1005 Rainbow RdDavie Countv, NC Tax Parcel Report Wednesday, October 12, 2016
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Parcel Information
Parcel Number: D600000037 Township:
NCPIN Number: 5852936008 Municipality:
Account Number: 82516842 Census Tract:
Listed Owner 1: SMITH BENJAMIN Y Voting Precinct:
Mailing Address 1: 1005 RAINBOW ROAD Planning Jurisdiction:
City: ADVANCE Zoning Class:
State: NC Zoning Overlay:
Zip Code: 27006-6716 Voluntary Ag. District:
Legal Description: 15 AC RAINBOW RD Fire Response District:
Assessed Acreage: 14.50 Elementary School Zone
Deed Date: 5/2001 Middle School Zone:
Deed Book / Page: 003690785 Soil Types:
Plat Book: Flood Zone:
Plat Page: Watershed Overlay:
Building Value: 97160.00 Outbuilding & Extra
Freatures Value:
Land Value: 124250.00 Total Market Value:
Total Assessed Value: 225810.00
Farmington
37059-802
FARMINGTON
Davie County
DAVIE COUNTY R-20
DAVIE COUNTY QD
SMITH GROVE
PINEBROOK
NORTH DAVIE
ArA,EnB,MsB
DAVIE COUNTY
4400.00
225810.00
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9�id �F All data Is provided as Is without warranty ar guaranteu of any kind either expressed or Implied including but not limitad to the
Davie County� Implled warrentles of inerchantability or fitness for a particular use. All users of Davie County's GIS websito shall hold ha�mlesa the
j�j(� County of Davie, North Carolina, its agents, eonsu�tants, contractors or employees from any and all clafms or causes of action due to
��f,�N�+ ```-' or arlsing out of the use or inability to use the GIS data provldod by this website,
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AUTHORIZATdON NO: ����Y DAVIE COUNTY HEALTH DEPARTMENT =N
`` • Environmental Health Section PROPERTY INFORMATION �Q-/���
Permittee's � ...-, � P.O. Box 848 ��p
Name: �%i:�%'`�J f'�r11�1� �, .��, t-�-} Mocksville, NC 27028 Subdivision Name: 1
Phone #: 704-634-8760 K
Directions to property: �ivi°r 1S� . L� Section: Lot: ��d "°���
AUTHORIZATION FOR (,�JB�
t_ n1 �k'_��r.,� ��� ��% �-i5 1... ��i- ^T` WASTEWATER Tax Office PIN:# �'�� �- � - l✓ �/}�
; SYSTEM CONSTRUCTTON �
�—�,1� ��}���,�-%,r,i-- RoadName: �'if�e���' Zip: G��'U�
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Pernuts. This Forn�/Authorization Number should be presented to the Davie Counry Building Inspections
O�ce when applying for Building Pernuts.
(In compliance with Article 11 of G,S. Chapter 130A, Wastewater Systems, Section .1900 Sewage TreaUnent and Disposal Systems)
`` ; ; ,/ � "'�,, � - t�T S ry ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
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�� ► r�' ,-~--�---.._, ��_�,- "i f IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONME A�. HEALTH SP�CIALIST DA E IS UED
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r..; ,�,.��.�� '`�' DAVIE COUNTY HEALTH DEPARTMENT �E�
" �... � q d� IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION ��-/�r'- � f
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Pertnitte.e's : �` �: '
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Name: «..t�..t•�.: ►'��r�:tr� •t,.�� r�'�.y
Directions to property: t c. ��: �l Z `� � , �. �. � �
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Il1�PROVEMENT
PERMIT
Subdivision Name: �'��' ��
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Section: Lot: � �0" ���
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Tax Office PIN:# ���?- � x' r`�� � t���
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Road Name: �-� L�r'r.,a w� C�' —' Zip: ,� + l, i?(;�
**NOTE** This Impmvement Pernut DOFS NOT authorize the construction or installation of a septic tank system or any wastewater system. An
ALJ1'HORIZATION FOR WASTEWATER SYSTEM CONSTRUCfION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building pernut.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
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***NOTICE*** THLS PERNIIT LS SUBJECT TO REVOCATION IF SITE
��� �^.^'� f -' -�1. ,_ '' f?,�.� �l � PLANS OR TE� INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SP�ECIALIST', DA ISSUED SYSTEM CONTRACTOR MUST SEE TfD.S PERMTP BEFORE
,� � INSTALLING Tf� SYSTEM.
