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220 Woodvale DrDavie County, NC , • Tax Parcel Report Wednesday, October 12, 2016 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: 1200000023 Township: Calahaln NCPIN Number: 5718095071 Municipality: Account Number: 10015750 Census Tract: 37059-801 Listed Owner 1: BRISTER KEVIN WAYNE Voting Precinct: SOUTH CALAHALN Mailing Address 1: 220 WOODVALE DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-8478 Voluntary Ag. District: Yes Legal Description: 10 AC OFF GODBEY RD LOT 3C Fire Response District: COUNTY LINE,CENTER Assessed Acreage: 12.13 Elementary School Zone: WILLIAM R DAVIE Deed Date: 3/1999 Middle School Zone: NORTH DAVIE Deed Book / Page: 002100495 Soil Types: PaD,PcC2,RnD,RvA,ChA,Ce62,WATER Plat Book: 0004 Flood Zone: Plat Page: 046 Watershed Overlay: DAVIE COUNTY Building Value: Land Value: Total Assessed Value: 9"�'�' Davie County, �o� NC 131890.00 Outbuilding 8� Extra 9360.00 Freatures Value: 62590.00 Total Market Value: 203840.00 203840.00 - ,_ . '�� -. y � r - ,' , , .,:-� IMPROVEI�NT PERMIT DRVIE COtINTY HEflLTH DEPRRTMENT IMPROVEMENT PERMIT and �ERATION PERMIT 2Z0 GU���� . `�jC D +�*NDTE�� This i�prove�ent per�it D�S NOT authorize the �onstruction or installation of a septic tank syste■ or any NasteNater syste�. pN RUTHORIZATIDN FOR 41R5TE41�TER 5Y5TEM CONSTRUCTI�1 �ust be ohtained fro� this Depart�ent prior to the construction/installation of a syste� or the issuance of a building per�it. tIn co�pliance with Article 11 of 6.5. Chapter 13@R, Naster►ater Syste�s, 5ection .1900 5ewage Treatoent and Disposal 5yste�s) NAME __,��/ f.f �e1�/l.� �" /C PR�'ERTY ADDRE5S _ L�RT ION i � v1 /F� `.�J o �� v�� �c ��C" P �� �. e DRTE % � � � SUBDIUI5IDM NAME LDT tJUl4BER SEC./BLDCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE .� ll�t'� BEDRODMS �� BATHS � II OCCUF'ANTS ,___� 6pRBAGE DISPOSAL: Yes� C�RCIAI. SPECIFICATION: FACILITY TYPE # PEDPLE # PEDF�LE/SHIFT # 5ERT5 INDUSTRI� NASTE: Yes/No LOT SIZE ���� TYPE WpTER SUPPLY .� DESIGN V�STEWATER FLOW (6PD>��� NEN SITE t�-�REPAIR 5ITE SYSTEM 5PECIFICATI�IS: TRNK SIZE /// 6AL. F'lm1P TRt�( 6RL. TAENCH {JIDTH . r'�� �� R�K DEPTN /J �, LINEAR FT.;-�/� OTHER REQUIRED SITE MODIFICATIONS/COMDITIONS: **}THIS PERMIT IS SUBJECT TO REUOCATION IF SITE �AN5 OR THE INTENDEO USE CHANGE. YDUR WASTERWATER SYSTEM CONTRRCTOR h�JST SEE THIS PEAMIT BffDRE IN5TALLING THE SYSTEM. _�....--...�-- �,.�-^�"'.�'"�,� !� r- IMF'ROUEMENT PERMIT BY :� / �*CONTACT A REPRESENTATIVE � THE DAVIE C�JTY HEALTH DEPARTt�NT FOR FINAL INSPECTION OF THIS SYSTEM AETWEEN 8:30-9:30 A.M. OR 1:�-1:30 P.M. ON THE DAY OF INST�LRTION. TELEPHONE # IS (704) E34-8760. � �ERATION PERMIT AUTHORIZATION N0. O Il�� SYSTEM INSTALLED BV � 6`tva��- � '7,� �U�'tJ �_ 50° tic vG`� K o v So �' �v�� � E�; v� � � � �� .�� J /�o' __-- i DPERATION PE�IT BY C?��sJ� DATE J�` **THE ISSUANCE OF THIS �ERATION PERPIIT SHALL INDICATE TF�T THE SY57EM DESCRIBED ABOUE HAS BEEN INSTALLED IN COl�LIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .19� "SEV�iE TREATMENT AND DISPOSAL SYSTEMS°, 9UT SFIALL IN NO WAY �E TAKEN A5 A 6'URR�NITEE TF#�T THE SYSTEM NILL FLIt�TI�I SATISFACTO�ILY FOR A�IY 6IVEN PEAIOD � TIME. DCHD 10/95 ` `+. - - Y,,.. .. {� �; � . , } . L-, �� � ., f�r. +`I' . . ��`�.., � �' "�� .i� . , G�,,,.-.. ,� ,, ,:,,. Davie County Health Depart�ent " ` " ENUIRONMENTRL HEALTH 5ECTION , F .. _ , - P.O. Box 665 _ '; Mocksville, N.C. c^7028 / � ,� � '� � �_ ' � c.'l v � �J4 t.,(.