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201 Murphy RdDav ?016 WARNING: THIS IS NOT A SURVEY 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 nDGN'�� Parcel Information 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. Parcel Number: G303OA0067 Township: Clarksville NCPIN Number: 5820340592 Municipality: Account Number: 43103590 Census Tract: 37059-801 Listed Owner 1: KISER LORA D Voting Precinct: CLARKSVILLE Mailing Address 1: 201 MURPHY ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-5855 Voluntary Ag. District: No Legal Description: 1.00 AC MURPHY RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 1.01 Elementary School Zone: WILLIAM R DAVIE Deed Date: 5/1999 Middle School Zone: NORTH DAVIE Deed Book / Page: 002120291 Soil Types: CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 99230.00 Outbuilding & Extra Freatures Value: 1040.00 Land Value: 18160.00 Total Market Value: 118430.00 Total Assessed Value: 118430.00 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 the nDGN'�� j�j ' `C 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 ✓X o **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 ef7 /"Z ,fT. rF r' PROPERTY ADDRESS VY`�jc/i r I t 1,,t cL . °� �� AS7 DATE:_., LOCATION f .Aloe SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS,_7_ BATHS # OCCUPANTS � GARBAGE DISPOSAL: es No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE_ TYPE WATER SUPPLY / _ DESIGN WASTEWATER FLOW (GPD) NEW SITE _LZ REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE /= GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH /- LINEAR FT. SOD 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 BY **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M. OR P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY \ k\ -N� I` t,4 AUTHORIZATION NO. EV F N OPERATION DATE — L **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 Davie County Health Departali tI ENVIRONMENTAL HEALTH SECTION P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of n S.S. Chapter 13OA, Wastewater Systems) /l•,3V ***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 MIAME�SPr DATE i ,� ;� �, ,f NAME ON IMPROVE?ENT PERMIT (If different than above) SITE LOCATION COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM **WICE*" THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE I DCHD 10/95 �►� D V APPLICATION FOR SITE EVALUATION/IMPROVEMENTS P Davie County Health Department (7 Environmental Health Section (� P. O. Box 665 Mocksville, NC 27028 1. Application/Perm Mailing Address 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation 4. System to Serve: f. House ❑ Business /❑ Industry 5. If house, mobile home: Subdivision No. of People No. of Bedrooms a/ No. of Bathrooms Dwelling Dimensions 'hone ` orgC - ,�f9a - �-- ss Phone /14eptic Tank Installation Permit ❑ Mobile Home ❑ Place of Public Assembly ❑ Other ❑ Unknown 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Sinks No. of Urinals No. of Water Coolers No. of Showers Water Usage Figures _ 7. Type of water supply: Public ❑ Private 8. Property Dimensions Lime Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing Washing Machine [Dishwasher 91 Garbage Disposal ❑ Yes ❑ No ❑ 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 Property: fv �6 4 P Le This is to certify that the information provided is correc to t best of incurred from this application. DATE PROPERTY INFORMATION REQUIREb: Tax Office PIN: #7 0 PROPERTY ADDRESS, as follows: Road Name: A wez4. fe-01. City: Q-1/ _e_ SU13MIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. and 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� 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 cre&ejmingVsaid site's suitabi i for a ground absorption sewage treatment and disposal system. ,;57 r� DATE SIGNATURE DCHD (1/93) 192 100 10) / w I 57.5 100 100 100 I 200 S.R. 135Q APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT L Davie County Health Department 3V Environmental Health Section y P. 0. Box 665 EMM 1% 3 Q ` Mockoville, NC 27028 ��C 