832 Williams RdDavie Countv. NC Tax Parcel Report Tuesday, October 11, 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
WA1ZNllV(T: "1'H15151VU'1' A �UKVr:Y
Parcel Information
1700000034 Township:
5768766738 Municipality:
11852000 Census Tract:
BURTON WILLIAM LOUIE Voting Precinct:
834 WILLIAMS ROAD Planning Jurisdiction:
ADVANCE Zoning Class:
NC Zoning Overlay:
Land Value:
Total Assessed Value:
27006-7194 Voluntary Ag. District:
2.000 AC WILLIAMS RD Fire Response District:
1.92 Elementary School Zone:
8/2002 Middle School Zone:
004330254 Soil Types:
Flood Zone:
Watershed Overlay:
101990.00 Outbuilding 8� E�ctra
Freatures Value:
27980.00 Total Market Value:
134470.00
Fulton
37059-804
FULTON
Davie County
DAVIE COUNTY R-A
No
FORK
CORNATZER
VVILLIAM ELLIS
Gn62,GnC2
DAVIE COUNTY
4500.00
134470.00
9�� �, All data Is provided as Is wlthout wamMy or guarantee ot any kind ekher expressed or Implied Including but not Ilmlted to the
Davie County� Implled wamMtes oT mercbaMability or fkness for a particular usa All users of Davle County's GIS website chall bold harmless the
CouMy of Darte, North Grolina, tts agerrts, co�witants, co�rtractors or employees irom any and aq daims or causes of acdon due to
�p� N� NC or aAsing out of fhe use o►Inabtlity to use the GIS data provided by thls webska
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� �� �
AinTHC?RI� ATION NO: ���� DAVIE C UNTY HEALTH DEPARTMENT
+ ' ' �nvironmental Health Section PROPERTY INFORMATION
Permittee's � � ���� P.O. Box 848
Name: ` C��� /�%� u Mocksville, NC.27028 Subdivision Name:
' /t /'_ , • '.. �hone #' 336-751-8760
birections to property: ��`� � 1 �� �'��� �LL Section: Lot:
�/� ) AUTHORIZATION FOR n�fj r� �7�
f�}C/�/ �E:� L: n� Lrt�'/L.L1.!�rv� WASTEWATER Tax Office PIN:# �!�'' - `� _��'��
' SYSTF,M CONSTRUCTION jf
'� ,�'; l �E_ .�_�►�.,f �? �"i �7� Road Name: l�'/�LI/�/P15/�'�Z]p; .27�0'�
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Counry Environmental Health Section prior
to issuance of any Building Pernuts. This Form/Authorization Number should be presented to the Davie County Buitding Inspections
Office when applying for Building Permits.
(ln compliance with Article 11 of�G;S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
,.r �.r^'-'1.
�7/. ----.. � j�, ***NOTIGE*** TH1S AUTHORIZATION FOR WASTEWATER CONSTRUCTION
%� .�. ��.; � �,.—:.: �.-✓" �% :�' -�� IS VALm FOR A PERIOD OF FIVE YEARS.
