429 No Creek Rd (2)Davie Countv. NC
Tax Parcel Report b (.,d.—Wednesday, October 5, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
170000001801A
Township:
NCPIN Number:
5768331404
Municipality:
Account Number:
71024285
Census Tract:
Listed Owner 1:
STEVENS HARMON W
Voting Precinct:
Mailing Address 1:
429 NO CREEK ROAD
Planning Jurisdiction:
City: MOCKSVILLE
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
Fulton
37059-804
FULTON
Davie County
DAVIE COUNTY R-20
No
FORK
CORNATZER
WILLIAM ELLIS
GnB2,GnC2,GaD
DAVIE COUNTY
13390.00
196100.00
l v�
�p6N•��
Zoning Class:
NC
Zoning Overlay:
27028-7343
Voluntary Ag. District:
10 AC NO CREEK RD
Fire Response District:
9.57
Elementary School Zone:
1/1993
Middle School Zone:
001660751
Soil Types:
Flood Zone:
Watershed Overlay:
86760.00
Outbuilding & Extra
Freatures Value:
95950.00
Total Market Value:
196100.00
Fulton
37059-804
FULTON
Davie County
DAVIE COUNTY R-20
No
FORK
CORNATZER
WILLIAM ELLIS
GnB2,GnC2,GaD
DAVIE COUNTY
13390.00
196100.00
l v�
�p6N•��
Davie County,
NC
All data Is provided as Is without warranty or guarantee of any Idnd 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 cialms or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this website.
AUTHORIZATION NO. 0608 DAVIE COUNTY HEALTH DEPARTMENT �i ��� 1: N
• Environmental Health Section PROPERTY INFORMATION A -/ 0 -qj
PermJttee's. �, P.O. Box 848 8 0
Name:' �" �f yJ%t^h f�".l6—f Mocksville, NC 27028 Subdivision Name: n P -N
Phone #: 704-634-8760 7 �7
Directions to property:
Section: Lot: /
AU WORIZWATER OR
�Sn/"1��_
SYSTEM CONSTRUCTION Tax Office PI�fN
Road Name/rte .Zip:,-,
**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 Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
�+�r f,IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALL -I SPECIALIST DATE ISSUED
- ... DAVIE
COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
PerQ
Name'.f�
Directions to property:
Subdivision Name:IMPROVEMENT f -
Section: Lot:
PERMIT Tax Office PIN•#5o—
Road Named"
zip:,;,-' i
**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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE - f /7� # BEDROOMS S # BATHS ; 2- # OCCUPANTS -2- GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
5,
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) . /) NEW SITE `--' REPAIR SITE
I %I M�
SYSTEM SPECIFICATIONS: TANK SIZE L o D O GAL. PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH LINEAR FT.
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
"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. 0 C 0 8
��,�
SYSTEM INSTALLED BY:
�l r -
OPERATION PERMIT BY:
DATE: —7- 92
"THE
7 -
"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 05/96 (Revised)
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT
Davie County Health DepartmentFp�
Environmental Health Section
P. O. Box 848 OV 2 6 i� ;j
Mocksville, NC 27028 I
(704)634-8760 IU t!
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
ALL THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed
W'ltiYdN � L` U F S Contact Person llefr& b N �- V S
Mailing Address �� /1! o �/ L��Y� /Fcf Home Phone 9-7 "' 5C7c 3 6
City/State/Zip �I bC /SSU / � /C/C oZZQ -FS' Business Phone 1�4�
2. Name on Permit/ATC if Different than Above
Mailing Address _
3. Application For:
4. System to Serve:
5. If Residence:
C'Dishwasher
6. If Business/Other:
# Commodes
If Foodservice:
7. Type of water supply:
@ar-Site Evaluation
❑ House O—Mobile Home
# People _ -
2-
City/State/Zip
❑ Improvement Permit & ATC
❑ Business ❑ Industry
# Bedrooms
Both
❑ Other
# Bathrooms
❑ Garbage Disposal ®'Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
Specify type
# Showers
# Seats
U-County/City
# People # Sinks
# Urinals
Estimated Water Usage (gallons per day)
❑ Well
# Water Coolers
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?
❑ Community
❑ Yes a—No
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions:
Tax Office PIN: #
Property Address: Road Name
City/Zip
If in Subdivision provide information, as follows:
Name:
Section:
Lot #:
WRITE DIRECTIONS (from
Mocksville) TO PROPERTY:
�/,j!5 /-o lVo d ra?�
� aAI No G re-= k X'ci
, G 6- mile -0/u x
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 bye %ai�'�- �5 to conduct all testing procedures
as necessary to determine the site suitability.
DATE ��- �'� SIGNATURE �� �P.�tA—
Revised DCHD (06-96)
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•DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT'S NAME :5�iP!/�,€'
PROPOSED FACILITY
SUBDIVISION
Water Supply: On -Site Well Community
Evaluation By: Auger Boring /% Pit
SECTION LOT,
DATE EVALUATED
PROPERTY SIZE
ROAD NAME ✓�✓t l ��/� ��
Public
Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
4
.G
Sloe %
y
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
«
S ��
Texture group
Consistence
-(
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
T7�v
S
LONG-TERM ACCEPTANCE RATE
I I
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE: Ll
REMARKS:
DCHD (01-90)
LEGEND
Landscape Position
EVALUATION BY:
OTHER(S) PRESENT:
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
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