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2106 Sheffield RdDavie County, NC Tax Parcel Renort l0 Thursday. October 6. 2016 WAMNIINkx: 1.1tin 1.11VU1 A Z!)U.K VL+ Y Parcel Information Parcel Number: F100000010 Township: Clarksville NCPIN Number: 4890897798 Municipality: Account Number: 45627060 Census Tract: 37059-801 Listed Owner 1: LIBERTY WESLEYAN CHURCH Voting Precinct: CLARKSVILLE Mailing Address 1: 2106 SHEFFIELD ROAD Planning Jurisdiction: Davie County City• MOCKSVILLE 11/2002 Zoning Class: DAVIE COUNTY R-20 I,v i All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the NrC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 3.974 AC SHEFFIELD RD Fire Response District: SHEFFIELD - CALAHALN Assessed Acreage: 3.82 Elementary School Zone: WILLIAM R DAVIE Deed Date: 11/2002 Middle School Zone: NORTH DAVIE Deed Book / Page: 004510800 Soil Types: PcC2,CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 255960.00 Outbuilding & Extra Freatures Value: 0.00 Land Value: 37020.00 Total Market Value: 292980.00 Total Assessed Value: 292980.00 I,v i All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the NrC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION .�'• ell �X a *NOTE: Issued in Compliance With Article II.pf S. Chapter 130a Sanitary Sewage Syste sti✓•<� �G��S Permit Number Name A411 4 % D /fir , , i r S�( .�! tef f� 1JsN2 8063 Location—L'!`�✓; ✓ rT ,�` —'ice, S!,�;.,�, '%� _ t'�` Subdivision Name Lot No. Sec. or Block No. Lot Size House— Mobile Home ---_ Business -- Industry No. Bedrooms �2- _ No. Baths — — No. in Family "71 / — Public Assembly Other Garbage Disposal YES ❑ NO2--, Specifications for System: Auto Dish Washer YES p NO ❑ A, ^ ,� , , ��l✓'c�/� v" �` Auto Wash Ma^hine YES NO ❑ Type Water Supply --- �P ------ --- C�-�� 'This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS SYSTEM. ,2 t7 /�w1 Improvements permit byl `Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985. lFinal Installation Diagram! -I System Installed by Certificate of Completion Date _ 'The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. ' 7.�.-` � DAVUE COUNTY HEALTH DEPARTMENT ~ IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION ' ^N[[TE.-Issued i Compliance With Article Chapter 130o Sanitary , Date \ -Name ___–_�� Location ' Subdivision Name Lot No. Seo orBlock No. Lot Size House e--"- Mobile Home Business ---- Industry_ No. Bedrooms Nu.'Be\ho No. in Family –_ PublicAonem Garbage Disposal YEG ~� [] NO ��Specifications for System: Auto Dish Washer YES NO [] Auto Wash k4a:hine YES NO [] Type Water Supply *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit insubject \orevocation ifsite plans urthe intended use change ATTENTION YOUR SEPTIC SYSTEM CONTRACTOR MUST THIS PERMD7UAk]UTBEFORE |NGl7\LUNGTHIS SYSTEM. � Improvements permit by *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: / i, r\ ' / Sya\om|no\aUpdby Certificate of Completion —-&Y -- Date /Ax� *The signing odthis certificate shall indicate that the system described ubova has been installed in compliance with the standards set forth inthe above regulation, but shall inNOway betaken naeguarantee that the system will function satisfactorily for any given period of time. _- ' �� 3°��. � DAVIE COUNTY E VIRONMENTA HEALTH SECTION K' '5 APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME bGWe_-51 an1l.(►'Ch_P,SaPHOM- � NUMBER ADDRESS C/P �/ C1 (1 I )A SUBDIVISION NAME ld(o r"e(�I .-RSL. , Haw -mor t�, /1�C ��OT4 DIRECTIONS TO SITE (o C) -r"_ �i'1 �- I (04 RQ - n I . 4pi 0 n rt. /0 M 1-t- C_� u r' �_k I) I C! (:q DATE SYSTEM INSTALLED D I NAME SYSTEM INSTALLED UNDER �� ►'n �- ✓ TYPE FACILITY--6NUMBER BEDROOMS NUMBER PEOPLE SERVED `T TYPE WATER SUPPLY Gt��'iHl SPECIFY PROBLEM OCCURRING r DATE REQUESTED' INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge, and SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1/93 j-Iec'r understand I am responsible for all charges incurred from this application. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT — — Davie County Health Department � Environmental Health Section �" l P. O. Box 665 0 U Mocksville, NC 27028 1. Application/Permit Requested By �� y J L I� Mailing Address Home Phone Business Phone 2. Name on Permit if Different than Above 3. Application/Permit for: ❑ General Evaluation R-96ptic Tank Installation 4. S stem to Serve: ❑ House Lq�Business ❑ Industry 5. ouse, mobile home: Subdivision No. of People -� No. of Bedrooms ❑ Mobile Home ❑ Other l -Place of Public Assembly ❑ Unknown Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions Ll X //O ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type C%u�zc�cLLawsr�i�CL��L�sJ �vS No. of People Served R No. of Sinks No. of Commodes r No. of Urinals No. of Lavatories 5- No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: P"Public ❑ Private 8. Property Dimensions Sewage Disposal Contractor /—A -f ,' 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 2'1lo If yes, what type? ❑ Community *NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: cf _ ,��`T� �$.