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170 S M Whitt Dr (2)Davie Cdunty, NC Tax Parcel Report b 14 1 Thursday, October 6, 2016 701 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 F- County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arlsing out of the use or Inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: K400000001 Township: Mocksville NCPIN Number: 5726793590 Municipality: Account Number: 78880700 Census Tract: 37059-801 Listed Owner 1: WHITT JOHNNY M Voting Precinct: SOUTH CALAHALN Mailing Address 1: 170 S M WHITT DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27028-5436 Voluntary Ag. District: No Legal Description: 9.82 ac SM Whitt Dr Fire Response District: COOLEEMEE Assessed Acreage: 9.82 Elementary School Zone: COOLEEMEE Deed Date: 8/1998 Middle School Zone: SOUTH DAVIE Deed Book / Page: 002050231 Soil Types: IrB,EnB,ChA,MsD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 50290.00 Outbuilding & Extra Freatures Value: 10750.00 Land Value: 69190.00 Total Market Value: 130230.00 Total Assessed Value: 130230.00 701 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 F- County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arlsing out of the use or Inability to use the GIS data provided by this website. DAVIE'COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT **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 136A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) NAME --1115I� ,�j�•%%I, .� PROPERTY ADDRESS .--1 • / 1 . ✓l'`/f��l`71L 1 . ' Gq DATE LOCATION _ I F='� i" i/ _ i""! /l,�, �i . �% r/ _''•1 'l! r >+, "J SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS � # OCCUPANTS -L GARBAGE DISPOSAL: Yes/)do COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE TYPE WATER SULLY 4? DESIGN WASTEWATER FLOW (GPD) NEW SITE /-.,,, REPAIR SITE a �� SYSTEM SPECIFICATIONS: TANK SIZE F71! GAL. PMP TAW GAL. TRENCH WIDTH ._%�'` ROCK DEPTH > i ' LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ) Ile. ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. ....^."" ""� ,yam••---� ,..w�--�-` IMPROVEMENT PERMIT BY **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 INSTALLED BY�--- s L) AUTHORIZATION NO. G/ �� OPERATION PERMIT BY DATE 2,21 �' **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 10/95 am APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMi D * Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested B - 21996 Mailing Address aC,t �S h �t 4:� 4 Home Phone P 4-e td C. �7 a 9 Business Phone 2. Name on Permit if Different toan Above 3. Application for: 4. System to Serve ❑ Business ❑ General Evaluation ❑ House ❑ Industry 5. If house, mobile home: Subdivision No. of People o` No. of Bedrooms 3 No. of Bathrooms Dwelling Dimensions �� a alr'Septic Tank Installation Permit Imo' nnobile Home ❑ Place of Public Assembly ❑ Other 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: Public ,/mi�� El Private d �/t 8. Property Dimensions /• Sewage Disposal Contractor ❑ Unknown Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes E -ft If yes, what type? ❑ Community 'NOTE: r Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: / `-� rW v rL�-h IL tic, ki a m, ?b ti6.4 /60 P� P (I �, 7Atv*� LM -e / le r PROPERTY INFORMATION REQUIRED: Tax Office PIN ,',� S7a6 - -?'l- 3S y Road Name S. M- W k, T C. Box # (if available) City O`No 44� ,,_ A" tJ 46 This is to certify that the information provided is correct to the best of my know dge, and I ers I responsible for all charges incurred from this application. -ag� DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. 9'-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 C unty H alth Dp miartment to enter upon above described property located in Davie County and owned by /� /�� �i to conduct all testing procedures as necessary to detera said site's suitability for ound' absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (1/93) NAME ADDRESS DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation DATE EVALUATED PROPERTY SIZE ��aC PROPOSED FACIILTY 4 /'r LOCATION OF SITE Water Supply: On -Site Well Community Public t---./ Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position L Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence ` Structure G �( 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: 9 EVALUATED BY: �� LONG-TERM ACCEPTANCE RATE: REMARKS: (fl/ rX P//r/ DCHD (01-90) OTHER(S) PRESENT: LEGEND 51-M 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--Vcry 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 1:11 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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Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***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.*** AUTHORIZATION NUMBER NAME --7"/7 iA i1/�j,'%%'b, �� DATE NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION t//>!/• r' �/'A� �D. /,f/�/ - vCJ lam._ COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM t ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENVINNOUAL SPECIALIST DATE DCHD 10/95