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186 McClamrock RdDavie Countv. NC Tax Parcel Rebort I .� 10 N Monday. October 10. 2016 She �FAll 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 Davis, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to �7 l� C or arising out of the use or Inability to use the GIS data provided by this website. WA"ING: THIS 1S NUT A SURVEY Parcel Information Parcel Number: G500000112 Township: Mocksville NCPIN Number: 5840407521 Municipality: Account Number: 9252000 Census Tract: 37059-805 Listed Owner 1: BOWLES WILLIAM MARTIN Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 186 MCCLAMROCK ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0038 Voluntary Ag. District: No Legal Description: 1.01 AC MCCLAMROCK RD LOTS 33-38 Fire Response District: MOCKSVILLE Assessed Acreage: 0.96 Elementary School Zone: MOCKSVILLE Deed Date: 1/1992 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001620117 Soil Types: WeB Plat Book: 0004 Flood Zone: Plat Page: 033 Watershed Overlay: DAVIE COUNTY Building Value: 186920.00 Outbuilding & Extra Freatures Value: 7810.00 Land Value: 23510.00 Total Market Value: 218240.00 Total Assessed Value: 218240.00 She �FAll 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 Davis, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to �7 l� C or arising out of the use or Inability to use the GIS data provided by this website. _.. _ a.�`. •�i"c . .-. r.. �..:--F + sJ .•1.yi .i" • ♦. .V -'f t • t .. - . i'k � ,s.. w.ayn t..« -.r..1 tet. 1vr:: - i -:n, AUTHORIZATION NO: yA ' ODAVIE COUNTY HEALTH DEPARTMENT � Environmental Health Section PROPERTY INFORMATION Permittee_ 's �- P.O. Box 848 Name: ,Mocksville, NC 27028 Subdivision Name: Phone # 336-751-8760 Directions to property: %moi 1 /jl��/r- ftr /c� Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN: SYSTEM CONSTRUCTION Road Name:&/"! �"//,.' **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 "��' �✓i f /�` (r . ( f,, f� �" . 'j` IS VALID FOR A PERIOD OF FIVE YEARS. 1� ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED 1 � `1 A DAVIE COUNTY HEALTH DEPARTMENT - IMPROVEMENT AND OPERATIONPEI�MITS Per`niittee'S - - Directions to property: PROPERTY INFORMATION Subdivision Name: Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:#:,• 777- %f ' Road Name: Zip: **NOTE** This Improvement Permit DOES NOT authorize the constriction 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) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE RgTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE H #BEDROOMS— #BATHS _� #OCCUPANTS —.V— GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No C LOT SIZE A /L'j TYPE WATER SUPPLY G%<� l DESIGN WASTEWATER FLOW (GPD) .� yU NEW SITE�JREPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZEZAOh GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. �L' REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT &APPRaVED EFFLUEUT FILTER& zusEm s) Ii' G o ' umu,.: rims .ED G: Dz& "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 r7FI4'jliWM'.t (335)751-8760 I OPERATION PERMIT SYSTEM INSTALLED BY: 7S� AUTHORIZATION NO.OPERATION PERMIT BY: DATE: ,7 "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 1 I 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) APPLI('AlION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Depatfinent Environmental Health Section P.O. Box 848/210 Hospital Street Mockeville, NC 27028 (336)751-8760 ***ItWORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. flame to be Billed 1 0 d 1 i M /// A %� / i 0 wA S Contact Person �1�, �, /a+r� �oGu L 5 Hailing Address 1�'/y�i4�i� /cs�OG/Z Hama Phone LEI 171 City/State/LIP / I/[�G l�s V�� l l r'� i�� Business Phone Z. Name on Pewit/AZC if Different than Above Mailing Address City/state/Lip 3. Application For: 64ite Evaluation ❑ Improvement Permit/ATC Both 4. s;•stem to Service: dHouse ❑ Mobile Home 0 Business ❑ Industry ❑ Other s. If Residence: # ?eople # Bedrooms �_ # Bathrooms 0 Dishwasher 0 Garbage Disposal 0 Washing Machine 0 Basement/Plumbing 0 Basement/No Plumbing 6. If Business/Industry/other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: I Seats Estimated Nater �Usage (gaiions per day) 7. Type of water supply: ❑ County/City t3'i%11 ❑ Community S. Do you anticipate additions or expansions of the facility this system Is intended to serve? ❑ Yeso If yes, what type? ***IMPORTANT'** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Prn;±er°v Dimers.err: /. M'40 WR1TR DIRECTIONS (from Mocksville) to PROPERTY: Tai Office PIN: #_ Property Address: Road Namel��9� Cle�� City/Zip�� If In a Subd: vision provide information, as follows: 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 ropons0le for all chxges Incurred from this appifcadon. 1, 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. DATE S / SIGNATURE 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 (07/98) Account Na '`r q Invoice Nm (o 4;Z 3 (114A) fio q 7521 (1. 10A) This map is for PERC TEST and BUILDING PERMIT purposes only. The Davie County Tax Administrator's Office assumes no liability for any information contained on this map. 8463 2 �-, zI COUNTY -ID: G500000112 d April 05,1999 4:31 PM Parcel Identification Number 5840-40-7521 t " ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section ' Soil/Site Evaluation NAMEQ W `� ADDRESS PROPOSED FACIILTY DATE EVALUATED PROPERTY SIZE > Ile / LOCATION OF SITE Water Supply: On -Site Well L".-' _ Community Public Evaluation By: Auger Boring 1.1� Pit Cut FACTORS 1 2 3 4 Landscape position A - Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 7 141 Texture group 0 - Consistence 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 f LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: / EVALUATED BY: Al/ l LONG-TERM ACCEPTANCE RATE: i OTHER(S) PRESENT: REMARKS: 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 3C --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(01-901 ■��u�■��■��■��■■�■�u�■�u��■a■n . ��■�n�� ■ ��■��■■ �■��■��■��N��/i��■�n��n■��■�� p��h�� ::o��W��%��/��%��■:�� ................C..................................L........ __. .� ..�......■ .. .�...................■...........■............. .■■. ... ■. 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