�e �i�"« �� — C -t114 ac/ This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. .2 //- /9 z ATE �- SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. 2-2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: 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 Z-r`i��' to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. , DATE SIGNATURE DCHD (12-90) • ' =``- •Y DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section Soil/Site Evaluation NAME 1 , � �� J A\� �4 - N -Zl \y Wo s I B KNt . DATE EVALUATED ADDRESS S ("' PROPOSED FACIILTY Water Supply: On -Site Well PROPERTY SIZE LOCATION OF SITE TF 1 e a P Community Public 1___1 Evaluation ByJZ,%L Auger Boring ✓ Pit Cut FACTORS 1 2 3 4 Landscape position .5 .S <,- Slo a % Slope S'_ )E- S- I _6 FS- - 5 HORIZON I DEPTH b" L'' L Texture group C L C 1_ C C' - Consistence F1 FL =-L Structure Q2 C CZ Cy NZ Mineralogy I'. 1'.1 \'• 1 1: HORIZON II DEPTH 2'jqa.. Texture group C. Q1_ C C Consistence Structure AXG t- Mineralogy1 '• i 1 i l'•' 1 HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS s s s s s s RESTRICTIVE HORIZON - - SAPROLITE - - - - CLASSIFICATION S S S S LONG-TERM ACCEPTANCE RATE .t-4 y SITE CLASSIFICATION: V • S LONG-TERM ACCEPTANCE RATE: - REMARKS: DCHD(01-901 EVALUATED BY: _ (� DTH (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 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 watet' 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 ■��■■■■■��■��■��■��■��Ho��i��■ ■■ bi�■ ■��■��■�■��■�N��■��■��e■■■�=��i�°■■��■ ■��■��■��■ �■��■��■��■■ ■■�■■��■��■�■��■■��■��■ ■��■■��■■��■��■�■■�■��■��■■�■��■��■ ■��■■�■■��■■��■■��■■■■��■ ■��■■�■��■��■��■■��■��■ ■��■�■��■��■��■��■��■��■■ ■■��■��■��■��■��■�■■��■ ■�■��■�■��■��■■��■��■ ■��■�■�� ■��■■�■�■��■ ■■��■■��■��■��■■■�■■■��■ ■��■■��■■��■��■��■��■�■■��■ ■��■��■ ��■��■��■�■�� l��N�� ■�■�■��n��■��■��■�� ■��■■��■��■��■��■��■�■��■�■�■ ■■��■■��■��■■■ ��■��■�■��■ ■��■■��■��r��■��■��■■■■�■�■��i��■�■ ■�■■��■��■��■��■��■��■��■ ��%��v�� ■��■��■��■ ■t��■�■ �■�■�■��■/��■�� ■■��■��■�■��s��■■■��_��in�=��■��■��■ ..........■.........�.■.................■■■.■.■.■■.■■....■..■._.■. .................... ...........�......................■..■.. ■.. ................................ ................................ ...............■■■....■.■■...............■■■■■■..■■■■■■.■■.■■■■■■■ ................................................................ . .........■........................................ .............1. ..................................................C............... .................................................................. ................................... .............................. ................................ ................................ ................................i�................................ ........■............................■.■........■■■....■.......■. ....................................�....................�........ ......................................................... ........ :::::�::::::::::::�:::::::::�::::::::::�:::::::�:::::::::::::: ....................................................... .......... i�::::::�l::::::�3::::::il::::::�::::::i1:::::: :::::��l::::::i! ....................................■...■...■■■.�:..............■. ■��■��■��■r��■��■��■�■��■��C��■��■ ..........................�.��.............�...�........... ........ ■��■■...■.._.......�■��■ ��■L��■ ��■��■� ■��■��■■�rGw�i��■��■�■��■ :::::.',:::�:C-":'::o�:'::�::�:C:::":::: :��::C��::�=::C::::CC::::::� � r ■�/�Rt�i��a��■■��■��■■■��I/�� ■ ��■■ ■/I��I�I��■■■■��■��■��■��I��C��■��■�■�� t�II��GiCiil■■��■��■��■�■�■��■��i'■i�Ci��C ��/��ue� ��■��■ ■ ■I��■�■�■��■��■��■■��■��1��■�■�� ■�■�■ ■ ■�1��■�■■��■��II��!:�Lil�!.1.^.?5��[��hi�i��■\�\��■��■��■ ■II��i��■��■��II��\1�■\a��l�a�■��■I��ri �I/�� ■�■ ■��■��■��1 �■��t►�� ■��■�■��■� ��I\��I�u�l��t��I��r�� ■��■■��1��■��I��I��'��■��■��■ ■�� ■��!!:=�C��:��J ��[� ■■�� /��■��■�� ■�■ ::::::::�:::C:::::::::::::::'�:::::::::::::::::::':::::::::�::�:: ........................................�...�.....�C....=.......... ........................................�... ..... ..... .....�... ■�■��■�� ■�■ �■■��='===='=••�� ■■ ■��■��■��■■��■R��■��■��■�■ ■��■■■�■■��C��■��n■��■ ■��■■��■■��■��■�■��■��■■��■�■■��■■�■ ■��■��■��■��■�� ■��■��■ ■�■�� ■��N��■��■��CC�=��W��h��■��■�N■�� ■��■��■��%��■��ri�\��■�� H�n��N�� ■��■��■��■�■■■��■��■��ea�t��■■�■■��■ ■■��■�■��■■■��.��■��■ ��►��,��■��■ ■�■��■■��■■��■��■��a■�■��■��■ ■��i��■��u■��■��a�i■��N��■�■�� ■��■��■■��■��■�►��t�■��■��■ ■��■��■��■�■ ■�■��►i��■��■��■��►��v��■��■� ■��■��■s��■■�■��■�■■■■��■��■��■��■��■ ■��■��■��■■��t��■��■��t��■■ ■��■��■��■��■��■��■ ■��■��■�� ■��.�■��■��■��■ ■��/��f/��■��/��■i��■��Ilii■��■�0■ ,. . • ,•