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2433 Liberty Church RdDavie County, NC Tax Parcel Report -�Oaj 4 Monday, October 3, 2016 r i 128 j > r._. _ t._ ........... _. ` S TT I i —i 241 _ ; 4 241 _...._ 1 t• S• ,t WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: 8200000011 Township: NCPIN Number: 5803589514 Municipality: Clarksville Account Number: 82518090 Census Tract: 37059-801 Listed Owner 1: LIBERTY BAPTIST CHURCH Voting Precinct: CLARKSVILLE Mailing Address 1: 2433 LIBERTY CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 6.25 AC LIBERTY CHURCH RD Fire Response District: LONE HICKORY Assessed Acreage: 5.47 Elementary School Zone: WILLIAM R DAVIE Deed Date: 1/2002 Middle School Zone: NORTH DAVIE Deed Book I Page: 004030507 Soil Types: MnC2,MnB2,MdB,MdC Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 340350.00 Outbuilding & Extra Freatures Value: 28030.00 Land Value: 42150.00 Total Market Value: 410530.00 Total Assessed Value: 410530.00 161 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. LOCATION ADDRESS /o a z A4 --p Zvi 4° . OWNERL�u�e.0WHITE PRIVY: 7 / SEPTIC TANK: B�f� �oms Qr�y FHA CASE NUMBER Type ✓ Material / wood concrete Number New Repaired WATER SUPPLY: Source If well, type (Do red) L/ (Drilled) (Dug) Distance from nearest pollution '!� O ft. Form No. 473 (Rev. 9/58) Dimensions Vol ume "DO date Type secondary date treatment nitrif 6ation line No. of bedrooms 4[ 19- e VA CASE NUMBER filter trench Permit Number Date —� Approved Date Approved by Contractor or Plumber v — c Address � Remarks SEWAGE DISPOSAL RECORD 1 - � • • � • • � • • � � - �� • .. • •.- � � • • .• � •� • ,' ' /■���/�����■������■�■ ■�/���■■���■���r■�■■■�� ������h�r■�����■■�\�■■���■��� ����� ...................�._............�.=...�...._.....�.......�.............. ..... ������■�■ ��■�� ��■����■���■■�■■�r,���n��i�c.a����������■■�� �■�■■■��■■■��� ��■�� ��e■���■■_■�■��_���■■��������■��■u■�:�■������=a����■■��■■��■�����■■���■■���■�■�� ����e======-==- ==='..■■■ ■..■■■■■■��■���������■��■■����■■����■����■�����■■■���■� n■■�����■���■���i■��iiiiii�i������■�■■�■�����■■■�� ■■���:�:��_�■��■■■■��■�■■�■� I��■11���■��\�\�■���■■■�����A�■������0■��/����■■��■����\■■��\■■�■A���■■�������■■�r 1��11■�■■■�����■ �■■■����■����■■■■������\��A■�■■�� ■■r���■���■■��\\■■��■���■■■■� �■�II�A��■■■����■\��■■/�■■�\■��■�■��■��■����■���t■�■■■\����\■���\����■\■\�r\�■■� ��/1��������■�r����i��/■���A�������■������■A�����■■������■■�/���A■���u�� ������ ���1��\�����■���■���■��■■�����■�������r�\■■A��������■���■■�����■A�■���■■��■������ ���I�\�■■■���■��\■�■■■�\���\���■■�■��■�(Nl■����■��■■■t■������■■�■A��■■�■■■�����\� ��■f���■�����■����■�������������■��■�■������■�■��■�■■�����s�t■w■���■■�e■����\�■■A ���t����■��A�����\��������■A���������\r��t�A��t�����������\7���t���������������� �� ���������o��������r����r����■■�■���■c��������i����..�=a�►����n�������� ■ ■ ����■�������������■����■��rs�����■■����■�������■,r.���i��■■��ti������■■���■�� �■ ■� ■���■���■��■■���■�■�����■���■���■�t�it■���a�at�■��■.��t���■i��u�s��■■������� ��■■�■ iiiiiii=iiiii�■iiiiiiii�iiii:iiiiiiuiiiiiii�iiii►�iiiiiiiiii�iiiiiiiiiiiiiii�iiiiii �■����■����■������■■���■����■■:_:.-.��■s��■■�i�■.,�����■�����e����■■��■■■■■�■�������� ���.��t����\����t�t����i��tA/��■\\I����ttttt��/��/��i�\��■�/�A.�������i�� ��������i\ ■��1���■�■��■■r��■■��■����■��■��■�Ji�l�■�/�:iE��■■■��■\���U■/It�■\����■■��■�■r�■■�\ ■��1�■�����A■���■■■■��r■����■■■���t���oia/q7r■��t��������■1/�II■■����■■��������■���� !�[1�����������■■■�������■■A■■�������■\�I�id��������■�t����I.�����\tt■��■fi�■�r����� ■�1�■■���■�����■�/�■■���■��A��■������Y■������■��A�i\■■���1�%�������■�■■����■���\■r ■■�■����■����■�■����������r�t■Y�■■■�■���■�A�■\��■■�\�\I�Ii���\�■�■��■��■■■���■■■�� ��������%���������������������������%�%������fi�A����1�1�1��N�\%\�\������\�\�������\ ��■���\�����■��■����■r�■■■�■�����■�■■������■�r�Cl��■LI\1��■�������■�■����■��1��t■ ■�■�������A■■��■��� �������������■�■�\� ■�����������■�r��■���■�������■���■���t�� �fl■��r■�■/����■�����■�����/��������/��� ���\�\1\�■■��\�1����\■�■�����A�■�\��■�■�� //I�s���■����■t■\�■��■�■����■����■ ■��\\■■t��■\�i�■�■■�5�����■�■��!■���������■��� iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii=iiiiiiiiiiiiiiiiiiiiiiiiii�iiiiiiii�iiiiiiiiaiii ■n�■�t��■����■■■����■��������■��■��t���■�������. �■������.