337 Parker RdDavie Countv. NC
Tax Parcel Report cri g h Wednesday. October 5. 2016
WARN1LN ><: TH1h lit 1VOT A SURVEY
Parcel Information
Parcel Number:
H300000006
Township:
NCPIN Number:
5719673209
Municipality:
Account Number:
59151600
Census Tract:
Listed Owner 1:
RAMON MANUEL V
Voting Precinct:
Mailing Address 1:
317 PARKER ROAD
Planning Jurisdiction:
City: MOCKSVILLE
Zoning Class:
State:
NC
Zoning Overlay:
Zip Code:
27028-4969
Voluntary Ag. District:
Legal Description:
3.19 AC PARKER RD
Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
2.97 Elementary School Zone:
10/1990 Middle School Zone:
001560478 Soil Types:
Flood Zone:
Watershed Overlay:
0.00 Outbuilding & Extra
Freatures Value:
31210.00 Total Market Value:
40210.00
Caiahaln
37059-801
NORTH CALAHALN
Davie County
DAVIE COUNTY R-20
CENTER
WILLIAM R DAVIE
NORTH DAVIE
PcC2, ChA
DAVIE COUNTY
40210.00
No
9 PIE
Davie County,
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County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
the Inability to the GIS data by this
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or arising out of use or use provided website.
AUTHORIZATION NO:
�2`1 DAVIE COUNTY HEALTH DEPARTMENT
N . r
Environmental Health Section PROPERTY INFORMATION
Permittee's ` / P.O. Box 848
Name: Mocksville, NC 27028 Subdivision Name:
� i Phone #: 704-634-8760
Directions to property: i r� /`"� ( ,y4 �' Section: Lot:
AUTHORIZATION FOR � � � QQo 0 00��
#� SYSTEM CONSTRUCTION
WASTEWATER Tax Office PIN:# - -
`�fa .
Road Name: �G2.I2 . �21Z Zjp; r
**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 Forrn/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)
n .
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
!{Gtr"✓{1z! .!./_y��, : �1r IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
; y 1 441
1 DAVIE COUNTY HEALTH DEPARTMENT
`i IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permlttle� k" _1
Name ar l� aPY412 Subdivision Name:
�r I
Directions to property: {' r't Section: Lot:
IMPROVEMENT {; 4'? 0
PERMIT Tax Office PIN:#
Road Name: Zip:
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of aseptic 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*** TMS PERMIT IS SUBJECT TO REVOCATION IF SITE
'i'� :.� ..� f f 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 rir f{ # BEDROOMS --�P # BATHS 42 # OCCUPANTS -2 GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT` # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE a-2 GAL. PUMP TANK GAL. TRENCH WIDTH —�,% r ROCK DEPTH LINEAR FT.
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
•-Pfif 014
/,Mv /)/x
S
l
ip, , �- � /,/,/ od
6 b
001 9 �,-e C
"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. ,/oa -S OPERATION PERM
SYSTEM INSTALLED BY:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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)
APPLICATIOMFOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC
Davie County Health Department
Environmental Health Section
P.O. Box 848
Mocksville, NC 27028
(704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PRO
THE REQUIRED NFORMATION IS PROVIDED.
1. Name to be Billed kolu& 4- 00'e-L44A 0T0lILF-1 Contact Person
Mailing Address �� � CW b2 -i— o C �� Home Phone
City/State/Zip 41 L. i11 o > C/ Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: MrgiteEvaluation [ ] Improvement Permit & ATC Both
4. System to Serve: [ ] House [ bile Home []Business [ ] Industry [ ] Other
5. If Residence: # People OV Bedrooms 4' # Bathrooms [ ] Dishwasher [ ] Garbage Disposal
[ ] Washing Machine [ ] Basement/Plumbing [ ] Basement/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: [ITcounty/City [ ] Well [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [L.No
If yes, what type?
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT **XX4WAfi OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: - 9 WRITE DIRECTIONS
^(from Mocksville) TO PROPERTY -
Tax Office PIN: # 3 06 d 0 0 d a 6 464 1 r-- &7—�r,� N/! e r"
Property Address: Road lame l' dt X d gr7 aQV P --.X. _ /44 —)'11
/1, V I
�—
City/Zip
If in Subdivision provide information, as follows:
Name:
Section: Lot #:
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 toenterupon above described property located in Davie County and owned
by / i I %�) %i �.L. i �% C R6 %tonntduc` t all testing procedures as necessary to determine the site suitability.
DATE SIGNATURES
Revised DCHD (06-96)
THIS AREA :tAJ 13E USED FOR bRAWINC7 YOUR SITE PLAN:
RUTH E. JOHNSON
W 83 P5 429
83 166
A,.Y D f.
Af-'. FC.L SU, :,-ii SEP.L
—NORMAN L. JOHNSON—
CE i42 PG 196
0
WILLIAM S.
MASON
Survey
For
a COLUMBIA
STANTON
SCALE;
i,.66APPROVED
BY
DRAWN BY
DATE--
6-6-90
GRADY L
TUTTEROW
JEFF O'NEAL
BEING
3.192 ACRES TAKEN FROM THE WILLIAM S. MASON 8 M ..
• DAVIE COUNTY HEALTH DEPARTMENT
ter..
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME4DATEEVALUATED
PROPOSED FACILITY /%% /`/ PROPERTY SIZE
SUBDIVISION ROAD NAME
Water Supply: On -Site Well Community
Evaluation By: Auger Boring j'- Pit
Public
Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
L
L
Slope %
---.
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON lI DEPTH
Texture group(�
Consistence
ell,
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: If EVALUATION BY: Ake
LONG-TERM ACCEPTANCE RATE: t 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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