� i J' , . ' � „ AUTHORIZATION FDR WASTEiWTER SY5TEM tXNSTRl1CTIa! (Issued in coepliance with Article 11 of G.S. Chapter 130A, Wastewater 5yste�s) �+�*This Ruthorization For Wastewater 5yste� Construction �ust be issued by the Davie County Environ�ental Health 5ection prior ta issuance of any Building Pereits. This For�/Authorization Nu�ber should be preser�ted to the Davie County Building Inspections Office when plying'for Building Per�its.**+� f�llTFIORIZATION 1�.l�ER t� ll.f� �, b��� na� ��/S ��� ���� ;; � t� � NRlE ON IMPRDVEME�fT PERMIT tI ifferent than above) SITE LOCATION r- '�- / � � COM�ENTS!(XINDITI�15 ON RIJTHORIZRTI�I TD t�ISTRUCT WASTEWATER 5Y5TEM +�fNDTICE�+ THI5 AUTNDRIZATIDN FOR WA ER 5Y5TEM CDNSTRUCTIDN I5 VALID fDR A. ERIDD DF FIUE (5) YEARS. � � �� - � �-�/ 'i�,l ENVIRONfNTflL FfALTH IALIST OATE DCHD 10/95 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 ������ JUN -- � i995 1. App�ication/Permit Requested By �SS G� ��l"/� �/� p� � Mailing Address �rv /'� ��� �{�� �d �' -��� �oc��V/J,��ome Phone '�E S� - %'T-�3��� .1G �l •� {d,�/ ,f/C � 711�1 ,dlr3� �tv� �%�r , /� �gusiness Phone 76 S� 6.j/��.17 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation 0 Septic Tank Installation Permit 4. System to Senre: C�J House ❑ Business ❑ Industry 5. If house, mobile home: Subdivision No. of People / No. of Bedrooms � No. of Bathrooms 2 ❑ Mobile Home � Place of Public Assembly O Other ❑ Unknown Dwel�ing Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Lavatories No. of Urinals No. of Water Coolers Section Lot # �l BasemenUPlumbing ❑ BasemenUNo Plumbing C'�Washing Machine CI Dishwasher � Garbage Disposal No. of Showers Water Usage Figures 7. Type of water supply: ❑ Public �rivate 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes If yes, what type? G . ❑ Communiry 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: �° /-� �`1wl d/� ���r� � � �� ���� ,�b ��� ,�1���� �� ��� ���� r�� o� � o � � W ��� q �'�%� � �� ��3�5 � (@C � %J r �� �� � 1 �� � This is to certify that the information provided is correct to the incu �r d from this application. ��- � �S DATE b of my knowledge, and I understand I am responsible for all charges �ss ��/� SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1. I OWN the property. ❑ 2. 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� Davie y�y�Health Department to enter upon above described property located in Davie County and owned by Ns� �- •��d to conduct all testing procedures as necessary to determine aid site's suitability for a ground absorption sewage treatment and di� sal system. t �' _ s �s' � �. ��s ,.//� DATE SIGNATURE DCHD (1�93) ' . , s � DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ���,�/�G�� ADDRESS PROPOSED FACIILTY Water Supply: On-Site Well _ Evaluation By: Auger Boring d/ FACTORS Landscape position �Slope 7. 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 MineraloRy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION L0;1G-TERM ACCEPTANCE RAT SITE CLASSIFICATION: � 2 � DATE EVALUATED ��7' �95� PROPERTY SIZE �D� � LOCATION OF SITE �� Community Publ i c Pit Cut 3 4 5 EVALUATED BY: LANG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMAR KS: 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-Silt,y �;lay loam SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR- Vc.