233 Parker RdParcel #: H30000000901
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Parcel #:H30000000901
Property
Account #:82514424
Owner Information
216,110
Tax Codes
TUTTEROW RICHARD CLAUDE& TUTTEROW PATRICIA H
Land:
ADVLTAX - COUNTY TA
33 PARKER ROAD
262,460
READVLTAX - FIRE TAX
OCKSVILLE NC 27028
Deferred:
Property Information
Townshi
Land (Units/Type): 5.350 AC
CALAHALN
ddress: 233 PARKER RD
Deed Information
Local Zoning
Pate: 03/1999 Book: 00210 Page: 0684
Plat Book: Page:
Le al Description
PIN
ro.146 AC PARKER RD
719663068
5719663068 -
Pro a Values
Building:
216,110
BXF:
0
Land:
46,350
Market:
262,460
ssessed:
262,460
Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00210 0535 03 1999 WD Unqualified Vacant 0
Z 00210 0684 03 1999 WD Unqualified Vacant 0
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All information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be
consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County,
its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
implied, in fact or in law, including without limitation the implied warranties of merchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsneWiew.aspx?prid=1449349 10/5/2016
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�AUT�„t�. i krm NO: 1� , DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O. Box 848 -
Name: � 'f�t"7' 0 Mocksville, NC 27028 Subdivision Name:
��. Phone # 336-751-8760
Directions to property: w�'�' ✓'�- Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#'��
SYSTEM CONSTRUCTION &2ip:
Road Name: �''' "" /� %`
**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 I I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
f. ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATEI
Yea `�..
19615 DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
PerMlittee's ` r
Name: Subdivision Name:
' Directions to property: Section: Lot:
IMPROVEMENT
-- y PERMIT Tax Office PIN:#' � r _ f j _ F WAXY
Road NameA:
%fir
***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 _ # BEDROOMS 7_ # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE% # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY ! U DESIGN WASTEWATER FLOW (GPD)' Q NEW SITE �—� REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH - ROCK DEPTH LINEAR FT. S /
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT *APPROVED LFFLUERT FILTER* *RISEUG) IF G'#1 DELO1I HUSHED GRILDEt
"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 (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: -
!I�
3-7
.idl
;WE5
AUTHORIZATION NO. J OPERATION PERMIT BATHA
1 DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDIESCRIBED 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 EVAUTAH0N/IMPR0VE1AENT PERMIT & ATC Q
Davie County Health Department"'"
EnvironmenfOfHealfftSftWon FEB 5
P.O. Box 848/210 Hospital Street €i.
Mockmdlle, NC 27028 �,
(336) 751-8760 E,:yiRC'd;1E^lTAL HEALTH
***I1F0RTAW.r*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION Is PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed 61 Rt.)d e 4101 L TLA b v) Contact Person (f 16LL ae I � }4 O �
Hailing Address To 1 i J+ • Ho®e Phone 3 3 (e - 7 5 1 - 9 (o8 V-
City/state/ZIP M OC-r1Sl%(1,e O. Q. )90 )-g Business Phone 3 34, - 751 - & S 7 P
2. Name on Permit/ATC if Different than Above
Mailing Address City/state/Zip
3. Application For: ❑ Improvement Permit/ATC oth
4. system to service: mouse 0 Mobile Home 0 Business ❑ Industry 0 Other
8. if Residence: # People `! # Bedrooms 3 # Bathrooms .3
('Dishwasher ❑ Garbage Disposal "ashing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Industry/other: specify type # People # sinks
# Ccu odes # showars # Urinals # hater Coolers
IF FOODSERVICE: g Seats Estimated Nater Usage (gallons per day)
7. Type of water supply: ®'County/City ❑ well ❑ Community
e. Do you anticipate additions or expansions of the facility this system is Intended to serve? 0 Yes ❑ No
If yes, what type?
***IMPDRTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PIAT or SITE PLAN RUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: (�, I q (,,
Tax Office PIN: # 31M _17 7 1 - 6 (o -4o I /
Property Address: Road Name 24 .
City/Zip M " F_s, : /l P N c .
If in a Subdivision provide information, as follows:
Name:
Section: Block: Lat:
Date Property Flagged: Z�/ 2 //
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. 1, also, understand that I am responsiblefor all charges incurred front
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 by
to conduct all testing procedures as necessary to determine the site suitability.
DATE 2- j s- ci4 SIGNATURE 0�L -
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Revised DCHD (07/98)
Account No.
Invoice No.
~ , DAVIE COUNTY HEALTH DEPARTMENT
" Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME DATE EVALUATED
PROPOSED FACILITY PROPERTY SIZE 455 �/
SUBDIVISION ROAD NAME �If,Cn /
Water Supply: On -Site Well Community Public j/
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH 3 "
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
LONG-TERM ACCEPTANCE RATE
41SITE CLASSIFICATION: /EVALUATION BY: -'
LONG-TERM ACCEPTANCE RATE: ` OTHER(S) PRESENT:
REMARKS:
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
DCHD (01-90)
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