687 Riverview RdDavie Countv, NC Tax Parcel Report 1 q,66 Thursday, October 6, 2016
WA"1.NU: T141N IN 1VU1 A NUKVLt Y
Parcel Information
Parcel Number:
L800000001
Township:
Fulton
NCPIN Number:
5776332042
Municipality:
Account Number:
70591560
Census Tract:
37059-804
Listed Owner 1:
STANALAND WILLIAM W III
Voting Precinct:
FULTON
Mailing Address 1:
687 RIVERVIEW ROAD
Planning Jurisdiction:
Davie County
City: ADVANCE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006-7037
Voluntary Ag. District:
No
Legal Description:
39.8 AC RIVERVIEW RD
Fire Response District:
FORK
Assessed Acreage:
40.71
Elementary School Zone:
CORNATZER
Deed Date:
8/1996
Middle School Zone:
WILLIAM ELLIS
Deed Book I Page:
001890350
Soil Types: PaD,PcB2,PcC2,RnD,RvA,ChA,BuB,WATER
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
1026260.00
Outbuilding & Extra
Freatures Value:
4500.00
Land Value:
250820.00
Total Market Value:
1281580.00
Total Assessed Value: 1281580.00
All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
9 1X16 F Davie County, 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 claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
AUTHORIZATION NO: 0 5 0 DAVIE C )LINTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Pertndteq;s� ¢� P.O. Box 848
Name: ar��rce'C;d= ,�' Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to property:: '� Z f,% <. i-' _ Section: Lot:
AUTHORIZATION FOR
WASTEWATERTax Office PIN:#�"
SYSTEM CONSTRUCTION +� r
Road Name. l6;" ,� ! a'i" ,, a e,4 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)
�f j ✓�� f ✓/ - ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE4SSUED
DAVIE qOUNTY HEALTH DEPARTMENT
•
IMPROVEMENT, AND OPERATION PER ITS PROPERTY INFORMATION
Name:
1/62
Subdivision Name:
Directions to property: r' .- " Section: Lot:
IMPROVEMENT • _
PERMIT Tax Office PIN:X6.0 Z> ' _ . 7�,•,
Road Namei'r 7�,�`r.: r Zi
**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 rYPfi _ #BEDROOMS _ #BATHS <� # OCCUPANTS GARBAGE DISPOSAL: Yes or No
�.
lo
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITEREPAIR SITE
/ r
SYSTEM SPECIFICATIONS: TANK SIZE GAL,- PUMP TANK {AL. TRENCH WIDTH ROCK DEPTH _% ! LINEAR FT. '>
OTHER Y1
REQUIRED SITE MODIFICATIONS/Ci
IMPROVEMEr PERMIT LAYOUT
t J
U
S.-14
aAk
"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 i"1"` -
ALLED BY:
I- T" ti -i)N t6 8 zq
412
o00F7Q�ut
110 0 0�`115 L,,.5
` �__ .1L
�-°"4-
AUTHORIZATION NO.11-� lL OPERATION PERMIT BY: DATE: kX33
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT TH M DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I I 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 05196 (Revised)
� at•t'uta11UN FOR Davie County Health Department
PERMIT & AT
O
Eavironrnenfa/Health Se+tWO,7 15 U
P.O. Box 848/210 Hospital street 'A„ 2 9 19W
Mockaville, NC 27028 �Nil`t
(336)751-8760
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL QiII=
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed W I I I 1 Q r4, W. SA
0-r-% 1n 1 Ql r-� J '1 Contact person T11k/ W,
,
Nailing Address jaq S We s� r l o Q e ' I +l-��
C] • / Home Phone 3 3 (�, - �j
City/State/ZIP _} fid V Q r , e e- 1 \l � � ` 00 (0 . Business Phone 3 3 (p -t% (o rj- '.)19
1 7 (w� 11 �a"Vj,\
)
2. Name on Permit/ATC if Different than Above `� &W
tD°tsri
Nailing Address City/State/Zip
3. Application For: Site Evaluation 4Improvement Permit/ATC Both
4. system to service: )� House 0 Mobile Home 0 Business 0 Industry 0 Other
s. If Residence: # People 'i # Bedrooms 1 i Bathrooms
XDishwasher XOarbage Disposal XAashing Machine XBaseoent/Plumbing 0 Basement/No Plumbing
6. if Business/Industry/other: Specify type
# People # sinks
# Commodes # showers # Urinals # Nater Coolers
IF FOODSERVICE: # Seats Estimated Nater Usage (gallons per day)
7. Type of water supply: 0 County/City Well 0 community
a. Do you anticipate additions or expansions of the facility this system is Intended to serve! 0 Yes XNO
If yes, what type!
***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: i°o/ �7` T /S" #CAO WRITE IRECTIONS (from Mocksville) to PROPERTY:
OF tfu AC -9a .-f.RA
Tax OUice PIN: # rJ %% G, - 33 - 7:1 0 .l • t%���� 4&Y b y ITAS-7 Tv
Property Address: Road Name R ly e c V 1 e W J- CIS(.-� d'y t so U7d O,J A-01
City/Zip Advance W �000(o a&N4 If �-t M]bf S 75 Rlvt=RurEO
If In a Subdivision provide information, as follows:
Name: N l �
Section: Block: Lot:
bio o".) t,c--F7"- 7w4r' ot-1,7" -
,db c,.r� l2/ycawE w I • rj`
f4,'9.s 3
r-6 firJ
Date Property Flagged: % /S A 9
This Is to certify that the information provided is correct to the best or 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 appJicadwL 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 W ti i am W, anA baa W A
to conduct all to/sting procedures as necessary to determine the site suitability.
DATE , / 5 / Q CI SIGNATURE
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. '3 '14'7'
Invoice No. '4115'
03
Cc
IN
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT'S NAME4.�7/,1
PROPOSED FACILITY
SUBDIVISION
Water Supply:
Evaluation By:
On -Site Well
Auger Boring
Community
Pit
SECTION LOT
DATE EVALUATED h/
PROPERTY SIZE / t
ROAD NAME p`1/e / . Gtr
Public
Cut
FACTORS 1 2 3 4 5 6 7
Landscape position Lam. L
Slope % A 41
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence i
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
MineralogyC
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-90)
EVALUATION BY: &
OTHER(S) PRESENT:
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
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