ENVIR�N EI+FTt�L'H ALTH SP�C� DA ISSU D
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} �-=''k DAVIE C UNTY HEALTH DEPARTMENT
-. ,,�,�,�. > +� � .. � � � '
�",,-�i� ' TMPItO MENT AND .OPERATION PERMITS PROPERTY INFORMATION
Permi��ee;s "`"� . `
Name:-�,f�' 1i.-�-� ��;� � iJ�C���t�/� Subdivision Name:
Directions to property: �<�-� tr. ~ i�' i-.� i s'��'+ ►`�'t � Section: Lot:
� C IMPROVEMENT � f � _ ��
� • > >' ' ; /, , ��,r , l. ,1 • ,-.1 rf � !..�'I L t.. l� , , �•�.> PERMIT Tax Office PIN: �
�: /
,n ,. �;�.�;'�, j%
; � , ... t ,. / � . � �.. � , i . ,,. 1 Road Name: ¢,�� �� t. l !�t f+d� r�L� Zip: _
-.�r
��:� :�
� P �t'1 rf
**NOTE** This Itnprovement Pernut DOFS 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
conshuction/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*** THIS PERNIIT IS SUBJECT TO REVOCATTON IF SITE
r`; :� : '�, '; ,�- �" ;, .�•.; :'•" PLANS OR TI� INTENDED USE CHANGE. YOUR WASTEWATER
'�ENV[RONI�IENTAL H�ALTH SPECI IST DA�'E ISSi�ED SYSTEM CONTRACTOR MUST SEE THLS PERMIT BEFORE
� � ; • INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE I�� # BEDROOMS � # BATHS L- # OCCUPANTS �_ GARBAGE DISPOSAL: Yes No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLF/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE •�� �` TYPE WATER SUPPLY t_L,� DESIGN WASTEWATER FLOW (GPD) � NEW SITE �� REPAIR SITE
��
SYSTEM SPECIFICATIONS: TANK SIZE ��GAL. PUMP TANK GAL. TRENCH WIDTH .,-�. � ROCK DEPTH I Z�' LINEAR FT. U! ��
OTHER / ( / l���I / J (J //ON ��J7 S
!
REQUIRED SITE MODIFICATIONS/CONDITIONS: I!V c�l�-�LL C 1N (,l �N IVV �. ��„�!(-�►'" /( l OF�- !�=vr .!i/�/i%, f�C�=(' �+ �
�*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 - 130 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760.
I OPERATION PERMIT
�,�
c oa,�el�
_ � _ - ---
SYSTEM INSTA� ED BY: S ���1.�,CE�--'. ��G(
��
��
AUTHORIZATION NO. ��� OPERATION PERMIT BY: �u�L.1 DATE: �e�L ��
•sTFIE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WTfH 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 GNEN PERIOD OF TIME.
DCHD OS/96 (Revised)
A.PPLICAl10N FOR SITE EVAWATION/IMPflOVEMENT PEflMR & ATC
� � Davie County Health Departrnent �
�j!' �� Environmenia/ Hea/th Sect3on D
Vf .�'" /L- � P.O. Box 8�8/210 Hospital Street
� Moaksville, NC 27028
(336)751-8760
�
J�AN 1 31999
� t**II�t7RTANT*t• THI3 APPLZGATION CANXOT 8E PROCESSEL UNI,E33 L THE I�SQD�l�_j
IP1£ORMATION I3 PROVIDED. Refer to the INFORMATION BOLLETIN for astzuctions.
�. xame to �e Hs��ea �i��i i� /� �Gr �'-{r�,�v conract reraon ��' /% ilrn rn.+�.1 �1A,oa 1�
.p ,` t .-
liailinq lyddreas 4 ti� 7 �L.f � f�i � 6� /� t�, r� Soa�e I+hone .�:�. �n ' 9 �j�' -�.3 ��..�
City/Btate/ZiP � ,/� ��` �`� . �'�v��1lr Buslness Bhone _ ���9!?a�
f'7���T,�?A:Ef� F' �"',e'.
Z. Name an Pesmit/1►TC 1! Diftereat thasi Above
Mailinq Addresa City/State/2 p
�af � 2 2�
3. Applicatioa Bor: L�3ite Evaluation �Improvement Permit/ATC �y��p ❑ Both
�
�. systxm to service: ❑ House 0'Mobile Home 0 Buainess �0 Iadustry 0 Other
, „ �ir,M6
s. If Residence : � People 3 � Bedrooms ��� .L12ti ; Bathroams �_
0 Diahxasher U Qaxbaqe Disposal �Aashing !lachine D Saarment/Plumbinq 0 Basemeat/No Plumbing
6. Y! Suaineas/InQustry/Other: SpecifY type i peaple
• Co�modea / Shoxers * Urinals
� Sinka
# Nater Coolers
IF FOOD3ERVICE: � 3eats _ Estimated Nater Usaqe (qalions per aay)
7. T,ype of water supplp: 0 County/City [�i%11 0 Co�unity
e. oo you anticipate additiona or e:panaiona of t6e facility this ay�tem is intended to servet ❑ Yes 0'l�Vo
If yes, what type3
*' *IMFORTANT"" CLIENTS lllUST COII iPLETE THE REQUlRED PROPERTY INFORMATIOI�I REQUESTED
� BELOW. Either s PLAT or SITE PI.AN �lUST BESUBMITTED by the client wlth THiS APPL1CATlON.
