O� \ O 1 APPROX. TREELIKE d 1 ......... 95 X22e v0- \ ' 19.6 �' 9.1' '• \ 8r too I lI9, p • _ II W56. 0PROPOSED ` \ N I I DWELLING07 ' APPROX. TREELINE PROP. \ I m DRIVEL \\ 6 --------� _468.38'--- . --�-------- J�4GK BOOE ROAD SR 1330 GRAPHIC SCALE 1"=100' "CONTRACTOR NOTE". cawnt-4 IR To ee FIESPONSIBLE FOR 0 100 200 300 `"0°"6`°'e`"TMS v Nr co.aw+rs OTHM Esnvic NsP** VAY ff"T THE PPOPOSM STRGURLOCATION 5HOM HEREON. RT 5 BOX 110 KING, NL. 27021 JOB NAME' PLOT PLAN FOR, PHONE (410) CW-8261 SAURATOM SURVEYS TAMMY AND TONY BUGHANAN DEVELOPMENT PLAN ONLYI NO PHYSICAL SURVEY PERFORMED ALL PROPERTY INFORMATION SHOWN HEREON WAS TAKEN FROM RECORD SOURCES SUCH A5 TAX MAPS, DEEDS, CURRENT OWNER TONY G. BUCHANAN AND PLATS SURVEYED AND DRAWN BY OTHERS. THE PURPOSE OF THIS SKETCH 15 FOR BUILDING OPWSHiP. CLARKSVIL TY- DAVIENORTH CAROLINA. PERMIT APPROVAL ONLY. ADDRE%° OFF JACK BODE ROAD GITY- MA (SEE NOTE TO CONTRACTOR) SUBD= NSA SECTION, NSA PHASE, NW SCALE, 1'=100's 88148 SUED. LOT, NSA PB tm PG " DB PG RAS^Al BY+ JP5 REVISIONS, TAX MAP. G-2 BLOCK. LOT, Ar-RES FROM