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271 Mr Henry RdDavie -County, NC S Tax Parcel Report d ',� OSI Fridav, September 30, 2016 WAK1V11VG: lH1J 1S iNUl' A NUKVLY Parcel Information Parcel Number: K30000000106 Township: Calahaln NCPIN Number: 5717521651 Municipality: Account Number: 5190310 Census Tract: 37059-801 Listed Owner 1: BAYSINGER THOMAS BRIAN Voting Precinct: SOUTH CALAHALN Mailing Address 1: 271 MR HENRY ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 10.00 AC MR HENRY RD Fire Response District: COUNTY LINE Assessed Acreage: 9.89 Elementary School Zone: COOLEEMEE Deed Date: 1/1997 Middle School Zone: SOUTH DAVIE Deed Book I Page: 001920520 Soil Types: GnB2,EnB,MsC,MsD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 175190.00 Outbuilding & Extra Freatures Value: 1110.00 Land Value: 67990.00 Total Market Value: 244290.00 Total Assessed Value: 244290.00 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. " 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 LOCATION SUBDIVISION NAME PROPERTY ADDRESS Mg. Pt'l rll Pd. DATE LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE ��� # BEDROOMS # BATHS --9 # OCCUPANTS GARBAGE DISPOSAL: Yes/, VX0 COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE 2211C TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE !/ REPAIR SITE i SYSTEM SPECIFICATIONS: TANK SIZE , GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH _ � LINEAR FT. fWe OTHER V_/ Ara.- .- r 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. r - IMPROVEMENT PERMIT BY Aln, **CONTACT A REPRESENTATIVE OF THE DAVIE CITY 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) 634-6760. OPERATION PERMIT AUTHORIZATION NO. 0 3 OJ) **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 tic Davie County Health Department ENVIRONMENTAL HEALTH SECTION r P.D. Box 665 Mocksville, N.C. 27028 J� 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 NMER NAMEl'i �? DATE NAME dN IMPROVEMENT PERMIT (If different than above) SITE LOCATION COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENVIRONMENTAL HEAL CIALIST DATE DCHD 10/95 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address Woo 2. Name on Permit if Different than Above 3. Application for: { 4. System to Serve: 9" ouse ❑ Business ❑ Industry 5. If house, mobile home: Subdivision No. of People No. of Bedrooms 11 No. of Bathrooms Dwelling Dimensions ) ✓ `f' �bsy al Evaluations` ❑ Mobile Home ❑ Other 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers 7. Type of water supply: ❑ Public No. of Sinks No. of Urinals dAPR (19°„ Home Phone 1 ?Oq ) Business Phone(70) i -7S '01f II. Tank Installation Permit No. of Water Coolers Water Usage Figures rivate 8. Property Dimensions 10 Ac. Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Place of Public Assembly ❑ Unknown Section Lot # ❑ Yes ❑ Basement/Plumbing M,19Ba�asement/No Plumbing Ei? ashing Machine Dishwasher ❑ Garbage Disposal ❑ Community 'NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: % D'n'Vie- PROPERTY INFORMATION REQUIRED: Tax Office PIN: #5717-5a 1/W PROPERTY ADDRESS, as follows: ��p2 fill I d Road Name: M .Q!) City: ff)0C. V SUBMIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. This is to certify that the information provided is correct to the best of my wledc incurred fro thip application. 4%2 DATE I understand I am responsible for all charges SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 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 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 said site's suitabilit for �a�ground absorption sewage treatment and disposal ystem DATE V SIGNATURE DCHD (1193) APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT, M' E OQ9F Davie County Health Department Environmental Health Section JUQ 2 cy ; . U 133 P. O. Box 665 Mocksville, NC 27028 ---- ►y 1. Application/Perrr Mailing Address Home Phone 2. Name on Permit if Different than Above 3. Application/Permit for: 4. System to Serve:ouse ❑ Business ❑ Industry 5. If house, mobile home: Subdivision No. of People No. of Bedrooms No. of Bathrooms Dwelling Dimensions ❑ General Evaluation ❑ Mobile Home ❑ Other 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: ❑ Public NJ Private 8. Property Dimensions - - Z D Sewage Disposal Contractor IE- Septic Tank Installation ❑ Place of Public Assembly ❑ Unknown Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No If yes, what type? 7 ❑ Community 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Prop bt ka ' � k t SaA,� - 9 This is to certify that the information provided is correct to the best of my knowledge, and I understand I am incurred fr/gp_i thisa lic%t'on. �f y /� IJ DATE &bNATURE , CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCR�I_BEEDDPROPERTY MUST CHECK ONE: El 1. 