����■�■�■�■e���■�■■�■■�� �n�����■■���■�����■���t■■����������■■��■����■■■i��+ ����aii��������■■�t� ■��■��■■�� ■p■�■��■����■���■���■\��■■r■A��A■■�■��■■■���■��►i:�■■■��■■■��������■tA��■■■��■�■� ttl■�� ■■■■A■■■�■■�����■■�■�■�■■\���■��■�■��■���►Iil�■�■■■��■r�■■��■������■���■■\�� �Ya��l������������l��\a�/�������■■��������aa���i!��a�����a���������a��������aaa�� ♦ 0 • AUTHOR ZA'TION NO: 1 jtQ DAVIE COUNTY HEALTH DEPARTMENT -, Environmental Health Section PROPERTY INFORMATION Perlti—itie-e-"sj P.O. Box 848 Name: -- Y.; e /' !!(, Mocksville, NC 27028 Subdivision Name: V% Phone # 336-751-8760 Directions to property: Section: AUTHORIZATION FOR /vi/' WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:#— Lot: Road Name: Zip: **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 Pen -nits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section.] 900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL I A DATE ISSUED 611 DAVIE COUNTY HEALTH DEPARTMENT r� IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION .Peftittee's Name f f. ,/ `�'- !` ,!fes.' J Subdivision Name: Directions to Property: -0Section: Lot: % IMPROVEMENT �' ( f ✓' �� f "// PERMIT Tax Office PIN:# - - Road Name: Zip: **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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ENVIRONMENTAL HEALTH SP CIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No '�#PEOPLE J�� / �. COMMERCIAL SPECIFICATION: FACILITY TYP # PEOPLE/SHIFT # SEATS,L--t%S INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY 111DESIGN WASTEWATER FLOW (GPD) ✓� NEW SITE REPAIR SITE r SYSTEM SPECIFICATIONS: TANK SIZE A&GAL. PUMP TANK GAL. TRENCH WIDTH % 40 / ROCK DEPT4 �LINEAR FT1!0_ OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT*RFFRDVED EFFLUENT FILTER= *RISER(S) IF 611 BELU4 FiFsI,];s:^D GRADE* y 0 "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 s, r, 64P8%', (336751-8760 OPERATION PERMIT SYSTEM INSTALLED BY: G AUTHORIZATION NO W 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) .01 Cs j 3 PU TION FOR SITE EVALUATION/IMPROVEMENT PERIi3fi & ATC • V� a Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street (.IDI q Mocksville, NC 27028 �) 1,4I'A �A (336)751-8760 e ***IMPORTANT*** THI6 APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PR'OpuVIDED. Reefer to the INFO ION BULLETIN for instructions. 1/Xlame to be Billed �" I T ontact Person Mailing Address Home Phone City/State/ZIP Bu ' ness phong 2. Name on Permit/ATC if Different thanove t,4—f & . 440 �X �. z �, Mailing Address _A Application For:i_^Site ;` t ti/state/zip LL ✓v Ci /C. . %��l/ Improvement Permit/ATC [I Both 4, System to Service: ❑ House ❑ Mobile Home ❑ Business ❑ Industry 0 Other C`�-Qwc� 5. If Residence: # People # Bedrooms # Bathrooms ,_--O,Dishwasher ❑ Garbage Disposal ❑ Wajs�hiing- Machine ❑ Basement/Plumbing rl Basement/No Plumbing trY/ Specify type �-` ��' \ 1-,Z5 # Sinks 6. If Business/Indus Other: S ecif # People # Commodes # Showers #Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ❑ County/City N1 Well ❑ Community t_D o you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes If yes, what type? ***IMPORT, CLl LETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW.( Either a PLAT or SITE PLAN MUST SUBMI7TED by the client with THIS APPLICATION. L- roperty Dimensions: JJX4T-"IRECTIONS (from Mocksville) to PROPERTY: �• Pr Address: RoadName �� `oe z ��y GEir �C�, Sam o`o • �� �'`�� "� �^' City/Zip If' x Subdivision provide information, as follows: Name: Section: Block: Lot: Dat 'roperty 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 run 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 suitability. I�NATURE . 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). Revised DCHD (07/99) Site Revisit Charge Datc(s): Client Notification Date: EHS: Account No. 15 Invoice No. (190) (320) W �W 427 (5.26A) 121 1 a� 2 79 CD 247 I 320) 00 4.90 A If LO2% ter, /lA nA 699.65 2 c c 00 4.90 A If LO2% ter, /lA nA 699.65 2 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SoiVSite Evaluation APPLICANT INFORMATION Account #: 990001715 Billed To: Wishon & Carter Builders Reference Name: Proposed Facility: Church Property Size PROPERTY INFORMATION Tax PIN/EH #: 5803-58-9514 Subdivision Info: Location/Address: Liberty Ch Rd -27028 4 acres 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 Sloe % 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 HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RA' REMARKS: LEGEND Landscape Position EVALUATION BY: OTHER(S) PRESENT: 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)