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147 Montclair Drive Lot 3Davie County, NC Tax Parcel Report Wednesday, October 19, 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: WAK1V11V(-4: 1MIS IS INUT A SURVEY Parcel Information F712OA0003 Township: Shady Grove 5860858677 r unicipality: SeB,EnB 77982000 Census Tract: 37059-803 WHITAKER HENRY L Voting Precinct: WEST SHADY GROVE 147 MONTCLAIR DRIVE Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY R-A,R-20,1-2-S NC Zoning Overlay: Total Market Value: 27028-0000 Voluntary Ag. District: No LOT 3 BALTIMORE HEIGHTS Fire Response District: ADVANCE 1.98 Elementary School Zone: SHADY GROVE Land Value: Total Assessed Value: 1011998 Middle School Zone: WILLIAM ELLIS 002060766 Soil Types: SeB,EnB 0006 Flood Zone: or arising out of the use or Inability to use the GIS data provided by this website. 076 Watershed Overlay: DAVIE COUNTY 196400.00 Outbuilding & Extra 1590.00 Freatures Value: 36000.00 Total Market Value: 233990.00 233990.00 Davie County, All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the �p NC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. Davie County Health Department ENVIRONMENTAL HEALTH SECTION P.O. Box 665 Mocksville, N.C. 27028 F • w ' '. AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) 1 I,; ()Y ***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 �.' �r f %!w �� < �3r�L' fO / S DATE NAME ON IMPROVEIENT PERMIT (If different than above) SITE LOCATION COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM a..� **OWICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENVIRONMENTAL HEAN SPECIALIST DATE DCHD 10/95 - y 1 l x IMPROVEMENT PERMIT DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION 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 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) NAME ..�i�_r^%!.�/P C�•�Y/iPF ��S PROPERTY ADDRESS %n1�'T (' �( /,2 �D�. o�%AG DATE 3 ,moi''-, LOCATION <�f/T%��ie�Y A-- f7 SUBDIVISION NAME 5�5���oir !�/��'�/� �C" LOT NUMBER c,' SEC./BLOCK NUMBER _ RESIDENTAL SPECIFICATION: BUILDING TYPE n�_re# BEDROOMS t BATHS V 1,g t OCCUPANTS GARBAGE DISPOSAL: YeS COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE �S',�Wlq TYPE WATER SUPPLY f DESIGN WASTEWATER FLOW (GPD) 'SV,&) NEW SITE _Z REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE/�&& GAL. PUMP TAM 2 . GAL. TRENCH WIDTH ,, „ ROCK DEPTH /,' " LINEAR FT. ,-5-eV OTHERJSO_���.+as�a — REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PIANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. IMPROVEMENT PERMIT BY �ir%��, **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 AUTHORIZATION NO. O OPERATION PERMIT BY � �c� DATE 111 -To **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 2 ',• APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERM L522 � [E D Ll��7L52 Davie County Health Department Environmental Health Section FEB 19 19935P. O. Box 665 Mocksville, NC 27028L. 1. Application/Permit Requested By. IFEE -5!� L e C of TR no i oas , j n/c Mailing Address /3 SAX1,qv Cov2T CL1�-MMo�✓5 AIC- 2 7C/ z - Home Phone � 7 15::� Business Phone -7 ;k 7S" 2. Name on Permit if Different than Above 3. Application/Permit for: ❑ General Evaluation Septic Tank Installation 4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision/a L j ; m -m E d e; 4h i s Section. Lot # lo -1-11 BasemenUPiumbing No. of People �6' Basement/No Plumbing No. of Bedrooms ] Washing Machine No. of Bathrooms 2-11-2- �i Dishwasher Dwelling Dimensions - l / X �/ ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes 3 No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: Public/ 1 ❑ Private [I Community 8. Property Dimensions 39 bX a 1 `q Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes X No If yes, what type? *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: Ttx P/ S 86�-3S-8G77 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 from this application. DATE' SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: y`l 1. 