462 Liberty Church RdDavie Countv. NC
Tax Parcel Report 6 6 D 56& Monday. October 3. 2016
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Parcel Information
Parcel Number:
E300000011
Township:
Clarksville
NCPIN Number:
5811678137
Municipality:
No
Account Number:
13817000
Census Tract:
37059-801
Listed Owner 1:
CARTER TOM STEPHEN
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
462 LIBERTY CHURCH ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
1.19 AC LIBERTY CHURCH RD
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
1.15
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
/
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
Soil Types:
MnB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
67750.00
Outbuilding & Extra
Freatures Value:
4500.00
Land Value:
21360.00
Total Market Value:
93610.00
Total Assessed Value:
93610.00
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.
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Perm;j-iee's!',~l; - � , DAVIE COUNTY HEALTH DEPARTMENT
Name
'""" �`��' %.. Environmental Health Section PROPERTY INFORMATION
P.O. Box 848
Dicef tions to property: Mocksville, NC 27028 Subdivision Name:
Phone #: 336-751-8760
-" Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION r
AUTHORIZATION NO: 0 0 3 A Road Name] Y C Vi i . rr �'l 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 Permits.
(IR.Gompliance with Article I I -Df G.S. 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.
ENVIRbNMENTAL HEALTHY$.PECIALIST D TE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE] -
I ¢ # BEDROOMS I- # BATHS - # OCCUPANTS /-/ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
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LOT SIZE TYPE WATER SUPPL IC010 DESIGN WASTEWATER FLOW (GPD) a" l' l NEW SITE REPAIR SITE 1�
�i
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH! WIDTH Y ROCK DEPTH ( LINEAR FT. — �=��-'�:',
OTHER:-��„-'�}t\�
REQUIRED SITE MODIFICATIONS/CONDITIONS:t'1 -7 /���r,
IMPROVEMENT PERMIT LAYOUT [ � ry,x) >"•i/�{�fLU->
StUCd in 1.5A tICAC 18AAC-3, r'�
riJC' �4r 7 yCCaptcd .Systgms allay a;SO fi£ tl`''Cj
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11 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 11
OPERATION PERMI11c'''r , W f L L _�-�-t' 7'
SYSTEM INSTALLED BY: -r
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AUTHORIZATION NO. /-� OPERATION PERMIT BY: DATE: z d
"THE ISSUANCE OF THIS OPERATION.PERMIT SHALL INDICATE THAT THE SYS E%;PFFWRHi ED ABOV&U"-BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A,"SECTION. 1900 "SEWAGE TREATMENT DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
r
**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 G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
t ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
y `yf - i::' i IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL: HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE I 1j L` # BEDROOMS # BATHS # OCCUPANTS % GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLYL.60P/ tJDESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE t/'
tr"+ 1
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH k "' ' ' ROCK DEPTH 12 LINEAR FT. -
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
Tc tw u1 11l�j l l:`�
-
PeraiU e@'s
DAVIE COUNTY
HEALTH DEPARTMENT
-
Narr�e�-' t.
. "' =�� ��-� �"'`"w"
,
Environmental Health Section
� � �, u PROPERTY INFORMATION
_
P.O. Box 848
Directions to property:
Mocksville, NC 27028
Subdivision Name:
Phone #: 336-751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER
Tax Office PIN:# -
-
SYSTEM CONSTRUCTION
AUTHORIZATION NO:
002730
A
Road Name k,i- + t, �r�t�i t��
Zrp:
**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 G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
t ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
y `yf - i::' i IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL: HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE I 1j L` # BEDROOMS # BATHS # OCCUPANTS % GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLYL.60P/ tJDESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE t/'
tr"+ 1
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH k "' ' ' ROCK DEPTH 12 LINEAR FT. -
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
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11 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 11
I OPERATION PERMIT'DZ
SYSTEM INSTALLED BY: I � j �- ! _& CI 1)�'
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AUTHORIZATION NO:" . . ! o OPERATION PERMIT BY: / DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYS DE k EDA BOV S BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER'I30A; SECTION .1900 `SEWAGE TREATMENT ND DISPOSAL SYSTEMS", BUT SHALL IN NOWAY BETAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME,
DCHD 02102 Revised —
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APPLICANT INFORMATION
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/ Site Evaluation
Water Supply: On -Site Well Community
Evaluation By: Auger Boring Pit
PROPERTY INFORMATION
qk
Public
Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
Sloe %
�1u
HORIZON I DEPTH
Texture groupsG
Consistence
r
Structure
S.
Mineralogy
HORIZON 11 DEPTH
ZJ
Texture group 1
'54 C k
Consistence W.
Structure
<
Mineralogy
HORIZON III DEPTH
- 2 -
Texture group
S ; C L
Consistence
FI S'9
Structure
CIL
Mineralogy
HORIZON IV DEPTH
Texture groupS
;
Consistence
Structure
Mineralogy,
SOIL WETNESS
—
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION_77—
S
LONG-TERM ACCEPTANCE RATE
LONG-TERM
0.25
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
EVALUATION BY-
OTHERS) PRESENT:
C ,�
REMARKS: Jai (d r' `t �P
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
►i =
VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
mit
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
]Votes
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 05105 (Revised)
NAME
ADDR
7D RECTIONS TO
It)
DATE SYSTEM It
TYPE FACILITY_
TYPE WATER SL
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
_ PHONE NUMBER �JZ- 556/
,/I�SUBD V S ON�NAME
LOT #
j
BEDROOMS NUMBER PEOPLE SERVED
DATE REQUESTED `D INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge. and that 1 understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
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' ' `%` DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
* NOTE: Iss ed in Compliance With Article 11 of G.S. Chapter 130a
Sa ge Systems Permit Number
Name%' ��G / Y; ;n;r`%%� � Date r' ��; N2 6965
Location ��, ', bff /r ,-./ / <° ;s , V
Subdivision Name Lot No. Sec. or Block No.
Lot Size House `'' Mobile Home _ Business _— Speculation
No. Bedrooms `�� No. Baths _ / No. in Family
Garbage Disposal YES ❑ NO Q' Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Ma^hine YES ❑ NO ❑
Type Water Supply
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
r t f
Improvements permit by _—:'`y aLLf °' f
*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 day of completion. Telephone Number 704-634-5985.
Final Installation Diagram:
System Installed by
Certificate of Completion Date
'The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
"
Permittee's `,
DAVIE COUNTY
HEALTH DEPARTMENT
�"
Environmental Health Section
PROPERTY INFORMAT ON
'' �a
P.O. Box 848
Directions to property ._
.r
h1ocksville, NC 27028
Subdivision Name:
*'Phone
#: 336-751-8760
r.
Section:
Lot:
P
AUTHORIZATION FOR
WASTEWATER
Tax Office PIN:#
- -
SYSTEM CONSTRUCTION
AUTHORIZATION NO:
'T ' 9
1; ,4 i„ ) A
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 Permits.
(In compliance with Article 11 of G.S. 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.
ENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE+� v"_ # BEDROOMS F" '#IBATHS ."11) # OCCUPANTS ",' GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH „"p ROCK DEPTH U LINEAR FT.?
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
"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 (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: !Z % rte'✓
AUTHORIZATION NO. G PERATION PERMIT BY: DATE: �12 21k:S--'
"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 02/02 (Revised)
e-
• T DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Iss ed in Compliance With Article II of G.S. Chapter 130a
Sah;ta,age Systems __ Permit Number
Name S� �✓-%i^r%'F? ..b-�,4 ;.-g5 .S Date �� �" N2 6965
i
Location �r Z/✓ �4°/% , -� ✓ % > 64-,-
Subdivision
4-o
Subdivision Name Lot No. Sec. or Block No.
Lot Size House v� Mobile Home — Business _— Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES ❑ NO p- Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Ma shine YES ❑ NO ❑ r k ��
Type Water Supply __—
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
Improvements permit by — f!
*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 day of completion. Telephone Number 704-634-5985.
Final Installation Diagram:
System Installed by
Certificate of Completion � Date �Z"l
'The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
Dv=V"~~ .°~~"w~... ""EAL,,, ~,E°AR,ME°°,
- -�- - ` IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
OTE: Inyed in Compliance With Article Um{CS.S 130a
Sanitary -Sewage Systems 2 Permit Number`
Narne
'>Date N2 6J65
Location
Subdivision Name Lot No. Sec. oxBlock No.
Lot Size' House _-____. Mobile Home ______� Business ______ Speculation
No. Bedrooms __-c _-.No. Baths No. in Fmmi|y___���__
Garbage Disposal YES E] NO ET Specifications for System:
�
Auto Dish Washer YES'[] NO 0
Auto Wash lWanhine YES [] NO []
Type Water Supply
*This permit Void ifsewage system described below is not installed within 5years from date mfissue.
This permit is subject to revocation if site plans or the intended use change.
Improvements 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 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985.
Final Installation Diagram: System Installed by
�
'
f
~
`
Certificate ofCompletion Date
"The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards net forth in the above regulation, but ohoU in NO way be taken moaguarantee that the system will function
satisfactorily for any given period oftime. ^ �