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253 McClamrock RdDavie Countv. NC Tax Parcel Report c` 1 Thursday. September 29. 2016 WARNING: THIS IS NUT A SURVEY Parcel Information Parcel Number: G500000094 Township: Mocksville NCPIN Number: 5840602897 Municipality: Account Number: 82527087 Census Tract: 37059-805 Listed Owner 1: BOWERS JANE M Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 253 MCCLAMROCK ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 72.608 AC MCCLAMROCK RD (66.250) Fire Response District: MOCKSVILLE Assessed Acreage: 66.25 Elementary School Zone: MOCKSVILLE,PINEBROOK Deed Date: 8/2000 Middle School Zone: NORTH DAVIE,SOUTH DAVIE Deed Book / Page: 2000E0304 Soil Types: AaA,WeC,WeB,PcB2,RnD,ChA,BuB,WATER Plat Book: 11 Flood Zone: Plat Page: 233 Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra Freatures Value: 5280.00 Land Value: 304220.00 Total Market Value: 309500.00 Total Assessed Value: 40190.00 [a] 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. .,.. a -• 't. .: . '-..(. AVTHOAJZATION NO:' DAVIE COUNTY HEALTH DEPARTMENT249 Z O Environmental Health Section PROPERTY INFORMATION Permittee's( P.O. Box 848 Name: - r�AVI zbwe"� Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property:. Mt.-, `To Section: Lot: 4-t AUTHORIZATION FOR ' y > ! ( ,F"1 WASTEWATER Tax Office PIN:# �`�[? _ (� Zvi SYSTEM CONSTRUCTION IT L- orl L �� Road Name: CTitK EJV Zip: Z'7UZF< **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 Articled of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ? Z IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRQ L' EAL-M SPVIkLIST DATE IS UED DCHD 05/96 (Revised) . . 2:' t �" APPLICATION FOR SITE EVALUATIONAMPROVEMENT P Davie County Health Department Environmental Health Section P.O. Box 848 FEB Z 4 19M Mocksville, NC 27028 (704) 634-8760 ; 'Ff—r1ril"-- ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed 0 WQM Z-(-"- f Contact Person R erX Ro werS Mailing Address -2.5 PIC A `L-, CI Home Phone u - Z 07 5� 1 City/State/Zip MO c!c_c J t I le, A C 2 Business Phone taw - 4 lZ- r -%g— 2. Name on Permit/ATC if Differenf than Above ym Mailing Address City/State/Zip 3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC [L-Woth 4. System to Serve: [ ] House [V]'Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People_ # Bedrooms 3 # Bathrooms_ [t4ishwasher [ ] Garbage Disposal [rushing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing 6. If Business/Other: Specify type # People #Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: [(,Kounty/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes 10-11o" If yes, what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***X1Mff OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: �'� ,� Zp° / WRITE DIRECTIONS (from Mocksville) TO PROPERTY - Tax Office PIN: #594 6 - ba - q7 ; ��g E. 0--h In L C IR rM r -d,,- P.c� Property Address: Road I ame 60,4&- Lug-.