161 Sparrow LnDavie Countv, NC
Tax Parcel Renort Tuesdav. October 11. 2016
WAK1V11V1i: llil� 1� iVUl A.�'UKV�Y
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Parcel Information
Parcel Number: G200000074 Township: Calahaln
NCPIN Number: 5709584357 Municipality:
Account Number: 8305888 Census Tract: 37059-801
Listed Owner 1: LAMPKIN JOHN RAYMOND Voting Precinct: NORTH CALAHALN
Mailing Address 1: 486 CALAHALN ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20
State: NC Zoning Overlay:
Zip Code: 27028 Voluntary Ag. District: Yes
Legal Description: 9.265 AC CALAHALN RD Fire Response District: CENTER
Assessed Acreage: 9.10 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 12/2015 Middie School Zone: NORTH DAVIE
Deed Book I Page: 010080556 Soil Types: PaD,PcC2,Ce62
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 149130.00 Outbuilding & Extra 8700.00
Freatures Value:
Land Value: 72920.00 Total Market Value: 230750.00
Total Assessed Value: 230750.00
�,V i AII data Is provldad as Is wtthout warranty or guarantee of any klnd elther expressed or implled Including but not Ilmlted to the
9�"' �' Davie County� Implied warranties of inerchantability or fitness for a particular use. All usen of Davle Counry's GIS website shall hold harmless the
�7 Caunty of Daviu, North Carolina, its agents, consultants, contractors or employees from any and alt clalms or causes of actlon due to
n°UN�; l� � or arlsing out of the use or tnability to use the GIS data provlded by thls websfte.
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Au � F,�ci�Y�'aTION 1v0: ;•� ����. DAVIE COUNTY HEALTH DEPARTMENT
' Environmental Health Section
Perm�ttee's� �- �',/1 � �{�� P.O. Box 848
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PROPERTY INFORMATION
Name: `°ti L�d -� Mocksville; NC 27028 Subdivision Name:
' � � , Phone # 336-751-8760 ,
' f' � �' Section: Lot:
Directions to property: � �=�r ��/��`�,° �. "'
��� �� I� I p-/ AUTHORIZATION E'OR /
� h ,v �•• WASTEWATER Tax Office PIN:# �'�e�G�� �M�"} - �� `�.'�'s'
SYSTF,M CONSTRUCTI N � � �--•—
� !��)D Road Name: �-��'' �'r'..l �;� �Zip: � ��� c�
**NOTE** This Authorization for Wastewater System Consuuction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Peimits. 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)
% � / .-, . i ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
j�..'L` � '' `�'�� �� -�//i I%7� IS VALID FOR A PERIOD OF FIVE YEARS.
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ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
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'- '�' -��' °H � �� � �����' � f" DAVIE GOUNTY HEALTH DEPARTMENT `� � �
,� y— � f ��� ��� IMPROVEMENT AND OPERATION PERMITS PRO�ERTY INFORMATION
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Permittee's --�-� ,��� � �' .
' -Name: +- '����' �`� ��� �i� Subdivision Name:
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Directions !o property: � � � ,�',�. ' ° Section: Lot:
a . IMPROVEMENT
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� � �,, . CV � ., f � � ! ! 1 � � �-� ` ;�� PERMIT ' Tax Office PIN:# � �"°l-%' r �'� �' - ��=�.>., -,
�"� `� �'� ,, Road Name ��':'l'i,,/-f:i+��r1 �i Zlp"� � � :� '�
**NOTE** This Improvement Pernut DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORtZATION FOR WASTEWATER SYSTEM CONSTRUCT'ION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building pernut.
(In compliance with Article 11 of G.S. Chapter 130A; Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
` ***NOTICE*** THLS PERNIIT IS SUBJECT TO REVOCATION IF SITE
�',. •' b'� ,� p''`p ' %/�� ' PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH PECIALIST' DATE ISSUED SYSTEM CONTRACTOR MUST SEE THLS PERMI'1' BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE � # BEDROOMS �� # BATHS �,` ,_ # OCCUPANTS � GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFf # SEATS INDUSTRIAL WASTE: Yes or No
LOT S� TYPE WATER SUPPLY �/�' �� DESIGN WASTEWATER FLOW (GPD) � NEW SITE_� REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE i0 GAL. PUMP TANK GAL. TRENCH WIDTH f�� �� ROCK DEPTH � l �~ ;` '
� LINEAR FT. � � c%G`
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENTPERMITLAYOUT �r;pP��IVE� CE'E�Ll1���T FILT��� gE�ISE�tS) T�� E�a" �3�LC��i t'TdiiSft£D G�A�i��
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"CONTACT A REPRF,�
BETWEEN 8:30 -
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OPERATION PERMIT
ATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
�A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760.
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SYSTEM INSTALLED BY: !�T ��L�{
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AUTHORIZATION NO. _� OPERATION PERMIT B: DATE:. Z�
•*THE ISSUANCE OF THIS OPERATlON PERMIT SHALL INDICATE THAT THE TEM DESCRIBED ABOVE HAS BEEN INSTALLED COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAP'fER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPUSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WII.L FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD OS/96 (Revised)
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' • APPLICAl10N FOIi SIIE EVALUAl1UN/IMPROVEMENT PEAMIT & A
' Davie County Health Department D
- Environmenia/Healtfi Se+cifon '
P.O. Box 8�8/210 Hospital Street
Mockaville, NC 27028
�336)751-8760
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ENVIROaVIE
**�IMPORTANT*** THI3 APPLICATION CANNOT BE PROCESSED UNLE33 ALL THE REQUIRED
INFORMATION I3 PROVIDED. itefer to the INEORMATIO�N BOLLETIN for instructions.
1. xama to be Hiiled �P . T-'T £�i 1`t`�( R l� GL. � � Contact Feraon I(�'U (..� G.� �
Nailing Addreas �� � �Q�'� I Hama Phone ��o� '(���%ZS
City/BWte/2ID m�� k�� I��(°, / IC� c�%�ot� Busineaa Phone %J �' ����
2. Name on Pezmit/ATC if DifferenE than Abave
llailieq Addreas City/8tate/21p
3. Applicatioa 8or: (� Site Evaluation 0 Improv�ement Peimit/ATC �Both
�. eystem to ae=vtce: CCd�House ❑ Mobile Aomn� ❑ Busineaa 0 Industry 0 Other
�. If Reaideace: # People � i Bedrooms �� t Bathrooms ��
Q'bishwasher U Oarbaqe Diapoaai f,}'itashinQ Nachine [3�aaement/plumbinq 0 Saaement/No 8lumbinq
6. If Bnsiness/induatry/Other: Specify type f Feaple � Sinra
/ Co�modea # Shw►era # Orinala � Rater Coolera
IF FOOD3ERVICE: � 3eats Estimated iqater Usage (qalions per day)
7. Tppe of Nater supplp: 0 Connty/City [�*i%11 ❑ Coa�unity
e. Do you antfcipate additions or e:pansiou� of the facility this eyatem ia intended to eervei ❑ Ye� B'No
1! yes, w6at type'
"*'IMPiORTANT'•• CLIENTS 11lUST CO�IlPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Eltber a PLAT or SITE PI.AN �fUST BESUBbtl77'ED by the cllent wit6 TIi1S APPLICATION.
Property �iimenaiocia: a��j. 55 1� � � _C�-a - %� C�) a��o�is �frn� �c�c��::.e; :� DP^:���; .•;
Ta: Ofiice PIN: # �'%C� `5� - �h(�5� lvOD��(Q� -}� C� %`�- r� -
Prnperty Addreas: Road Name C.._G��C�.1 �In �ci .
City/Zip {�il�n.k5 v� �� c.
if in a Subdivision provide information, su followa:
Name:
Section: Block: Lot:
�O�b��� 11�X-�- �D ��GJ1/_:_lrl
T
�('��:'�'�=r''�� �11flt'�(�'� ---
Date Property I�lagged: 7�� ^
Thi� i� to cerlify that the information provided i� cor�ect to the best of my knowledga I underatand tbat any permit(a)
issued bereafter are subject to suspension or revocation, if t6e aite plans or intended use cbange, or if the fnformation
submitted in t6ia Application is fnl�itied qr c6anged I, also, arrderstund tbat J a�n responsible jor al! cbarga incrrrred fronr
this applicano». I, 6ereby, give cooeent to the Aut6oriud Repreaentative o� f6e D vie ounty Be t6 Dep meol
to eater upon above described property locuted in Davie County and owned b�- � �
to conduct all teriing procedurea as aeceaaary to dMermioe tbe site i ilih�. (,� .
>C DATE - (' SIGNATURE '
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of t6e tollowing: ELsting and proposed
property lines and dimenaiona, atructurea, setbacka, and aeptic locations).
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Revised DCHD (07/98)
Account No. � 7 �
Invoice No. ��7
t �
1391) (196) 422 264 �
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(14.65A)
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6653
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� This map is for PERC TEST
and BUILDING PERMIT purposes
only. The Davie County
Tax Administrator's Office
assumes no liability for any
information contained on this map
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�� 9025 COUNTYID:G20000000702
(21.76A1
3855 March 04,19991:09 PM
Parcel Identification Number
,yeA �,� 5709-58-8853
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT' S NAME �� 1 I
PROPOSED FACILITY /�1Z'
SUBDIVISION
Water Supply:
Evaluation By:
HORIZON IV DEPTH
Texture group
('nncictPnra
SOIL WETNESS
RESTRICTIVE �
SITE CLASSIFICATION:
On-Site Well
Auger Boring 'V
Community,
Pit
DATE EVALUATED _ 3���"i'�
,
PROPERTY SIZE ����
ROAD NAME __ _ �/�1 ll'� �y,6 h
Public
Cut
LONG-TERM ACCEPTANCE RATE: � OTHER(S) PRESENT:
REMARKS:
DCHD (01-90)
LEGEND
Landscape Position
R- Ridge S- Shoulder L- Lineaz 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
Wet
NS - Non sticky
NP - Non plastic
FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
SS - Slightly sticky S- Sticky VS - Very Sticky
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
Mineralo�v
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 suitabie), U(unsuitable)
LTAR - Long-term acceptance rate - gaUday/ft2
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