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415 Merrells Lake RdDavie County, NC Tax Parcel Report 46x.4 Fridav, September 30, 2016 WAK1V11V1T: IHIN 1N iVUl A NUKVISY Parcel Information Parcel Number: 1700000013 Township: Fulton NCPIN Number: 5768534276 Municipality: Account Number: 8305643 Census Tract: 37059-804 Listed Owner 1: SEIVERS MARK Voting Precinct: FULTON Mailing Address 1: 415 MERRELLS LAKE ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag. District: No Legal Description: 4.8 AC MERRELLS LAKE RD Fire Response District: FORK Assessed Acreage: 4.86 Elementary School Zone: CORNATZER Deed Date: 10/2015 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 010020816 Soil Types: GnB2,GnC2,GaD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 66720.00 Outbuilding & Extra 2970.00 Freatures Value: Land Value: 49240.00 Total Market Value: 118930.00 Total Assessed Value: 118930.00 Davie County, 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 theNC 161 County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes ofactiondue 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 **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 \ . �jR� 5 \ 'A� PROPERTY ADDRESS ` ` `� P�P� e\\s & � DATE - / I V FAQ LOCATION k (-1 SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS L,,3 t BATHS t OCCUPANTS GARBAGE DISPOSAL: YesQ COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE Q # PEOPLEISHIFT SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE TYPE WATER SUPPLY DESIGN,WASTEWATER FLOW (GPD) 340 , NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK,SIZE i P. GAL. PR)P TAW GAL. TRENCH WIDTH .3 � ROCK DEPTH LINEAR FT. Lr OTHERy REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE'PLANS•OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. ..q eQ Com_ IMPROVEMENT PERMIT BY C:�`�n �` **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 AUTHORIZATION NO. (')l SYSTEM INSTALLED BYt^c� DATE S- 4 - / f - **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 FRICTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 10/95 Davie County Health Department ENVIRONMENTAL HEALTH SECTION P.O. 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 Y, s CDATE NAPE ON IMPROVEMENT PERMIT (If different than above) er SITE LOCATION � ` � -Q Q`\y ?1 ��e hc� . `%�9 o C �� 1�/ Ile COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM woll APPLICATION FOR SITE EVALUATION/IMPROVEMENTS P(� Davie County Health Department @ L5 ow Environmental Health Section D P. O. Box 665 OCT - 9 19.0,57 Mocksville, NC 27028 1. Application/Permit Requested By �1 /%l7rlS C9� 5'S f Mailing Address y�S /' �'�%rr ►'c 15 C ra 1 d Home Phone( 910 �-;T'//4 �/ Sc�a f' l� /✓-� - a 7J �- Business PhoneO?10) r-73 2. Name on Permit if Different than Above ���� 3. Application for: ❑ General Evaluation ti Septic Tank Installation Permit 4. System to Serve: C -louse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry o ❑ Other [I Unknown 5. If house, mobile home: Subdivision `'mss , Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms 3 gil*ashing Machine No. of Bathrooms .::L- WYDishwasher Dwelling Dimensions _ ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: t7 Public ❑ Private 8. Property Dimensions 3. 2 de- Sewage Disposal Contractoi 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Yes ? No PROPERTY INFORMATION REQUIRED: ❑ Community Directions to Property: Tax Office PIN*Z-711-V( G(` ��lcc>►1 r dS �e •�� - /Y)e rYe lk LA H, R� P.oad Name 17erre l i5 � A%- �• Box* (if available) /%;4&lx� a n Me rr�-1 is I -A Ke R6 • /)D ni � City �%,v ,,/1; /.� vT ��' � Cir• s 1 p Sf.'`p This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property.. I 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 C_Qunty Health Department to enter upon above described property located in Davie County and owned by /E/-- - a,ae to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. i� /c�— 'DATE SIGNATURE DCHD (1193) 238 d i9 z ` 18.64 Ac - f co. 26.01 AC. 13Ac. v (18 AC. 18 AC E e 620 m I x h 1 297' , - 2.76 hZ A Cl I 1 (ZAC.) �? �,, �8 0 � `� 338.58 cjti t 3 � i ` I 8 � co Q ( 6374 ..' c.7�. 70i A x.69 C. U x.63 3.01 3.46Ac. 707.14 - - .3 �' 95 a "' m.�iAi✓ _M I 572 564 948 �, 'o = oo 338.58 M 19.4 (19.4 - ; 9 Ac. (�AC.) 9 0 1 i 4 Ac ��ti 'b-7.9 �� 465.56 i9.37Ac- i 9.40AC .) I M• g, r u �� .— �' 3.63 Ac. �' f 60 677.4 �47 A.) 558.96 Q I's 40" v9 0L44 120 _ _ _ 37,12 , g 18.01 Q 17 52 .17AC), (2, Ac.)14 61 IO ACs2.OGAcC (32 -AC.) 1171.04'%C\ '%C,, ?.37Ac.d 171 p 1 CD 4� I o - I%2 A3' 14.SAc•d 670 a �9 'OD 594.11 0 9.19. C. — ca rn 5C 2.92 d'.. , o I.7Ac.d I_i o D o - n p U z 55111 02 " 13.83AC aP J ,` 7 1479 1233 P T. ?