— X . 3 ren City/Zip Ynot.X . zoo ZY a Y -d P -_r, Le I If in Subdivision provide information, as follows: /t C- r0 SS l20 Ac( -Cr 0 r> Name: ; d J` tC L- 14 © u S Section: Lot #: 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 responsible for all charges incurred from this application. 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 / ,�l e, j , [� [-{ Y3�/1Iro L1— to conduct all testing procedures as necessary to determine the site suitability. DATE -2 J 23 f 99 SIGNATURE <t/C4." -'N . , Revised DCHD (06-96) TO -41 M n G THIS AREA MAY 13E USED FOR DRAWINC7 YOUR SITE PLAN: �6LMk 20 NQAkcr-- 74 r �p� -41 t 1601 140.ydcAaJane, advaou d Y de n`�- DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME O-6 C)e- PROPOSED FACILITY SUBDIVISION Water Supply: On -Site Well Community Evaluation By: Auger Boring `/ Pit DATE EVALUATED D PROPERTY SIZE liter' ROAD NAME (2 a-e0a;') Lea Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Lr L Slope % G� 72, HORIZON I DEPTH - 7 Texture group 5G S C Consistence F P Structure M Mineralogy mlvo M1)C;7 HORIZON II DEPTH (o - ' Texture group G Consistence 5 Q Structure g k k Mineralo HORIZON III DEPTH - -34 Texture group C A -50a c P Consistence Fr S Structure Mineralogy I,, HORIZON IV DEPTH $•L 4 3 4 Texture group SW2Sa Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE Q SITE CLASSIFICATION: 1/S LONG-TERM ACCEPTANCE RATE: D• 3 REMARKS: 1& 5eW -71U d) IA) QTY LEGEND DCHD (0I-90) EVALUATION BY: 119e pH's OTHER(S) PRESENT: e(✓� i.J >06as 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) LTAR - Long-term acceptance rate - gal/day/ft2 ■■■■■MEMM■■MEM■MEN■E■■M■■EMMME■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■ ■■■N■■■■Mee■■e■■■eea■■■■E■e■■■■■■ ■■Mee■■■■■Mee■■■Mee■■■■Mee■■e■■M■ ■■■■■■■■■I■ ■■■■■■■■min ■■■MEM■■MIN ■MOM■E■■NI■ ■■MEM■■Me: ■■■■■■■Eli■ ■M■■■■■■11■ ■EOM■MEN11■ ■■M■■M■M11■ ■■■■■■■■11■ ■MO■■■MMI1m ■■■■■■M■MM ■■■■■O■MIN■ ■Mee■E■■It■ ■■■■■■■MINE ■■■O■■■■It■ ■■■■■■■■Il■ NONE NONE ■■■■ ■■■■ ■■■■ ■■■■ MEMO OMEN NONE ■■M■ ■■■■■M■■■M■■ ■■■■M■■■■M■■ ■M■■■■■MMO■■ ■O■M■■■M■■■■ ■OOMM■■■■OM■ ■■■■■O■■■■■■ ■■MO■■■■■■M■ ■■■■■O■■■■■■ ■■■■■■■■E■■■ ■■■■O■■■■■■■ ■E■■■■OM■■■■ ■■■■■■■N■■■■ ■■■■■■■NESS■ ■ ■■M■ris ■ ■ ■■■OWN ■ ■■■■■■WO■■■■ ■O■E■■NME■■■ ■■■■■■■■■■■■ ■ ■■■O■■e■ ■■■■■OM■ ■■■■■O■■ ■■O■■■O■ ■EMME■■■ ■mwmms m galfg"FE ■■M■■ME■ MEMO SEEM NONE MEMO ■■EM■■MME■M■■ME■■■ ■■MMM■MM■■MMEM■■■■ ■E■■■ME■■■■EM■■■M■ ■E■MEM■■■M■M■■■EM■ ■■■■■■■■■■■■■■e■■■ ■■■■■■■e■■■M■■■■■■ ■■■■■■■■■■■■■M■■■■ ■■■■■O■S■■e■SM■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■O■■O■■■E■■ ■■■E■■■■■■■■■■■■■■ ■■■■■ ■■■■■ MEMO i ■ ■E■■■E■■ME■■■ ■E■ME■■MME■■■ ■■■E■EEM■■■M■ ■NME■■ME■■ME■ ■EMEME■■■ME■■ ■O■■■■■M■■■■■ ■■■■■M■■■■■■■ ■■■■O■■■■M■■■ ■OM■■■MM■■■M■ ■■■■■■■M■■SO■ ■■■■■■■■■M■■■ ■■O■E■■M■■■O■ ■■■■■■■■■■■■■ ■■■■M■■■■■■■■ ■e■■ MEMO OMEN NONE ■■O■ ■■O■ MEMO ■e■■ ■■■■ NONE NEON NEON ■■■■ OMEN NONE NOME ■■M■ NONE NEON ■E■■ NEON