1 1. Application/Permit Requested By :�' `/ ' �1- 0, r n f Mailing Address Il T cs�✓6 2 7 M �c1S ✓� ��C�. �� 27� Z Home Phone i �- -7 Business Phone 2. Name on Permit if Different than Above �7 /1 eyt (-� 3. Property Owner if Different than Above 4. Application/Permit For:LVr eneral Evaluation S/Tank Installation 5. System to Serve: House ;Jo '- bile Home 0 Business 0 Industry u Other 0 Unknown 6. If house, mobile home: Subdivision Sec. Lot# No. of People Dwelling Dimensions No. of Bedrooms - Basement/Plumbing No. of Bathrooms ` Basement/No Plumbing 0 Washing Machine J Dishwasher 0 Garbage Disposai 7. If business, industry, 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 S. Type of water supply: Public 0 Private p Community 9. Property Dimensions _6 3 / 10. Sewage Disposal Contractor 11. Do you anticipate additions/expansions of the facility this system is intended to serve? F1 Yes 7 No If yes, what type? *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. 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 Directions to Property: Gal r,�._ Mda-e1 r /Zd � )— 1– 5 1 1�9 L- DCHD (10-89) ''IX y-"1', 0r - R0 �4 'e' NAME A;V�� ADDRESS PROPOSED FACIILTY DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation DATE EVALUATED PROPERTY SIZE LOCATION OF SITE//Z Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position L - Slope % HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH t r i Texture groupJ Consistence Structure So•C 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: LONG-TERM ACCEPTANCE RATE: 2 REMARKS: DCHD(01-90) EVALUATED BY: OTHER(S) PRESENT: 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 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 ■��■■��■��e��■�■��■��■ ■ ��■ ■��■��■■�■■��■��o��■■��■■��■�■��■■ ■��■��■■��■�� ■��■��■■ ■■��■��■■�■■�■■■�■��■��t��■�■��■■ ■��■��■��■■��■■■�■■��■��■��■■��■��■��■ ■■■�■��■■�■■��■��t�■��■■�t��■■■��■��■ ■��■��■��■��■■��■��■��■��■��■��■��■ ■��■��■■■��■■��■��■��■��■��■�■■��■ ■��■��■��■��■��■■��■�■��■ ■��s��■��■��■■��■��■��■ ■■■■■■■��■■��■�■��■ ■��■■��■��■■��■�■�■��■�■ ■��t��■��■■■��■■ ■��■��■■��■■��■��■■■��■�■��■�� ■�t��■■■�■■■■��■��■■■�■��■�■��■�■�■�■��■�■ ■■■��■�■��■��■■�■��■■■ ■■■��■��■��■�■��■■�■��■�■�■��■�■■ ■�■��■■��■��■��n��■�■■��■��■ ■■��■��■■■■��■■■��■�■■��■■��■�■�■��■��■■��■■ ■��■��■�■��■��■��■■ ■■��■��■��■�■��■��■��■ ■��■��■��■��■■�■■■�■■��■�■�■��■■ ■■�t�■��■��■��■��■��■�■■��■��t��■■�■ ■��■��■■��■�■�e��o��■��■��■��_�■■■��■ ■■��■�■■■■�■■��■��■��■ ��■■■��■��■�� ■■�■■��■■��■■■■��■��■��_��■��■��■�■��■��■� ■��■��s�i■�■■■��■ ��■��■■��■■�■�■��■�■�■�� ■��■�■�■��■■■■��■■■■■■��■��_��■ ■��■n��■��■■��■��■��■�■�� ■■�■■■■��■�■■■�� ■■��■■■■��s��■��■ ■�■��■■■��■■�■■��■��N��n��■�� ................................................................C. .................................................�.............. . .................................................��■............... .................................................�......�......... ..s......................................��.............,.......... ................................�.......��W.............►,.......... ■��■■■��■�� ■■�■■��■�■�■��■�■■��■ ■��■��■■��■■��■��■��■��■�■��■ ....................................�...........�.........�........ ........................■......................�,.......�.. ........ ........................■........�.............�.......►............ .................................................................. ....................................�..........,.......�............ �i::::::�iC::C::�3::::::ii::::::�::::::i�::::►':�3:::�::�l::::::�! 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BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634.5985 June 3, 1991 Mr. E.D. Flowers Rt. 6, Box 299 Mocksville, N.C. 27028 Re: Site Evaluation 601 N. Murphy Road Dear Mr. Flowers: As requested, a representative from this office visited the aforementioned site on May 30; 1991. The site was found provisionally suitable for the installation of a ground absorption sewage 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(s)