1 OWN the property. ❑ 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 County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. 2:m -q4 DATE SIGNATURE DCHD (12-90) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ADDRESS PROPOSED FACIILTY DATE EVALUATED PROPERTY SIZE l�Y� LOCATION OF SITE Z/1Ade Water Supply: On -Site Well _ Community Public Evaluation By: Auger Boring LZ Pit Cut FACTORS 1 2 3 4 Landscape position .L I- L" .1, Sloe 7. HORIZON I DEPTH '• 1 Texture groupG G 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 Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: .mss 12 EVALUATED BY: /44 // LONG-TERM ACCEPTANC RATE: OTHER(S) PRESENT: REMARKS: s�hL�y✓ l - 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-Silty <;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 -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 3C --Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky SBK-Subangular blocky PL -Platy PR -Prismatic Mineralogy 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 - gal/day/ft2 DCHD(01-901 ■.■..■■■.■■■■■■....■..■■■..■.■■■ ■EE■■E■iEso■■■■■E■■E.E■.■■■■■N■■ .....■...................................■/��i■■■.... ■■■■■■MNM■■■■ .......................................... 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NON MOMME �MMME Mom ■■■■N■...NEE..E■NE.EEEM.EEM■.� ■===E ■ ■ SEEN■.N■N■■■. ■.■..E■..EEE■E..■■.E■.■E■■■.■■■ .E ■■.E■■■■■■ ME����ENE� H�■■■ .■EE■M■■■E■■■■ NONE M N■■■■■HHEN MENNE■M■NNE■NOON■NN■MN ■ E.VIEUHMMEMEN MEM■ON ■ M.EEMEMN■.E■N■ ■■■E■.EEE. ■MMzM NEM■N Oxman .MEM.:�MEE sm.■7■mM.M■■NM■ ■ ....M/vHM.■■■.■ . : ONO :o::::::�:::... Em ::::: ::::::::: ::NEON . . : mom NOUN MMMEMMMMNM m::::::::: :: .................................................................. ■.■..MS■EOE■MMEEO..EEE■...■■■■■■■■■■■■N■■..■■.■■■.N.■■■..■.■■.■E ��■...■■E■■......E.■■■.E.■.E■.■. ■E■.■■■■■ ■■■■■■■.■■■.■■■■.■■■■■ ■...■ .■O■EON■■■■■■■■NNE.■.O.N..E.■ ■ ■�■NEEE.E.■....ENE■.ENE■ APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section A P. O. Box 665 e 10 3 Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address ? 'V'C z' 7e Home Phone i- Business Phone 7S/C7 2. Name on Permit if Different than Above 3. Application/Permit for: 2--House � )�eneral Evaluation ❑ Septic Tank Installation 4. System to Serve: Id" House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: SubdivisionL=%i�'��",��` ill T j Section Z Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms ❑ Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Sinks _ No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: 2 Public ❑ Private 8. Property Dimensions CO3L/C /4--c /'-,67- Sewage Disposal Contracto 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If vac- what tvna? ❑ Garbage Disposal ❑ Community r ❑ Yes D -1g0 '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: This is to certify that the information provided is correct to the -best f my knowledge, an( incurred from this application. / � I DATE �-=-- Ir NATURE z s t a I am responsible for all charges CONSENT FOR SITE EVALUATION TO BE` DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. ©- 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 representativef the Davie County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to a ermine"said)site's suitability Jor-a d absorption sewage treatment and disposal syst m. ATE �^4SI3NATURE DCHD (12.90) G.. *' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SoiUSite Evaluation / NAME �/1. lty�i' DATE EVALUATED 0! V114 -S ADDRESS PROPOSED FACIILTY .Xle6,fr P PROPERTY SIZE �/QG LOCATION OF SITE�frar� Water Supply: On -Site Well Community Public !