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1087 Milling RdDavie C6unty, NC Tax Parcel Report 6 Lf 9 V Friday, September 30, 2016 13M No 161 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 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 NC or arising out of the use or Inability to use the GIS data provided by this website. MILLING RD ~1064" WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: 150000002601 Township: Mocksville NCPIN Number: 5748894674 Municipality: MOCKSVILLE Account Number: 82528424 Census Tract: 37059-805 Listed Owner 1: MADEJA GEORGE E Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 1087 MILLING ROAD Planning Jurisdiction: MOCKSVILLE City: MOCKSVILLE Zoning Class: DAVIE COUNTY,MOCKSVILLE R-A,GR State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: 3.691 AC MILLING RD Fire Response District: MOCKSVILLE Assessed Acreage: 3.49 Elementary School Zone: CORNATZEF Deed Date: 12/1991 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 0162.0061 Soil Types: PaD,GnB2,GnC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY,MOCKSVILLE Building Value: 124240.00 Outbuilding & Extra Freatures Value: Land Value: 48030.00 Total Market Value: 172270.00 Total Assessed Value: 172270.00 13M No 161 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 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 NC 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 yf�?c o X087 Mil/i`1q� **NOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. AN AUTHORIIATION 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 f ��1 � [� 'T PROPERTY ADDRESS 7I 1 L L -1A G'- RC1 . — 7 0 A $ DATE LOCATION SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE I� # BEDROOMS �.t} # BATHS -:� # OCCUPANTS GARBAGE DISPOSAL: Yes/No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE �'�/ TYPE WATER SUPPLY re DESIGN WASTEWATER FLOW (GPD)�r ,!li NEW SITE ✓ REPAIR SITE SYSTEM SPECIFICATIONS: TAM( SIZE /000 GAL. PUMP TANK GAL. TRENCH WIDTH J ROCK DEPTH /oi �LINEAR FT. OTHER 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. IMPROVEMENT PERMIT BYLt **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN n 8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-9760. 1 OPERATION PERMIT SYSTEM INSTALLED BY ) Na�s� fj r IE AUTHORIZATION N0. OPERATION PERMIT BY DATE **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. DCHD 10/95 +, > 1 •. { r - ... - OXO Davie County Health Department 1 4-10���' �.- ENVIRONMENTAL HEALTH SECTION R. D. Box 665+ r, r� a 7 F Mocksville, N.C. 27028 rya' AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) 410 j CO 7 M' IG ***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.*** NAME ��.,/�e� �'ly / DATE �� AUiFDRIZATION NUK9ER fid_ o 4 -� � J NAME ON IMPROVE)W PERMIT (If different than above) SITE LOCATION COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM mNDTICE THI5 AUTHDRIZATIDNFOR )WASTEW9T R SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. • " APPLICATION FOR SITE EVALUATIONAMPROVEMENT P RMIT & ATC Davie County Health Department Environmental Health Section 11� P.O. Box 848 nAM 8 1996 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed ` &W Contact Person , I Mailing Address ` S �y Home Phone `U - t f3q- 1 � City/State/Zip S D Business Phone )-��l - ! I!S —003-' 2. Name on Permit/ATC if Different than Above lit% Mailing Address 10'67 l n l l ljln�i Re- ¢A City/State/Zip rncx Ks%J t'l a lorl& 3. Application For: [090iteL Evaluation [Vf Improvement Permit & ATC [✓]Both 4. System to Serve: [y] H use [ ] Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People # Bedrooms -3 # Bathrooms c7'1, [i4f�ishwasher [ ] Garbage Disposal [ Washing Machine [ ] Basement/Plumbing [ asement/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:ounty/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes r - To NIf yes, what type? 4 PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: /7.2.7,7 X SW37 X 2 - /fix s;- WRITE DIRECTIONS (from Mocksville) TO PROPERTY. Tax Office PIN: # 1] g - 7S - tt e-, Ari -M i -o ni 1, ►� � Property Address: Road Name M I P rbt 1 nq t �T - O� 1 / t l �� �A � A �O.X eln 'I 'e City/Zipy►roc-Ks u,'/le KC -9-7098 oZ Imp' I e -s K! i If in Subdivision provide information, as follows: A i- `O S� V711�11� no,4IQ - rad cdP p Name. 5keSye-- ,_�kxk50- Vr)0 4W '6P (s�L- Section: Lot #:t� 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 t ter upon above described property located in Davie County and owned by W t' �P(Q S��Or-, to c duct all tsting pro ures.as necessary to determine the site suitability. DATE' ��-2 % SIGNATURE Revised DCHD (06-96) ^rV` d�•E. YA�*1 t ,e�M `+..1 / 013.5 , I A c. a�$ 28 L' 7 �"�t� A •6'.03 �`caa=�..,.��� .'>: ��` . e^ 3 193�.i „+m..y—id.-�►+w- ..:k..+%��,gg 'r "S• _ r ��. nN� f' Q k y( �yit,�..��!•. ,;r 4�, 'ry .wTf st,T� ti;.. 1•�ek* �` f 4 f<� Af S. �!' �, a +� ,,�`. � n' ., ai ���r+x t •w <�"����i7�� ,*, �r��h sv(i �y,i �v • µ' b C+ ;�t -}'-'. � to � i s fi e '• `' ''Jel Ac k;. ` 27 fl, ^rV` d�•E. YA�*1 t ,e�M `+..1 / 013.5 , I A c. a�$ 28 L' 7 �"�t� A •6'.03 �`caa=�..,.��� .'>: ��` . e^ 3 193�.i „+m..y—id.-�►+w- ..:k..+%��,gg 'r "S• _ r ��. nN� f' Q k y( �yit,�..��!•. ,;r 4�, 'ry .wTf st,T� ti;.. 1•�ek* �` f 4 f<� Af S. �!' �, a +� ,,�`. � n' ., ai ���r+x t •w <�"����i7�� ,*, �r��h sv(i �y,i �v • µ' b C+ ;�t -}'-'. � to � i s fi e '• `' ''Jel r � DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Son/Site Evaluation NAME &2LC�%� DATE EVALUATED PROPERTY SIZE LOCATION OF SITE ADDRESS PROPOSED FACIILTY Water Supply: On -Site Well _ Evaluation By: Auger Boring Community Public Pit Cut FACTORS 1 2 3 4 Landscape position Sloe Z �. HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH }- elf Texture group Consistence r 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: f:: EVALUATED BY: ,/�_ // LONG-TERM ACCEPTANCE RATE: u% OTHER(S) PRESENT: REMARKS: LEGEND Landscape Position R -Ridge S7Shoulder 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 ■E■ ■o■ ■E■ ■m■