998 Sheffield RdDavie County, NC
Tax Parcel Report 19 3 � Thursday, October 6, 2016
WARNING: THIS IS NOT A SURVEY
- Parcel Information
Parcel Number: F20000004410 Township: Calahaln
NCPIN Number: 5810150522 Municipality:
Account Number: 78628870 Census Tract: 37059-801
Listed Owner 1: WHITE MICHAEL LEE Voting Precinct: NORTH CALAHALN
Mailing Address 1: 998 SHEFFIELD ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
1.32 AC SHEFFIELD RD
Fire Response District:
SHEFFIELD - CALAHALN
Assessed Acreage:
1.17
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
/
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
Soil Types:
MnC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
122160.00
Outbuilding & Extra
Freatures Value:
2940.00
Land Value:
21540.00
Total Market Value:
146640.00
Total Assessed Value:
146640.00
F-01
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
NC 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.
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AUTHORIT*lON No:. 19 DAVIE COUNTY HEALTH DEPARTMENT
Envi �nrnental Health Section PROPERTY INFORMATION
Permittee 's r% ,, /_ /.%P.O. Box 848
Name: A�y ksville, NC 27028 Subdivision Name:
�O� S-/— ( �� `C� T Phone # 336-751-8760
Directions to property: /t Section: Lot:
/. n n I AUTHORIZATION FOR
// WASTEWATER
TaFfIN
ffice PIN :# +-r-
SYSTEM CONSTRUCTION Rame:f..! •.��c�u$�
**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)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPAR�HENT
IMPROVEM T AND OPERATION PERMITS PROPERTY INFORMATION
Permitfee's
Name: 'AI'"�?' P L �6C Subdivision Name:
Directions to property: �' ' -k /�+� A/ a`r(` Section: Lot:
/
IMPROVEMENT PERMIT Ta Office P�IN....^:#IIRZ me
**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 l I 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 TYPE 3 # BEDROOMS # BATHS # OCCUPANTS _L GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT / # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE./3VAG TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) la I� NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE�GAL. PUMP TANK GAL. TRENCH WIDTH � ROCK DEPTH LINEAR FT.�W /
OTHER / .c%r?.+ 1 '
v
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
I
**CONTACT A REPRESENTATI OF fE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THISSYSTEMBETWEEN 8:30 - 9:30 A OR- 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760.
OPERATION PERMIT 1 1/
SYSTEM INSTALLED BY:
O
Nl
9
AUTHORIZATION NO. 9�`s OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH 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 05196 (Revised)
ArPUt;AIION FOR SITE EVAUlAXION/IMPROVEMENT PERMIT & ATC O 6 90 r 9
Davie County Health Department
Env/ronmenfal Health Section JAN 2 519%
P.O. Box 848/210 Hospital Street
Mockaville, NC 27028
(336) 751-8760 ENVIRONNIENTAL HEALTH
DAVIE COUNTY
***ZiPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. /Refelr to /the INFORMATION BULLETIN for instructions.
1. Name to be Billed �' le IVN (M'qd / l LA it � f- Contact person /9 /9 e—
Mailing Address �DD �j 15h ef; 11 eld 160 some Phone IT �%?- 5'-5 ,3D
City/State/LIP !� /D C/) S ll/lP Business Phone
2. Name on Peratt/ATC if Different than Above
Hailing Address City/state/Zip
3. Application For: U Site Evaluation 0 Improvement Permit/ATC Both
a. system to service: X
House 0 Mobile Home 0 Business
❑ Industry ❑ Other
a. If Residence: # People # Bedrooms _, 3_
XDishwasher U Garbage Disposal lrltashing Machine
S. If Business/Industry/Other: specify /type`
# Bathrooms '12_
U Basement/Plumbing 0 Basement/No Plumbing
# People # sinks
i Commodes # showers # Urinals # dater Coolers
IF FOODSERVICE: # Seats Estimated stater Usage (gallons per day)
7. Type of water supply: 0 County/City i%11
s. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?
0 Cosmnuni ty
0 Yes
L. -.1
***IMPORTANT•**CLIENTS AIUSTCOMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PIAN MUST BESUBMITTED by the dient with THIS APPLICATION.
Property Dimensions: • doC 1' DIRECTIONS (from MockrAlle) to PROPERTY:
Tax Office PIN: # J�8/D —45— —06-d 00 e5f �vr„✓ /Zc.e
Property Address: Road Name ,5/7e-fTl.`lGl lCoI� �✓
City/Zip
If in a Subdivision provide Information, as follows: (�'1✓!i
Sl -
Name: ,��,����✓�n���
Section: Block: Lot: Date Property Flagged: a ��
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. 1, also, understand that I am responsalefor all charges incurred from
this appficarion. 1, hereby, give consent to the Authorized Representative or fbe Davie Coun Hgi b D�epartmleut',
to enter upon above described property located in Davie County and owned by _rr1e- ln' (�J dog (,V
to conduct all testing procedures as necessary to determine the site suitability.
DATE /— �`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).
Account No. 3d5
Revised DCHD (07/98) Invoice No. #J/1 —
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT'S NAME 4 / ' !' t
PROPOSED FACILITY
Jf
SUBDIVISION
Water Supply:
Evaluation By:
On -Site Well 1�
Auger Boring
SECTION LOT,
DATE EVALUATED
PROPERTY SIZE lltlll
ROAD NAME T � 1 i` /,� L /
Community Public
Pit Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
21
Slope %
3�
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
0—
Consistence Consistence
c�
Structure
SGl
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:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (0I-90)
EVALUATION BY: elld Z
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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