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266 Powell Rd Davie County,NC , T�Parcel Report (��� Wednesday, October 5, 2016 r _ _ f , r --- , r -- r � 258 r� `� f � � � 'r C�J 266 a � n. � WARNING: TffiS IS NOT A SURVEY --- --- - ---_ _.�e_ _ _,. . . _ _ _.____ __ __ -- -__.. __.. _,-- --- ---__ ___ . Parcel Information Parcel Number. H30000003294 Township: Calahaln NCPIN Number: 5719617888 Municipality: Account Number: 47600000 Census Tract: 37059-801 Listed Owner 1: MARTINEZ JOSE HERNAN Voting Precinct: NORTH CALAHALN Mailing Address 1: 1773 HIGHWAY 601 SOUTH Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Ove�lay: Zip Code: 27028-6901 Voluntary Ag.Dlstrict: No Legai Description: .783 AC POWELL RD Fire Response District: CENTER Assessed Acreage: 0.79 Elementary School Zone: WILLIAM R DAVIE Deed Date: 10/2001 Mlddle School Zone: NORTH DAVIE Deed Book/Page: 003910317 Soil Types: RnC,RnD,CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Bullding Value: 0.00 Outbullding 8 Extra 4500.00 Freatures Value: Land Value: 25000.00 Total Market Value: 29500.00 Total Assessed Value: 29500.00 9�,�v��, All data is provlded as Is wlthout warranty or guanntce of any Idnd either expressed or Implied Including but not limked to the Davie County� Implied wamrMles ot merchaMabllky or Mness for a particular uaa All users oT Davle Countya GIS website shap hold humless the CouMy oi DaNq North Grdlna,fts agarts,consukants,contractors or employeea Trom any and a6 daims or causes at�ctlon due to �p�N.�°' NC or arising out of the use or Inablltty to uu the GIS data pmvided by thfs websita R: +h I :5 ' �•... . . . . .a. t«t`r •r,�T�5fy�,�y,�s,.�.�� ���."� $' �lzi �i- 3 ��l -kW . �,)�. ,:r1� � ,�..�r.r�.��>r+;Yi�:, �;^-� .;,�vi...�,.-r�.e��i.,,F..�i ,p•�#�-,'�.4':^lt��w t . �,.�aa�^,+�i-��ytc�a+��.'�•fv ��g�`a l��t`.��� � �( � ';�� . � . � �;,`' ���,�, ' . . .. . ,. .. . `�. . UTHORIZAT �`? ION NO: � �'��'' DAVIE OUNTY HEALTH DEPARTMENT '�'�� - � •- ' " � • ' t � �Environmental Health Section � PROPERTY INFORMATION "� Perm�ttee ti��- s � ... � >, P.O.Box$48 Name.� , ',�:'"� � �3'�'�_ � Mocksville,NC 27028 Subdivision Name:� ' '� ,r � z / Phone# 336-751-8760 ' Directions to property:�,�,�G� ,0�+��'�j��f , Section: Lot: AUTHORIZATION FOR • WASTEWATER Tax Office PIN:# __� �/� - iv rvZ SYSTEM CONSTRUCTION ' , Road Name: P Zip: o�► � � =: **NOT'E**This Authorization�for Wastewater System Construction MUST BE ISSUED by the Davie Counry Environmental Health Section prior. to issuance of any Building�Perntits:This Forn�/Authorization Number should be presented to the Davie Counry Building Inspections ` Office when applying for Building Permits. ' ' '' " , � (In compliance with Article 11 of G.S..Chapter 130A,Wastewater Systems,Section.1900 Sewage,Treatment and Disposal Systems) ✓ � ,� � �r.. ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ��� �„r� l�l, . �,,,�� IS VALID FOR A PERIOD OF FIVE YEARS. • ENVIRONMENTAL HEALTH 3PECIALIST' DATE 1SSUED i _ . ri'�i's1 — .w� -r +•-'.�t —Y -v '-r =.s' •r�,.s �Y4.._....` a;; ., w � ....r„i n, ---^f .�ti'� r=. M_�t�M� �',w„ �_�' � /�/ . ... � � ���5}. � � I•'»��(f� _/ � " ,� f `, DAVIE OUNTY HEALTH DEPART 1�T � � - , . � ��� � � � '" : ..�..,.-*- ,,', ' � °":•�$� , T�TPRO� EMENT AND OPERATION PERN�I�S� PROPERTY INFORMATION , � : ,t �P�;er}�ttee's t�' , , . ,� � � � :,I�'ame'� M� �` �'`�J'�� � � �� J�� , 4 ` Subdivision Name _ , � M.._" ' -- � ��.� ..4� . � t .� , �f , "' .., . . .. . J ' �;Directions to`property .~ �k' � ✓ r x�:�.<'�/��' �� ` - Section: Lot: IMPROVEMENT � � � ,� PERMIT Tax Office PIN:#"'��!` � �i� ''` `r�t'�� � Road Name: �< � �Zip; ��i�f''� � ��, ** TE**This Im rovem�nt'Permlt DOES NOT author�'ze the construction or installation of a se tic tank s stem or ari wastewater s stem.An� �' NO Y. � ` ` AiJTHORiZAT'ION FOIt WASTEWATER S YSTEM CONSTRUCTION must be obtained,fram this Department prior to the; . '' , conshuction/installation of a system or the issuance of a building pernut � ,,,. , : "(In compliance with Article 11 of G.S.Chapter,130A,Wastewater Systeriis,Section 1900 Sewage Treatment and Disposal Systems) � � � �,.� ,,.�' ' ***NOTICE***TEIIS PERMIT LS SUBJECT TO REVOCATION IF SITE ; �`'""l�; � �Y:: !,����f+�;3'=;,� I � , _��i°'��� PLANS OR TEIE INTENDED USE CHANGE.YOUR WASTEWATER � �. � r � '��' SYSTEM CONTRACTOR MUST SEE TI-IIS PERMIT BEFORE:, 4;, ENVIRONMENTAL HEALTH SPECIALIST ' •DATE ISSUED ;�STALLING THE SYSTEM. ' - , , , . , : _. ; �. „, =: , . .. , TION:BUILDING TYPE�_ #BEDROOMS��#B,' ' .'.; , :� ' � ::;., , ,,, : � ' ; :,: .; : RESIDENTIAL SPECIFICA ATHS�_#OCCUPANTS GARBAGE DISPOSAL:Yes or No ` COMMERCIAL SPECIFICATIONc FACILITY TYPE ".#PEOPLE #PEOPLE/SHIFT #SEATS ' INDUSTRIAL WASTE:Xes or No ` LOT SIZE �'�i`7�' TYPE WATER SUPPLY.� DESIGN WASTEWATER FLOW(GPD)� NEW SI1'E �REPAIR SITE . �� . ` /! i SYSTEM SPECIFICATIONS: TANK BIZE�GAL. PUMP TANK GAL. TRENCH WIDTH� ROCK DEPTH� LINEAR FT.`��� ', ; OTHER . . . . , ,, , _ REQUIRED SITE MODIFICATIONS/CONDITIONS: ` . . ,, � ' " ; > • IMPROVEMENT PERMIT LAYOUT � � � ��L h � �� �pd �� . /b �y�i) - Q , -� F �... �P , ,. � x- : *+CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM, ` � , ` � BETWEEN 8:30=9:30 A.M:AR�1:00-1:30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS (336)751-8760. � - OPERATION PERMIT YSTE TAL�Y: � /`��� - ��/�� AUTHORIZATION NO..--�'r7�OPERATION PERMIT BY: , ' DATE: +'THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE ' ; WTfH ARTICLE 11 OF G.S._CHAPTER 130A,SECI'ION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS';BUT SHALL IN NO WAY BE TAKEN AS A � ` GUARANTEE THAT THE SYSTEM WII.L FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF,TIME. :DCHD OS/96(Revised) . '. , , . ,+ . ; , :. , � ,,. , . '• i__,� � ��(��� �"�� ~ APPUCATION FOR SITE EVALUATION/IMPROVEMENT PERMIT& � � �Gj � � � � Davie County Health Department � �°� � EnvirrvnmentalHea/thSection P.O. Box 848/210 Hospital Street .�UL � � �� , Mocksville, NC 27028 (336)751-8760 ��y1rUi"F�F1./'��¢.1i.Ft~.�'�`3 ;� .. '1����e11y� . � � ***Il�ORTANT*** THI3 APPLICATION CANNOT .8E PROC,ESSED UNLE33 AI,L THE REQUIRED INFORMATION IS PRO�VIDED. Refer to the INFORI�ITION BULLETIN for instructions. 1. Name to be Billed �. Contact Person ,��/� j�/7/a/,iG��� �� Mailing Address 8ome Phone �������p City/State/ZIF���S/J/ /�� /[�'(���Qp( � Business Phone 2. Name on Permit/ATC if Different than Above !la3�ling Address City/State/21p 3. Appiication For: ❑ Site Evaluation ❑ Itaprovetnent Permit/ATC �Both a. System to Service: It3'House ❑ Mobile Home ❑ Business 0 Industry ❑ Other �. if xes�aence: # People g Bedrooms �- # Bathrooms �. 