_ J SERVICE PHOTOGRAPHY BY s� INC. H — 6 H � ALSTER & ASSOCIATES, /''�� I —6 ,I K 409 COLUMBIA, SOUTH CAROLINA kROLI NA 29720 DATE OF PHOTOGRAPHY: MARCH 28, 1976 1 —6 J —, r DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ��� DATE EVALUATED ADDRESS S aC�� PROPERTY SIZE PROPOSED FACIILTY LOCATION OF SITE Water Supply: On -Site Well _ Community Public Evaluation By:C Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position ,.5 Slope % 5S — 150 ° HORIZON I DEPTH Texture group Consistence Structure C MineralogX' HORIZON II DEPTH » > Texture group�. Consistence yr Structure Mineralogy;l l HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS SS Ss RESTRICTIVE HORIZON �- SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: S EVALUATED BY: LONG-TERM ACCEPTANCE RATE: 114 OTHER(S) PRESENT: � h+ REMARKS: Zai. C 1 \11•\ � _��� � LEGEND Landscave 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- V ----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 Ilorizon 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 ■����������■�/�����������������������/�������������������■ ■r ■��������\■���C�������N�\�����■���n����/������� ������������■ ■■ ■��■�������■ ����%i���r������\�� ��■���r� ���������■�■����������■ ■��������������������`II\�Ai�\�����������������������������������■ ■�■�����������������///I�ii!�����������������■ ■ ��������������������� ■��■���■������c•_����r�.�_■���i�����������������■�■��������■���������■ ■���������■�������.��������-���������■��■�■�■�����■�����■����������■ ■�����������■��������:_����������������������������■ �■����������■ ■�■■�����r������������������.:�5���■�������� �������� ������������� ■���������i���i������ee��■��■����is���������������■��■ �■���■����■�■ ■���������►\!�11iI������������GG"/,����/�N�������■������������■��������■ ■����������:arn�■������������ri���� ��������������� ■ ���■���������■ ■�■�■�����������■�i:ri�na������ ■���������■�������� ��i�= ���� ■������� ■������������ll��Yi�i�����►1�/��/!�I����������\������������������������ ■\■���■������C!!l���■�������1�■fl�i���■����������� ������N ■��/�■�■ ■�������������������.■■:::�::����������������_����=iii�?i=iiin�i�■ ■�����������������i������������������■��� ��� ■ � ■� ■������������������������������■��■�■������������ ■�������■���■��� ■�����■����������►����������������������������������■����������■ ■���■�����■�1�����■���������■�■ ■������N��������■■�■■���■�����■ ■/����������C������►1��■���■��������■���■���N�����������N��■�u�� �%��������%��n���\��l'���������������������������u���������������� .............�i......v............._. ..■■.. .�:::�::�:::.:_:::::_ .............�.......►............. .......... ::::::::::C::��:::C:�:::::C:::":'.::'::::':_:':.::.:::::�:_:. ..............�.......�.........�3.........�.. .........■...■.... ■��������������I������N►1�����������M����������� ���■��������� � ............................................... . ...�...■..� ■�������N��U�11��■IZ\���►��■��■■��■�������■��N� ■ �■�� ■���■� ����������������'���t�����►����%������������������ ■ ����������� ....................,..�,...............�.�.....� ..C....�5....... ����������������\1���������n�������\�N����u ■�N���� �������� ■���������NH�1������1\���►�������r�N��H����'Cn���C ������� ■�■�����������i������������■����u �i ���� ■ �����iiiii= iiiiii�iiiiiiiiiii�i'�iii� i��ii�i=�� ■ i��i�i� �ii =iii� ■�������������������������in������� �� �� ��ii�����_ ��■��■���������►����� ��w�■ ���� �� ■ ��i� �■��■� . ������ ������ �����■ i�a��► ' ■ ■ ■ __����■���� ■�■■�■■��■a����������u��i�i�;a��� �i=�i� - � - _ =�:...�t��■�� ■��■���������u����������M�������� �� � ;� -��ii�ii ii�iiiii ■�����������u������������u�������u � ■�����■������n�������►�������■������ � � i'V �� �N���■� \����������vh���� �■����� �p ■ ► ���l�� ■ ���u��%�d��uAN����u�■�� � , �� �I����� ■�■��■����������\���u���\������ �`*i'N��v����/� ■��������������u������\���� �� , ��� ���� ��::� � ■�������� �� �����������������u���...����1►�� N �% n������ ■������������■���n�����/�=�u��'� � ���■�� �������v������uN���������■������,�ii ������� ■��������������q%���������� � �■���%� ������� ���/ :::�::: �':��::::::�uCi�.::..0 :� .:C.�'.�: ..........0........................ . ... ..... .......■.■......■...■...■■■■■.■�■.■■■ ..C.=... ....................■........... ... ..... ... ................................�l. . .� . .............. ■..■■.■.■■..■...■.......■...... ..=.�C .......... ::_:::::::".�::::::�::::::::'.�::':�: . 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