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155 S M Whitt Dr (2)Davie County, NC Tax Parcel Report (� 3 5 N Thursday, October 6, 2016 WARNING: THIS IS NOT A SURVEY lldataisprovided as is without warranty or guarantee of any kind either expressed or Implied including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the 161 Parcel Information County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to Parcel Number: K40000000102 Township: Mocksville NCPIN Number: 5727707587 Municipality: Account Number: 78883180 Census Tract: 37059-801 Listed Owner 1: WHITT RICHARD H JR Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 165 S M WHITT DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-5436 Voluntary Ag. District: No Legal Description: 33.41 AC OFF JUNCTION RD Fire Response District: COOLEEMEE Assessed Acreage: 13.36 Elementary School Zone: COOLEEMEE Deed Date: 9/1990 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001560357 Soil Types: IrB,EnB,EnC,ChA,MsD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 124690.00 Outbuilding & Extra Freatures Value: 13280.00 Land Value: 69130.00 Total Market Value: 207100.00 Total Assessed Value: 207100.00 Davie County, lldataisprovided as is without warranty or guarantee of any kind either expressed or Implied including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the 161 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. 'AOTHORIZATION NO. 1 3 0DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee'sl --�--. P.O. Box 848 Name:%-, t / !/i/�%. �/� Mocksville, NC 27028 Subdivision Name: Directions to property: �=^ Sr ✓' ft4' Phone # 336-751-8760 Section: Lot: 7 AUTHORIZATION FOR WASTEWATER Tax Office PIN:# S—V%- d SYSTEM CONSTRUCTION --� Road Name:'�-/ .f.;/! / fr zip: -?'7e)4 **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 9PtCIALIST DATE ISSUEb 1 ; 5 DAVIE COUNTY HEALTH DEP RTMENT t' .t f.� IMPROVEMENT AND OPERATION OERMTI;� PROPERTY INFORMATION 4 Permittees Narrfe- s t f /i' Subdivision Name: Directions to property: / Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# Road Name. - 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 ISSUEb SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE JY # BEDROOMS # BATHS _ # OCCUPANTS–_ GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE - # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE ✓ !l �TYPE WATER SUPPLY _ DESIGN WASTEWATER FLOW (GPD) 3G d NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE /1 PD GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH AV LINEAR FT. OTHER 4At ,-1L Xt1Y+ t6 111V cr J v& -C REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT. *APPROVED EFFLUE[1'ii FIL' ERE g IST,n(S) IF G• 1 C LUIZ FIIIISUED GRADc.� "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 (WG4}6348�60 11IT313-:NII111M OPERATION PERMIT \ 1 ��� SYSTEM INSTALLED BY: `G AUTHORIZATION NO.'`5`'S4 OPERATION P: "THE ISSUANCE OF THIS OPERATION PERMIT SH! WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION GUARANTEE THAT THE SYSTEM WILL FUNCTION- DCHD 05/96 (Revised) `4 t O 01- o 105 �-v TpI� itio-Rsto-3 _ �r. —:;?DATE: THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE RTMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A ,R ANY GIVEN PERIOD OF TIME. APPUCA710N FOR SITE EVALUATION/IMPROVEMENT PERMIT do A Davie County Health Department • • Environmental Health SmWon P.O. Box 848/210 Hospital Street Mockaville, NC 270!13 (336)751-8760 APR 16 1999 EI�VIRONt�1ENTAL,HEALTH ***II►�ORTAPIT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL 9iWTMQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. llama to be Billed ? �ci-CXF Ac � � � 1 e � W � �� r � ; Contact person ► c/ n p t �^ Hailing AddressI �l sLLS Home Phone 33 0 Lo 1 i City/state/ZIP O ay{�bv ►II (. ro (, 1 �,� Business Phcn�'.33 `lI uy 40 ex+ q o 2. Haar on Permit/ASC if Different than Above Mailing Address 3. Application For: )(Site Evaluation City/state/Zip W iHgprovement Permit/ATC 6. system to service: J% House ❑ Mobile Home 0 Business 0 Industry S. If Residence: # People_ # Bedrooms eDishwasher e0arbage Disposal hl Washing Machine 0 Basement/Plumbing 6. If Business/Industry/Other: Specify type # People # Commodes # showers # Urinals FI Both ❑ Other # Bathrooms a j(Basement/Ho Plumbing # Sinks # Water Coolers Ir rOODSERVICE: # Seats Estimated hater Usage (gallons per day) 7. Type of water supply: ❑ County/City 0 well 0 Community e. Do you anticipate additions or expansions of the facility this system Is intended to serve! 