0 Dishxasher ❑ Garbage Disposal ❑ Washing Machine ❑ Basement/Plumbing p Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks �F Co�odes �k Showers # Vriaals �F Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gaiions per day) �. xype of water su�iy: LR�ounty/City ❑ Well ❑ Commnunity e. no you anticipate additions or eapansions of t6e facility this system is intended to sen�e? 0 Yes �Fa �� �ai�, �s. ***IMFORTANT'k**CLIENTS hlUST CO�iIPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN�1fUST BE SUBJiITTED by the client with THIS APPLICATION. Propert�Dimensions: � � (,�Za_. J / WRITE DIRECTIONS(from Mocksville)to PROPERTY: Taa Oftice PIN: # � ��9-(O�' �90 � �% � /,��s� Property Address: Road Name T�CU��� � ��,/ l �, /� ,�Q'`UtP�� 7JC/ -' �'�/!�'/'� �-C' Cih•/Zip�� U/� , � l � If in a Subdivision provide information,as follows: /a����se o�i r'i�i� , - N��: ��.�we// �d section: s�ock: Lot: This is to certify that the information provided is correct to the best of my knoNledge. I understand t6at any permit(s) issued hereafter are subject to suspension or re��ocation,if t6e site plans or intended use change,or if the information submitted in this application is falsified oc changed. I,also,�nderstand that I am responsiblefor a/l charges incurred from this application. I,here6y,give consent to the Aut6orized Representative of the�vie oun Healt Des� to enter upon abo��e described property located in Da��e Counh and o�ned b�• //'/� to conduct all testing procedures as necessary to determine the site suitability.� DATE -�/_ -_,/e, `- �d SIGNATURE _ � T�IS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN: I ��,��,oJ�. `l�-a-q'- GL `�2d!�l� '�B�'�L- � G��� � 8��.� �,` ,`��-- � c ��--,� �.�- C , � , . ;����,/.�. ��// �� . ��- � � ,D�v,�=. �.�/ �� � ' � AG� g� // 'i•�••,_-�v'vo NO. 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DATE EVALUATED U ��O PROPOSED FACILITY , PROPERTY SIZE �/�� SUBDIVISION ROAD NAME �Gv��( Water Supply: On-Site Well Community Public L/ Evaluation By: Auger Boring � � Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca e osition ,L Slo e% HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH .� �`� ti Texture rou � Consistence i- � Structure /� /� Mineralo ✓ � � HORIZON III DEPTH Texture rou Consistence Structure Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo - SOIL WETNESS , RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATE � SITE 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 tructure SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineraloav 1:1,2:1,Mixed Notes Horizon depth-In inches Depth of fill-In inches Restrictive horizon-T'hickness and inches from land surface Saprolite-S(suitable),U(unsuitable) Soil we[ness-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-gaUday/ft2 DCHD(01-90) � ■■■�■�■■■��■■■��■■��■■��■■��■■■■■��■■e■■■�■■■■■■■■����■■o�■■■��■�■ ■■��■�■���■■■■■�■■��■��■■■�■■�■■■��■■■■■��■■■■■■■���■■�■���■■����■ ■■��■■■■����■■��■■��■��■����■■■■��■■■■■��■�■■■■■�����■■��■■■�■��■ ■■���■■���■■■■�■■■��■��■■���■■■■ ■■�������■■�■■■��■■o�■�■■■■■■■�■ ■■���■■����■■■�■■���■��■■��■■�■���■■■�■■��■���■■���■■�����■■■■�■�■ 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