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144 Mattie Ln Davie County, NC Tax Parcel Report Friday, December 16, 2016 1664 � 1693 �/OGF 1 Al 144 16fi3 1638 523 a 145 1626 r N 1633 171, J Y Ina � < 155: WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: J100000027A Township: Calahaln NCPIN Number: 4797688192 Municipality: Account Number: 8302031 Census Tract: 37059-801 Listed Owner 1: JOHNSON DAVID LEE Voting Precinct: SOUTH CALAHALN Mailing Address 1: 3875 SOUTH RIVER CHURCH ROAD Planning Jurisdiction: Davie County City: WOODLEAF Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27054 Voluntary Ag. District: No Legal Description: 25.039 OFF 140 Fire Response District: COUNTY LINE Assessed Acreage: 24.98 Elementary School Zone: COOLEEMEE Deed Date: 3/2013 Middle School Zone: SOUTH DAVIE Deed Book/Page: 009190386 Soil Types: PaD,ApB,PcC2,CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding& Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: xt f 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 wabslte shall hold harmless the County of Davis,North Carolina,he agents,consultants,contractors or employees from any and all claims or"uses of action due to NCor arising out of Na use or inability to use the GIS data provided by this website. ri {;S:k t ;,1- •ls r .. :-tiP-�.ni:�-.� `_'ar. r-'�Fi•ss.-.. � .✓a.n.:X�.af it..a.... '.v- iliw'.;�:.4,y_�1..r:,�L-i.., Y �K.s1 }-,�:;�.a - m_ AUTHORIZATION NO65 : DAVIE CUNTY HEALTH DEPARTMENT ��X� f 9 Environmental Health Section PROPERTY INFORMATIONO�qg Permit tee's jq _/ j' & P.O..Box 848 Name: n /VN �' Mocksville,NC.27028 Subdivision Name: 8 Phone# 336-751=8760 Directions to property: ��y�� ly ��.. Section: Lot: AUTHORIZATION FOR u BA 1 a�. ��' n) M A-M L L4 WASTEWATER Tax Office PIN:# = T•3 SYSTEM CONSTRUCTION Road Name. !'1 �� ` Zip: I�O **NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building\ermits.This Form/Authorization Number,should be presented to the Davie County.Building Inspections Office when applying for Building Permits. (In compliance 7ith Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) fi ,'r- ��' �► "�+ ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION t,r L:�%w✓ ,r' ji7 1 IS VALID FOR A PERIOD OF FIVE YEARS. ENS�NMALHEgLTH Sft ST DAT IS WED !_ •+`.,n.+ wyl'•-.y.,�, .r, + � s .w. at �...... — - .w a+ .c: .„'.'+ .--4-65 4 DAVIE C UNTY HEALTH DEPARTMENT �i IMPRO MENT AND OPERATION PERMITS PROPERTY INFORMATION. �: . ��Perm�ttee•'.su..r"�''.�� IrIG � �B� , Name: Subdivision Name:. p Directions to,prope,r-tY I it)y ` Qhi, Section: Lot: 0 IMPROVEMENT Bp, Z, t r rij f L i}.� ATT ii. -rJ PERMTI. . Tax Office PIN:# l Road Name: I �-� " Zip: **NOTE**This Improvement Pem-dt DOES.NOT authorize the construction or installation of aseptic tank system or any wastewater,system.An AUTHORIZATION FOR WASTEWATERSYSTEM CONSTRUCTION must be obtained from this Department prior to the consiruction/installatiM of a'system or the issuance of a building permit. (In compliancerwith Article l'of G.S.Chapter430A,Wastewater Systems,Section:1900 Sewage Treatment and Disposal Systems) • ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INUNDED USE CHANGE.YOUR WASTEWATER ENVIRONMAL HEALTH SPECIALIST DA ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE c INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPEf''►►a #BEDROOMS_I#BATHS 2 #OCCUPANTS GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE I �= TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) J NEW SITE REPAIR SITE - 11 l i SYSTEM SPECIFICATIONS: TANK SIZE I!�2aGAL. PUMP TANK GAL. TRENCH WIDTHG ROCK DEPTH LINEAR FT.__LLQ OTHER 1-14 REQUIRED SITE MODIFICATIONS%CONDITIONS: I0—`TAL a"J c-'QT004 V—E:Er Ar LeAjST ''- c M-'0 CL IMPROVEMENT PERMIT LAYOUT Ip'� loo�x I3e )I IOvi 17�► T 10 Rid **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 PE IT X3 SYSTEM INSTALLED BY: AUTHORIZATION NO. `_ �!OPERATION PERMIT BY: DATE: "1 "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SY DESCRIBED ABO AS 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); A np M •APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT& U Davie County Health Depadment Ok Env11V#7menta/1fealth Section SEP 16 IM (1 P.O. Box 848/210 Hospital Street b Mocksville, NC 27028 D406NMEWALHULM (336)751-8760 DAVIE COUM ***IMP0R2'AKT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructionsf. - 1. Name to be BilledJ�ni .