/ Evaluation By: Auger Boring Pit ul_�_ Cut FACTORS 1 2 3 4 Landscape position rS Slope % HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH Texture group Consistence Structure S' 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: LONG-TERM ACCEPTA REMARKS: DCHD(01-901 Urs ,,E, RATE: Landscape Position EVALUATED BY: OTHER(S) PRESENT: LEGEND 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 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 Mi neraloay 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 - gal/day/ft2 .......................................... ...................... ■■.■■■■■■■■■■■■.■■■■■■■■■■■■■■e\riff//■■■�MEMO.■ ■■■.■■■■■■■.■mill ................................................■................. .................................................................. ................................ ................................ ......................................................... ........ ............N........................... ...... ■.■e■■■C.....■.. ...................................... ..�■■■■■. E■.O■■Me■ee■.■■ ...........■...■...................... ..... .. .. ......■■ ......■■■■■■■■N.■■.■■.■■■.■■■■■.■■■■e ea�.e. . ..I■I■.E■■■e■eI ..........■■■...................�:::■.N::■■■■ No ME :N:EM:::. ..........■..................... ' ■�C�:0 MEMM::: :::::u:::::::�■:SC::::::::::::: :: NONE•• • ::C:::::C:::::::■ ■■.■■■■ ':::::::�:::::::::::::::�:�'��:.. ME MO:MMMUE:':: :::::::M■■.0..........................� .� lC�e■.aln. ■..... o .■.. ■■■■N■■■.■■■■■■/■■■/lee.■■■■/■. ..lVi.,. ■■■■■N..■■■■■■■■■■■■■■■ ■■■■■.■■.■/■■■■/.■■■■■■■■ .■■■■../■■■N■■ N■ ■■■■■■■■ ■■N■■// ■■e■■■■■■■■■■■■N■■■■■■■.■■■■■■■ ■■■■■■■■.■■■■MOM■■■■■■.■■■e■e.■■ ...................................... ........................... .................................................................. ■/■■ ■■■■.■N■■■■■■■■■e■■■eel■■■�■.■■■/■■■■■■...■■■■.■■..■■N...■ MEMOOMMM%m���mommmmommoom .■ MENEM f , ' APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 eel 1. Application/Permit Requested By K�I G Lir C /��L C' y , Mailing Address f -9 !_}c'7�/`�%cL�1�_ C�/Gl� .y�.. %(//rr/Ci'y .�/L Z7e:)6 1 � Home Phone L -s `/ ` y41 Ze-' Business Phone r1 <!G7 ? r0 >^� 2. Name on Permit if Different than Above 3. Application/Permit for: general Evaluation ❑ Septic Tank Installation 4. System to Serve: ZHouse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivisionc� , Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing i, No. of Bedrooms ❑ Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposal r 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: Public ❑ Private 8. Property Dimensions /4-c:l'�C� Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes If vae what hina7 T '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: �A-L 7-1114 .h- I -"-?g e ".,7 /L e )- > /� Cc 12--s 5 This is to certify that the information provided is correct to the -best f my knowledge, anc incurred from this application. DATE f NATURE J I am responsible for all charges CONSENT FOR SITE EVALUATION TO BE`ISONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. E'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 representativef_pj the Davie County Health Department to enter upon above described property located in Davie County and owned by ' to conduct all testing procedures as necessary to a ermine"said ite's suitabilityJo d absorption sewage treatment and disposal syst m. � I/ ,, ' Z l -� ATE _'.,--- ATURE DCHD (12.90) i y ' . DAVIE COUNTY HEALTH DEPARTMENT ` Environmental Health Section Soil/Site Evaluation NAME DATE EVALUATED ADDRESS PROPOSED FACIILTY A4y4-re PROPERTY SIZE LOCATION OF SITE �& ��J/O/'� �c„I Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position F Slope % G HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH Texture groupC' Consistence t �' Structure I z7-7 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: 11 ( EVALUATED BY: ZAa- LONG—TERM ACCEPTANCE RA REMARKS:i� DCHD(01-901 (S) PRESENT: 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-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 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 1:1, 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 - gal/day/ft2