865 Liberty Church RdDavie County, NC Tax Parcel Report b 331 Monday, October 3, 2016
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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
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DepartmentL�Xo
s
Davie County Health
f ENVIRONMENTAL HEALTH SECTION
P.D. 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