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RESIDENTIAL SPECIFICATION: BUILDING TYPE 1� # BEDROOMS � # BATHS �_ # OCCUPANTS � GARBAGE DISPOSAL: Yes or oi�
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE �9A TYPE WATER SUPPLY 4����- DESIGN WASTEWATER FLOW (GPD) ��:' ! NEW SITE �' REPAIR SITE
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SYSTEM SPECIFICATIONS: TANK SIZE ��� GAL. PUMP TANK GAL. TRENCH WIDTH —=•-�� ROCK DEPTH � LINEAR Ff. ��J
OTHER I �1�7� .l �� T I o r..� I��C
REQUIRED SITE MODIFICATIONS/CONDITIONS: � � 1"��1 C.. �:�� �.-c'l�l^t)�. , �1-�i> l . � ^� i-�- � t:i U_ti.�Ut' �`( �.� - %�(
IMPROVEMENT PERMIT LAYOUT
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2.-�0'
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**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
SYSTEM IN9TAILLED BY:
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1�° 1'�a
AUTHORIZATION NO. OPERATION PERMIT BY: �:- - I� DATE: `� `�
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**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WTI'H 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 OS/96 (Revised)
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, APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
. . Davie County Health Department
Environmental Healtlz Section -
P.O.Box848 � ���0��
Mocksville, NC 27028 D
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(704)634-8760 (
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****IMPORTANT**�* THIS APPLICATION CANNOT BE P
THE REQUIRED INFORMATION IS
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- -- - --- � 1 �f�3�
1. Name to be Billed � t !• �,`j� Contact Person X Uf�i 1iN ._/l,( / T� (,� G b ��
/.- � �"� i �l
Mailing Address lls3� IQt 6V�� /�rU � Home Phone %iv�D ���-f J
City/State/Zip C��"��d�!S /V`C ��D �'�- Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address
City/State/Zip
3. Application For: [] Site Evaluation [] Improvement Permit & ATC
4. System to Serve: [] House [�j'fVlobile Home [ J Business [] Industry [] Other
[v1 �oth
5. If Residence: # People� # Bedrooms� # 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: [] County/City [] Well [] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes ft�'No
If yes, what type?
EITHER tt 1'LAT OR SZTE PLtIN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A,��OF THE PROPERTY MUST BE
SUBMITTED WITH I�S APPLICATION.
Property Dimensions: � � i��% � � WRITE DIRECTI NS (from ocksville TO PROPERTY:
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Tax Office PIN: #�5 S�.S2 - 9 3 _� c} O 8' � /� ^ � �
Property Address: Road Name � � i � y� � ��,,�,,, .�I,� c � .G � �� � �
City/Zip ;
If in Subdivision provide information, as follows: �
Name: ;
�
Section: Lot #: �
Ttus is to certify that the mformation provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter aze
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
by - to r�iuct all testing rocedu s as ecessary to determine the site suitability.
DATE �I'/oZ '/ � SIGNATURE �tl�',yw—� �� ./1�f�• ��
Revised DCHD (06-96)
THIS AREA �11AJ 13E USEb �OR blZttIVZNC� JOUIt SITE pLAN:
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c��0�i EIR � •—._�: I : :- _ �-�` ' _ _ .,_.—_ _....�— —
S E37"35'4.�"F 2.58.34' S 86°1�-•2i"E 208.Q9' S/8" EIR
� N 06°35'20"E
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IRS 1/2" Rebar �
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S£36° 16' 15"E 393.50' -- 4-� S%?." EIFZ ,',
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112A9' ' '
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Pcri of Tux Lot 37 n, + 1&1j4" E'.P —____•— _ I�I
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� , 5.948 Acres +/- x� .�. , I
Vacant Lot ��' �
� S 11 °42'25"W — � I
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N 8 6 3 9 4 0 W
�i32.55'
Total - �. :��^v �:_::.:
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IRS 1/2" Rebar
. . DAVIE COUNTY HEALTH DEPARTMENT
�,'' Environmental Health Section SECTION r.oT
SoiUSite Evaluation
APPLICANT'S NAME ��=�A�tN ��'�*1� DATE EVALUATED � � �1
PROPOSED FACILITY r �D'611.T tt�`�� PROPERTY SIZE S,� ��
SUBDIVISION ROAD NAME ��n3.� L,�,J �
Water Supply: ? On-Site Well � Community Public
Evaluation By: Auger Boring � Pit Cut
FACTORS
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
HORIZON II DEPTH
Texture group
Consistence
Structure
HORIZON III DEPTH
Texture group
Consistence
Structure
HORIZON IV DEPTH
Texture group
Consistence
Structure
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: US
LONG-TERM ACCEPTANCE RATE:
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EVALUATION BY:
OTHER(S) PRESENT:
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REMARKS: l..i}Ql�%� "T"n ���GA� a� QJ�It-4�= �dC.� - A%G-�SIZG%� a(,U�I��,rO �Y�Srb''t1,
LEGEND �Q ^ p, 2
Landscape Position
R- Ridge S- Shoulder L- Linear slope FS - Foot slope N- Nose slope
CC - Concave slope CV - Convex slope T- Tenace 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
Mineraloev
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
Classifcation - S(suitable), PS(provisionally suitable), U(unsuitable)
LTAR - Long-term acceptance rate - gaUday/ft2
DCHD (O1-90)
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