323 Wagner RdParcel #: G300000003
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Parcel #: G300000003
Account !1: 82532155
Owner Information Tax Codes
BLACKWELDER CARROLL DOUGLAS & BLACKWELDER LARRY DA ADVLTAX - COUNTY T
57 WAGNER ROAD IREADVLTAX - FIRE TAX
OCKSVILLE NC 27028
Pro e Information Townshi
Land (Units/Type): 72.760 AC CALAHALN
ddress: 323 WAGNER RD
Deed Information Local Zonin
Date: 08/2010 Book: 00833 Page: 0261
Plat Book: Pa e:
Le al Descri tion PIN
75.50 AC WAGNER RD 5810637114
Pro e Values
Buildin : 61300
BXF• 4 06
Land: 274 940
Market: 340 300
ssessed: 105 120
eferred: 235 180
Sales Information
Book Page Month Year Instrument Quai/UnQual Improv
00040 0519 06 1942 WD Unqualified Improved
View Pronertv Record for this Parcel View Mao for this Parcei View Tax Biil Information
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Davie County Web Site
All information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned pubiic information sources should be
consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County,
its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
implied, in fact or in law, including without limitation the implied warranties of inerchantability and fitness for a particular use.
If you have any questlons about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsnet/View.aspx?prid=1479215 10/11/2016
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. DAVIE COUNTY IiEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a
Sanitary Sewage Systems 1 ; Permit Number
, , / �,,
Name � "��%;c'l.v�%i7i� /r' :ir' .fi� r��;�;� �-::f �r;-,;.'�Date s? /"��i,''�:� NO ..
'�. t. � � �l�.
Locat' n � �/� l �t� - .1 � `�' / !_ _ , frf J; r f , ' ,�' , '%�'- ..�'�i� ,�.;�;� :, ,, ,� ,i ,� � .
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Subdivision Name Lot No. Sec. or Block No.
�,,...
Lot Size `;i l�' �' House Mobile Home _� Business __!-'"� Speculation
No. Bedrooms �� '� .No. Baths _�— No. in Family � �
Garbage Disposal YES ❑ NO Specifications for System:
Auto Dish Washer YES ❑ NO � ,
Auto Wash Ma.hine YES p NO m :'f�`'l'`��/�� �`� �"�„ ,„
� ��i-,s'X l,� ' �;� � �;: �
Type Water Supply ,��' !��` __—
'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.
---._---�----
► ----_=--
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Improvements permit by —�'���'4'��
r
*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 day of completion. Telephone Number 704-634-5985.
'J ^
Final Installation Diagram: System Installed by _�!�'�� �'��'.�'�� f�J�
Certificate of Completion �'� ����"s``f� Date �f!'� � ``���
'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.
{
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� AFPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT �
Davie County Health Department ���Q��
Environmental Health Section �
Mocksv�'�IIeBNC 27028 �u�� 22 ��2 �
T :��-�''r�
1. Application/Permit Requested By ��/¢� ��c• ��c �' f�¢�P�nS ti� ' '" �
Mailing Address ��. � �x y�3 �� %�'�a,. � Su, � /�r
Home Phone y�a - 7� � y Business Phone ��� `��'r 7
2. Name on Permit if Different than Above S�'"r'^ �
3. Application/Permit for:
0 4. System to Serve:
:�usiness
❑ House
❑ Industry
5. If house, mobile home: Subdivision
No. of People
No. of Bedrooms _
No. of Bathrooms _
Dwelling Dimensions
❑ General Evaluation
❑ Mobile Home
❑ Other
�Septic Tank Installation
❑ Place of Public Assembly
❑ Unknown
Section Lot #
6. If business, industry, place of public assembly, other: Specify type ��� ��1 ����
No. of People Served � No. of Sinks �
No. of Commodes �
No. of Lavatories �%
No. of Showers �
No. of Urinals U
No. of Water Coolers �
Water Usage Figures
❑ BasemenUPlumbing
❑ BasemenUNo Plumbing
O Washing Machine
❑ Dishwasher
❑ Garbage Disposal
7. Type of water supply: ❑ Public �Pr+vate ❑ Community
8. Property Dimensions ?� �� ���'es Sewage Disposal Contractor �v� �'� �,�����
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? O Yes ��10
If yes, what type?
`NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to I
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property: � j� f � E' '�`'l
� o �/t, i les '�o �r/�S �U e'C
� ,,.,,'/� -�� ������ �,�.��
G; ✓� o� �a �� b e�l a��
�v --L J' ��c" s
�'e� , ��,. e l
o w ��� _
`' a,P� t . li.f �✓
;s o � •P.S/,'�. ��
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 rom this application.
� � �9= - ��-.-, �,� ���u���
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: O 1. I OWN the property. ��. I 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 t��avie County Health Degart�ent t�ter upon above described
property located in Davie County and owned by �� � 5,�.�-- 1�/.9c c..p c�P
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
��a� �s�� �a�, �1�� � ����_�
DATE C SIGNATURE
DCHD (12-90)
..
` °� - � • ' DAVIE COUNTY HEALTH DEPARTMENT
'� Environmental Health Section
Soil/Site Evaluation
NAME `�'/C�S ���l�P/ /-i�/�S DATE EVALUATED ll�l_�Z� ��2
ADDRESS PROPERTY SIZE /� C��
PROPOSED FACIILTY %� ���� r r LOCATION OF SITE �Gl��r- /��
Water Supply: On-Site Well �� Community Public
Evaluation By: AugerBoring _/ Pit Cut
1
4
Landsca e osition � � L �-
Slo e 7. - - '
HORIZON I DEPTH
Texture rou
Consistence
Structure
Mineralo
HORIZON II DEPTH d- r 1/�O �' y� l� 2J �
Texture rou (!_
Consistence '
r � -�
Structure Sl.:f' �' /� .r`J.�.� /J
Mineraloev /•/ /. `i /,'i /_ �/
Texture grou
Consistence
Structure
Mineralogy
HORIZON IV D
'1'exture rou
Consistence
Structure
Mineralo
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION G
LONG-TERM ACCEPTANCE RATE , y , , ,
SITE CLASSIFICATION: %� EVALUATED BY: /`�u1'��
LANG-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-Tenace 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-Finn VFI-Very firm EFI-Extremely finn
Wet
NS-Non sticky SS-Slightly sticky S-Sticky VS-Very Sticky
NP-Non plastic SP-Slightly plastic P-Plastic VP-Very plastic
Structurc
SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Mi neralo6tY
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 wate�' or inches from land surface to soil colors
with chroma 2 or less
Classification - S(suitable), PS(provisionally suitable), U(unsuitablc)
LTAR - Long-term acceptance rate - gal/day/ft2
DCHD(01-901
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