0 Yes XNo If yes, what type' ***IMPORTANT*** CLIE14TS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELLOW. es:mss: s PP 4T er SITE PLAN MV; VT ZESUBAIITTED P%y the client with THIS APPLICATION. Property Dimensions: Acr eS DIRECTIONS (from Mocksville) to PROPERTY: Tax Office PIN:04 J\"q 660 DDo p 1 as G,, l a ger°ck o &y A 2,- Apprat� Property Address: Road NamD,J �°(S�u. City/Zip (�oc,ko, - N � C-07�J$ a�8- `�'ca�el �, I t �, X L e., If in a Subdivision provide information, as follows: cpm �� PDQ (,t) t+41 �)C to Name:y� �t'iaC (�1 rLpe,�}.� 0,, I ed`(' Section: Block: Lot: Date Property Flagged: 1 /i' b3 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 application. 1, hereby, give consent to the Authorized Representative of the Dikyie County Health Deparlownt to enter upon above described property located in Davie County and owned b. �T to conduct/all testing procedures as necessary to determine the site suitability. DATE ") �" 11 AT'URE-f jA THIS AREA MAY BE USF,D'1'OR DRAWING YOUR SITE PIAN (Inclbde all of the following: Existing and proposed property lines and dime 91ons, structures, setbacks, anser-c ions). C f�PP L., � JjjA r1 4G: n 1Z ,5*41 CCOUnt Revised DCHD (07/98) Invoice No. APPLICANT'S NAME DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT. Soil/Site Evaluation PROPOSED FACILITY , SUBDIVISION Water Supply: Evaluation By: On -Site Well Auger Boring DATE EVALUATED PROPERTY SIZE ROAD NAME <:S'//% Community Public Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure 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'AEA SITE CLASSIFICATION; WE EVALUATION BY: a // 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 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 DCHD (O1-90) ■ ■ ■ ■ ■■■■■■O■■■■■ ■■■■MMM■■■■■ ■MMM■M■MMM■■ ■■■■■■■■■■■■■■■■ ■■N■■■■■N■■M■N■■ ■■O■■■■■■■■■■M■■ ■■■NEEM■NN■O■■O■ ■■■■■■■EMENNOWNE ■E■■■■N■MI■■■E■■■ ■■EN■ OMENS ■ ■ 0 MEMN■N■E■NONO■E■EN ■ENNE■MENNENmommumMENNEN ■■■■■■N■MEN■■NE■■N■■N■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■E■■■■■■■ ■M■■■E■NN■■■■ ■■■■■■■■■■■■■ ■N■■■E■■NN■■■ ■■O■■■■■N■■■■ ■■■■■NONE■■■■ ■■■■N■■■■■■■■ ■OS■■M■■■■O■■ 0 0 ■■NOS■■■■N■■■■■■ ■■■■NSE■■■MONO■■ ■■■■M■■■M■M■■■■■ MESON SENSE ■■■■■ ■■S■■ ■N■■■ ■■■■■ ■■■■■ ■■■N■ MESON ■E■■■ ■■S■■ ■■■E■ --t-1 , Dade'', Envift r art v� Phone: (336) - 753 - unty Health Department 1 ental Health Section P.O. Box 848 10 Hospital Street urier # : 09-40-06 Mocksville, NC 27028 d� jy f 4 ., �� 5{ t1 �ha�..hn sa• ax 1 �, r I` rte" Fax: (336) - 753-1680 ON-SITE WASTEW,,ATER CERTIFICATION FOR DWELLING (Check One) PeplaceTiiiRemodeling Refonnection Name: f !; AN r`Jv, , d �,Ll / / ���' ✓`lsnr j Phone Number -3, �y 2- ' Z3 7Y (Home) Mailing Address:/S`5` S . /�'1. �..>> '1T 'Vi-; Work) Detailed Directions To Site: vfs /N�,� %11 r>� 7�:✓ f�'��'-'f /� Ix e . /Z2 LeP Ki -We, h/l Dom. Property Address: Z S `a /7_7 / ' r ILL' r• Please Fill In The Following Information About The EXISTING Facility: • Name System Installed Under' 0"(d,0h / 11 ,J/�. - Type Of Facility: Date System Installed (Month/Date/Year): M 0 �l1 Number Of Bedrooms: –.S Number Of People: Is The Facility Currently Vacant? Yes If Yes, For How. Long? Any Known Problems? Yes ON Iff Yes, Explain: Please Fill In The Following �Information About The NEW Facility: y Of Facility: / ���/� ll�i{� �Ji Number Of Bedrooms: ' Number of People e ested By: i ate Requested: (Signature) � For Environmental Health Office Use Only Approved Disapproved Comments: Environmental Health Specialist L%'i����% Date: *The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a guarantee (extended or limited) that the on-site wastewater system will function properly for any given period of time. Payment: Cash Check 1/Money Order # Amount:$ Paid By: Received By: Account #: ''f Invoice #: Date: