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865 Liberty Church RdDavie County, NC Tax Parcel Report b 331 Monday, October 3, 2016 t- -- -- ---- -- �.— "_I 875N !'f 865 23' rf 817 8 121. WARNING: THIS IS NOT A SURVEY E@1 Davie County, NC Parcel Information Parcel Number: D200000051 Township: Clarksville NCPIN Number: 5812406769 Municipality: Account Number: 69769250 Census Tract: 37059-801 Listed Owner 1: SPEER CHRISTINE R Voting Precinct: CLARKSVILLE Mailing Address 1: 837 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: 11.987 AC LIBERTY CHURCH Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 11.98 Elementary School Zone: WILLIAM R DAVIE Deed Date: 1/1988 Middle School Zone: NORTH DAVIE Deed Book / Page: 1988EO201 Soil Types: MnC2,MnB2,MdE Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 91800.00 Total Market Value: 91800.00 Total Assessed Value: 91800.00 E@1 Davie County, NC All data Is provided as Is without warranty or guarantee of any kind either expressed or implied Including but not limited to the 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 or arising out of the use or Inability to use the GIS data provided by this website. ' DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT sN jtmA **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) NAME A11�1- 4114 Oar PROPERTY ADDRESS �J ' t"" 1 C r 1 Z t r� F l }t(� -DATE 7_ LOCATION r / /�f, , /4 , f/7f` ei 'f7 SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE T:`;7/ # BEDROOMS # BATHS -) # OCCUPANTS _�/_ GARBAGE DISPOSAL: Yes/No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE / '' TYPE WATER SUPPLY %/, DESIGN WASTEWATER FLOW (GPD)1r NEW SITE a.--" REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH :/ " ROCK DEPTH .1_=} LINEAR FT... OTHER REQUIRED SITE MDDIFICATIONS/CDNDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INENDED USE CHANGE. YOUR WASTERWAER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. I% IMPROVEMENT PERMIT BY /eji`. ' �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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY ^,. _.) m. NV) rMst U_ AUTHORIZATION NO. 0 _? OPERATION PERMIT BY rs.. I DATE «-T **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. DOHD 10/95 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER f " Davie County Health Department r Environmental Health Section KN 1 1996 P. O. Box 665 -� Mocksville, NC 27028 4 i j' -t- t t f d t� e /1 1. Application/PermitaaRequested By (.�-v,) e r on Mailing Address 130-7 B,r—d-) �-` (��(Dart Home Phon � ,30 I -e 'ton r Afc? %Q9 Q Business Phon 7b4J -10_c 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation Septic Tank Installation Permit 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 y No. of Bathrooms a 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: [3? Public ❑ Private 8. Property Dimensions A Qom' /` �` a� 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 R"Washing Machine Dishwasher ❑ Garbage Disposal M ❑ Community 'NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: L, be r ty chu.rch�{ oQc� ex ccf Iy l . 8 m f es +0 Ce n4-er o�C P -DP- Tax Office PIN: #590-q4:()-&76 PROPERTY ADDRESS, as „as_' fol Lows: �j Road Name: _i U �h%er�l IL cit,: &L< V,5Ui de-', A/C SUBMIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. This is to certify that the information provided is correct to the best of my knowledge, and I understand 1 incurred from this application. t-5- -9cn DATE NATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY_ for all charges MUST CHECK ONE: ❑ 1. 1 OWN the property. 2 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 ” f rI rhe neer to conduct all testing procedures as necessary to determine said site's suitabilit f r aground absorption sewage treatment and disposal system. OA DATE V ISIGNATURE DCHD (1193) 'tea 0194. t� (18 6Al INDEXED ON: 9XE ON 5811 o 67.6 q DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME DATE EVALUATED -5 l 7"G ADDRESS PROPERTY SIZE 024e - PROPOSED FACIILTY � �1�'w LOCATION OF SITE Z b e�z Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position Slope % �. HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH A f 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: A LONG-TERM ACCEPTANCE RATE: S REMARKS: DCHD (01-90) EVALUATED BY: 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- Vl---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 5C -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 ■����■■�■���������������������������■�■■ ■������/�������■ i■! 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Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***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.*** /� / AUTHORIZATION NUMBER NATE ! 1, rl7la17 DATE NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION --G.'%F COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM **WICE*** THIS AUTHORIZATION F9RIWA WATE/R�5Y5TEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENVIRONMENTAL HEALTH.SPECIALIST DATE DCHD 10/95