^ Contact Person L&-ham ��I' LLJ Mailing Address ' 4 I ,L `l..`.I l n ^Q Bome Phone 3.t.p.uq a y 4r7 City/state/ZIP l�Y I��I ` LO/ I�.1 C &Ib2B Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 41 or9L 3. Application For: Site Evaluation ❑ Improvement Permit/ATC Ba guy 4. systt:m to Service: ❑ Himse lid". le hc)r&A� 0 Business 0 Ina isi:ry 0 O .he: _ 5. If Residence. # People 4 # Bedrooms _ # Bathrooms J)Dishwasher ❑ Garbage Disposal J?-'Kashing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ❑ County/City Well ❑ Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes YNO If yes,what type? ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT orSITEPLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: '- WRITE DIRECTIONS(from Mocksville)to PROPERTY: Tax Office PIN: # 4 ! r/ - rl o I'�'sZ//'40 �d Properly,Addreoa; P",=!i`amc f � a &� ' �d_Ly �I �0 _ Properly City/Zip ` \�Y t '1�� 1�� ` 1� W'► h o _ If in a Subdivision provide information,as follows: 1 ► 11Q cm � G�O Name: Section: Block: Lot: Date Property 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 am responsiblefor all charges incurred from this application. I,hereby,give consent to the Authorized Representative of the Davie CountyHealth Department II to enter upon above described property located in Davie County and owned by D7iE�— ce c - to conduct all testing procedures as necessary to determine the s' bilin-. DATE. C1 �, S1 NA A-40 N/�_X A4" THIS AREA MAYBE USED FOR DRAWING YOUR SITE PLAN(Include all of th following: Existing proposed property lines and dimensions, structures, setbacks, and septic locations). Account No. 7� Revised DCHD(07/98) t¢ Invoice No. a�2 �LnC¢ locaP Moot C. (kood5 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME 4& DATE EVALUATED S PROPOSED FACILITY M' l� � PROPERTY SIZE SUBDIVISION ROAD NAME_ ftri% LJ Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 S 6 7 Landscape position ,Slope% 3 20 HORIZON I DEPTH O - 2 Texture groupC Consistence / S Structure Mineralogy ' HORIZON II DEPTH Texture groupG+ Consistence F 5 Structure Mineralogy HORIZON III DEPTH —4 Texture groupS Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE ' P>. p.y SITE CLASSIFICATION: EVALUATION BY: 1 LONG-TERM ACCEPTANCE RATE: C> OTHER(S)PRESENT: Q•L S"( ?et?� REMARKS: � ' i4q> COE -ix 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) LIAR-Long-term acceptance rate-gal/day/ft2 DCHD(OI-90) ■■■■■■■■■.■■■■e■■e■■e■■■■■■■■■■■e■■e■.eee■■■■■■■■■■■■■■■.■..■■■■.■ ■/.//■■■■■■..■.■.■./.■■■■■■..■■.�■■.■■..■.■..■■■.■.■■■■■■■ecce.■■ ■eee■■■■■■■■e■■■a■■■■e■■■■■■■.■■■■■■■■■■e■seeee■e■e■ee■e.ee■ee..■■ ■.■ee■■■ecce■■■■■■e■..■■e■..■■.■�■■.eee.e.■ee.ee■■.e.ee.e.e.ee■e■ ■■■■.e■■■■■ee■eee■■■■■■■■■■■■e■■■■■■■■ee■ee■■■.e.ee■e■■■ee■■e■■■■■ ■.e■..■■e■ee■■e■■■.■■■e.ee■eee.■■■■■■■■eee■■e■ee■■■■■■■e■■eeee■.e■ ■e■eee■■■.■■■■■ecce■■ee.■■■■■■■■■■■■■■■e■■ee■e■■e■e■■ee■ee■e■■e■■■ ■eeeee■■■.■.■■■■■■■■■■■■■■.■■■■■.■■■.■■■■■■■.■.■■■■■■■■s■■s■■..■■■ ■■e■■■■ee■■■■■■■.e.e.■.■■e■eee■■ ■■■■e■e■■■■ee■■■■.■e■e■■.ee..■.■ ■e■e■.eee■.ee.■.e.■ecce■■■.■■■■■�ie■■■e■.■.■e..e■.■.■■..■■..■■.■.■ ■.ecce■■.■■■■■■■■■■■■■.■■■■■■■■e■e■■■■■■■ee■eee■eeee■eee■e■ee■■ee■ ■■.■■.■■■■ee■■■■ee.■■■■■■■■■■■■.■■■■.e■■e■ee■e.e.eeee.■■■■■■■■ee.■ ■■■ee■■■eee■■■■■■■■■e.■■■.■■e■■ecce■.e■■■e■■.e.e.■e.■■■■■..■■■■■.■ ■■■eeeee■.■■eee■■e.■eee■■■■e■■ecce■■■.■■e.■■■e■■■■e■..■■■.■..■■■■■ MESSESMEMNONMonsonMESSESMEMNONMOSSESiiiiii ■■ee■e■■�■►gee■eee■.■..e.e■eee.eee■eee.e■ee■e■.■ee..■ee■■e..e■.■e.■ ■■.■.■/■ill:iC./■.■■■■■■■.■■■.■■■.!./...■■■■■■■■■■■...■■■.■■.■■.■■■■ ■■■■.■■■■■■■■■■■■■.■■■■.■■e.■■.■■■■.e.■■ee.■■■■eee■■■■■■■■■■■■■■■■ ■■■.■■■■■■■■■.n.■■■i■.■■e.■■.■■■e■i�■■■■ee■■eee■.ee■■ee.e■■■ee■■e■■■ .................................................................. .................................................................. ■■■■e■.■■■■■■e■■■■/.n�rrr�*■eee■■..■■■.ee■■.■.■e■e■■■■■■e■■■.■■■■■e■ ■■■■.■■.■■■.■.■..e■■CT■!c�■■/l�.�i■e.e■■■■■ecce■■■e.■■.■■..■■■■■.■■■■■ ■■■■.■■■■■e�■■■e■■eI■■■■.■■■■■■■■■■eee■■■■■ecce.■■■■■■■■■■■■■■■■e■