Property Dimenaiona: _ �,�� lt (`�S?..� WRiTE DII2EGTIONS (trom Mocicsville) ta PROPER'TY:
Ta:Oi(ice PIN: #57� � - �Co- � %3�/. (300,�1�> �� E�s7 � (��,��vr��r � /��,J- �,P,r�
Prnperty Address: Road Name Lc%'�/• �-ryls �
City/Zip ,� �00 �v
9f in a SabdiWisioa provide intormation, aa follows:
Name:
5ection: Block: Lot:
LF�-r_ �o �o �'����rn � /�o�- iu,PN
%��'�%i t. Cra ,�OfI� ? �i/o G'",PE�f� �� on/
/2 �� hf - �iann E2��, ; s �n�. / /n.'/E �ni
�.'chf ,nAs.- �fi� �,�FFk- 83� ;� a.v
�—� /yI A,'/ 60� _
Date Prvperty Fiagged: /-i� -g9
Thi� is to certify that t6e infor�nation provided is corrpct to the best of my knowledgG I uode�atand that any permit(3)
issuea 6cc...:tter are se�bjeci to suspension or revocation, if the aite plans or intended use cbange, or if t6e ini'ormation
submitted in thi� Applicatioa is fal�ified or c6anged. l, also, understand that I am responsiblefor a!l cJrarges fncurred from
this applfcaatio,r. I, 6ereby, give consent to the Aut6orized Representative of t6e Davie County Bealt6 Department
to enter upon above described property located in Davie County snd owned b�• /�/.'//�a n�c ,�,i,�� ��n/
to conduct all testing procedurea as necasary to determine t6e aite witxbilih.
DATE //� %9 SIGNATURE �il�..�.���� '� ����
r
'THIS AREA MAY BE USED F'OR DRAWING YOUR SITE PLAN ([nclude all of the tollowing: E�ating and pr�posed
property lines and d:�nensiona, atructures, aetbacka, and aeptic locations).
Revised D��HI� (07/98)
A.ccount No. 3cI 'j
Invoice No. �� -
H
:.
� � ' �' DAVIE COUNTY HEALTH DEPARTMENT
�
Environmental Health Section SECTION LOT
Soil/Site Evaluation
APPLICANT'S NAME W��-l�M �a��%/GN DATE EVALUATED ZI g/�
PROPOSED FACILITY �. �`11Y�^� PROPERTY SIZE I•�Z '��-'�"�
SUBDIVISION ROAD NAME
�i✓�f�1.1�,5 ��
Water Supply: On-Site Well V Community,
Evaluation By: Auger Boring �_ Pit
FACTORS
Landsca e osition
Slo e % �
HORIZON I DEPTH
Texture rou
Consistence ` �
Structure C�
Mineralo /✓�
HORIZON II DEPTH — ;
Texture rou SL
Consistence
Structure �
Mineralo
HORIZON III DEPTH
Texture rou C �
Consistence
Structure L
Mineralo Z:
HORIZON IV DEPTH Z ;
Texture rou
Consistence
Structure
Mineralo
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: �/�
2
�
Public
Cut
3 4 5 6 7
�r�--i��� ��
����
�f�����
�����'��
�..J ' d���i1�i�
� �:��r'��
������
s-�►��.i,���n«.a■r�
`I I 2'I I Z:
.�-� ,.,/� 12-�
EVALUATION BY: v
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMARKS: �L� /—�L.zl, j � �C�DI /+il� � %�Cl1czACor3 �(G�i�.I �t [.�1.0 /^�Gu10 �"�
LEGEND ,�/ � � � ,� Q o.2 �
Landscaue 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 frm
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
Mineralog,y '
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 - gaUday/ft2
DCHD (Ol -90)
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