-y friable FR-Friable FI-Ficm 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 ,iC-•Sin�le grain M-Massive CR-Crumb GR-Granular �K-MBular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineraloity 1:1, 2:1, Mixed Notes Fforizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil w etness - 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(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD(01-901 ■����■��������������������■��������������������■���������■ ■��■��■ ■■�����■��������/����■R�����������n������������ ����������■����■ ■■���������■ ���■����������������������r������������■������■�■■�■ ■��������■�■�■�����■��������\��■ �����������■������������■������■ ■�■��■■������■�■■■■��������■�������������� ���� ■�������������� ■■�■���■���������������������■��■�������������■������■■��������■�� ■��■��������■����������������������■���■�������������■������������ ...........................................�........�............. .......................................... ....■... ............. ..........................................■... .... ............. ■�������■���������■�■■�����■�■�■�N�������������■� �������������■ ■��������■■■��■�����■����������■ ■������■ ���� ■���������■�■■�■�■ ■■�����■■��■�■�����������■■��■■������������■■���� ■ �������■��■�■■ ■��������������■��■�������� ��������■■��������� ���� ���������\��� ■���■������■■���������������■���������■�■■/��� ������N �■�■��■�� ■������������■����■■������■■■��� ■������� ��� ■ ■ ��� ��■�■� �� ■�■�������■��������������■ ■����_■��■������■_��� _����■�����n��� ■���������■���������■�■���_�����■■���■����■■���■�����■��_��■������ ■�������������������������■�■���■■����■����■������■��� �u�����■ ■���■��■����■����■�����������■� ■������N���������■�■■���■■��■■■ ■�����■■����■■�■��■■��■�����■■����������������■�==�=iiii�iiiiiiiii ■�������������■■�����■■�������■��■���■��������� ■�����������������■��■������■������■ �H■�� ���■�� ����� ■ ��■��� ■������������■■■■■■��������������■ ■�������=���u ��■�■� ■ ��■�■ ■��■■��■�����������■■�������������_������■���o��==�����■■ �■���__ ■�����������■�����■��■�o����■����■���������■�=�u� ■ ■�■����� _�� ■������■�����������■���n�■�������������u� ��u���������� ��� ■��■������■���������������■���■� ��■����� u��■�■�����■����� ■��������������������■�����■�������N�■������=i�i� ��_�■���■�■■� ' ............................................... .. ...�......� ■■��■���N�■����■��������■■����■���■��������H� ■ ���� ����■� ■�����■■�����������������■���������■����■■���■��� ���u������ ......................................��.....� .�.. .C=....... ■����H����■������������������■������� ■ ��N■ ■ �� ■��� ������� ::C::::::::::::=::C::::C:C:::::i1::C:..:=�::.'C C"'�:C:�::::�� .:::��::::::::::::::::::::::::::::::":N:::■�."'.._: ':::::: ................................. � .... . ...�......_ :::::::::::::::::C::::='.�:::::::=�L. _■ :�CC� �:: _:::: ............................... ... .. .. .��......■_ il::::::�l::::::�::::::i='::':�:::: ''� . 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BO% 665 MOCKSVILLE, N�C. 27028 PHONE: (704) 634•5985 June 14, 1995 Ruse Whitlock 450 Becky Hill Rd. Lexington, NC 27292 Re: Site Evaluation Godbey Road Dear Mr. Whitlock: As requested, a representative from this office visited the aforementioned site on June 9, 1995. Based upon the information provided on the application for site evaluation and after the evaluation was completed, the site was found to be provisionally suitable ior the installation oi an on-site sewage disposal system. If you have any questions, please ieel iree to contact this office. Sincerely, �r�'�t����. �� Robert B. Hall, Jr. , R. S. Environmental Health Section RH/wd Enclosure