1 OWN the property. 621 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 av' unty He It Departm t to ente-upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determ' e s id i su' ability or a grou bsorption sew ge treatment and disposal system../ In '" b -9 DATE SIGN TUR DCHD (12-90) M DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ,�GI'/���✓�P�"' ADDRESS PROPOSED FACIILTY DATE EVALUATEDl.-2 PROPERTY SIZE LOCATION OF SITE���`'� Water Supply: On -Site Well // Community Public Evaluation By: Auger Boring (/ Pit Cut FACTORS 1 2 3 4 Landscape position 2— L 4-- 2— Slope Z l % d HORIZON I DEPTH Texture group ,r' Consistence Structure MineralogX HORIZON II DEPTH .7 Texture group Consistence , Structure m Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION * ,t< LONG-TERM ACCEPTANCE RATEI e , SITE CLASSIFICATION: 4-"5- ✓ y`a - LONG-TERM ACCEPTANCE RA REMARKS: DCHD(01-90) EVALUATED BY: OTHER(S) PRESENT: LEG 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 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 ■�����������������■�������■��■���������������������������■ ■�Fi ■ ■■����■��■■■��������������■\�����������■■���■���������������Vv�■ ■■����■�������������■����������� ■�����r��■��������������e�■��rL� ■��\■�����������������������������������������������������������■ ■������������■���������������������������■������������������������ ■�����■�����■���■���������■��������������������������■�����������■ ■�����������■�����■■������������������■�����■�������\�■��\�������■ ■����r��������������■������������������������������■����������■��■ ■�■������������������■���������■������������������■�����■�������■ ■����������■�����������■�■■�����������������■�����■��������������■ ■����������������������������■�� ■������������������������������■ ■■���������������������������������������������������■����■������ ■���������■��■�■����������■ ■������������������ ■����������������■ ■■��������������■�■���������■���■�■���������■������■�������������� ■��������������■�����■������������������������ �������� ����■����■ ■■�������■�����■■�����������������������■ ������ ■ ■���������� ■■ ■���■�■■�■■��■�����������������������������������_����������n�i�■ ■����������������������������������������������������������������� ■���■��������■■�■��������������� ��������������������■��������■�■ ■������������������■��������■���������■����\■■�����■������i��■�■ ■■�����������■��\\■��\�������■�����■����■�����������■������������� ■������������������������������■�����������■���■/� �������\��\�■\■ ■�����������������■�����������������������������������■��������■� ������������������������0���������������������n����\������������� ....................................................C........._... ................................ ......... .................. ... ■■�����������■�������■������■■������������_������■�o���■��������■ ■��������������■�����N������������N����������n����=�����������_ iiiiiiiiiiiiiiiiiiiiii�iiiiiiiiiiiiiiiiiiiiiiiiiii ii�iii=iiiiii�■ .................................................■C............... ................................................■■.......■........ .................................................................. 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BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634-5985 July 28, 1993 Brian Baysinger c/o Howard Realty 330 S. Salisbury St. Mocksville, HC 27028 Re: Site Evaluation Mr. Henry Road Dear Mr. Baysinger: As requested, a representative from this office visited the aforementioned site on July 26, 1993. Based upon the information provided on the application for a site evaluation and after an evaluation was completed, the site was found to be provisionally suitable for the installation of a modified, oversized on- site sewage disposal system. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure