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1141 Junction Rd, 131 Grant Trl Lot 2Davie County, NC i I Tax Parcel Report Tuesday, January 3, 2017 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number. M401OA0002 Township: Mocksville NCPIN Number: 5726-81-8983 Municipality: Account Number: 82516538 Census Tract: 37059-801 Listed Owner 1: SPILLMAN ROGER P Voting Precinct: SOUTH CALAHALN Mailing Address 1: PO BOX 738 Planning Jurisdiction: Davie County City: COOLEEMEE Zoning Class: DAVIE COUNTY R -AR -20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27014-0000 Voluntary Ag. District: Legal Description: LOT 2 GRANT HEIGHTS Fire Response District: COOLEEMEE Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 1.60 Elementary School Zone: COOLEEMEE 2/2014 Middle School Zone: SOUTH DAVIE 009500872 Soil Types: GnB2 10 Flood Zone: 371 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: No 91 All data is provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the I! ;Davie County, i implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents,acontactors or employees from any and all claims or causes of action due to ��PP�� NC 1 or arising out of the use or Inability to use thea GIS GIS data provided by this website. r��!o AUTHOR17ATION NO: 14-87 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION "4mlttee's f P.O. Box 848 Name: �� ��/ Mocksville, NC 27028 Subdivision Name: i --::Ibt } %.� c� . Phone #: 704-634-8760 Directions to property: �� Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# - SYSTEM CONSTRUCTION Road Name: Zip: A,? **NOTE** 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. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) r f ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION t''f<' �` �/'�i t' " d• i'r1'� IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH S ECIALIST DATE ISSUED DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION lame.. .I Directions to property: Subdivision Name: P ° Section: /� Lot:EMPROVEMENT PERMITr' :— Tax Office PIN:#� .� < - - h Z .• , Road Name: Zip:: **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) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE! PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE M 8 # BEDROOMS # BATHS _'_-)_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE PX e TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)��'� NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE 11�d GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR Fr Y� OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT **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 'J► 73C �3 SYSTEM INSTALLED BY:. /�.C/�IJzL�J-a¢ AUTHORIZATION NO. 1 OPERATION PERMIT BY: iB. DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I 1 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 05/96 (Revised) APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERN #Q R 0 U Davie County Health Department Environmental Health Section P. O. Box 848 — 3 Mocksville, NC 27028 (704) 634-8760 EIN1R0111.iE1JUL HEALTII ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS jet ALLTHEREQUIRED INFORMATION IS PROVIDED. p�Q , �� 1. Name to be Billed 1w v"{� t (t twuh Contact Person o Iy Mailing Address ® ,� � Home Phone 44 City/State/Zip 62 0 i t C k6 a-0' 4— Business Phone '%# �55 2. Name on Permit/ATC if Different than Above Mailing Address _ 3. Application For: 4. System to Serve: 5. If Residence: ❑dishwasher 6. If Business/Other: # Commodes _ If Foodservice: ❑ Site Evaluation ❑ House Y Mobile Home # People ❑ Garbage Disposal Specify type _ # Showers # Seats City/State/Zip UitImprovement Permit & ATC ❑ Business ❑ Industry ❑ Other _ # Bedrooms J # Bathrooms ❑Washing Machine ❑ Basement/Plumbing # Urinals ❑ Both IN ❑ Basement/No Plumbing i # People # Sinks Estimated Water Usage (gallons per day) # Water Coolers 7. Type of water supply: 3/county/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes CY No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 1 WRITE DIRECTIONS (from 1 Mocksville) TO PROPERTY: Tax Office PIN: # Property Address: Road Name 1 City/Zip J" w &KJy) I(& a% daD 1 1 If in Subdivision provide information, as follows: 1 1 Name: � 1 Section:Lot #: 1 1 1 This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County Healtth©Department to enter upon above described property located in Davie County and owned by \JV��i«/ �J _p/( CLh to conduct all testing procedures as necessary to determine the site suitability. DATE SIGNATURE—)S Revised DCHD (06-96) 1�rP . '4� '� I/ AIV, -#- 40 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION_, LOT Soil/Site Evaluation APPLICANT'S NAME � , f��2/9i�1 DATE EVALUATED 7-1— PROPOSED 1—PROPOSED FACILITY /� 1.v PROPERTY SIZE SUBDIVISION (� eA2�t Aec\j 1/S ROAD NAME Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit Public L11 Cut FACTORS 1 2 3 4 5 6 7 Landscape position L Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH f 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: K LONG-TERM ACCEPTANCE RATE: r REMARKS: DCHD (01-90) EVALUATION BY: Wil/ OTHER(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 ■ ■ ■■■■■ ■ENE■ ■ENE■ ■ENE■ ■E■■■ ■ ■■E■■ ■EMO■ ■■■■■ ■ENE■ ■E■■■ ■EN■■ ■ENE■ ■E■E■ ■EME■ ■■■■■ ■■NE■ ■E■ ■E■ ■E■ ■ ■ MENU ■E■■ OMEN ■UN■ ■EM■ ■ ■ ■ ■E■■■ ■■■■■ ■EN■■ ■ENE■ ■ENE■ ■EE■ OMEN NONE ■■N■ ■■E■ ■■N■ ■ON■ ■■MMEM■ ■M■■■M■ ■■■EME■ ■EMEME■ ■■E■ME■ ■■MEM■■ ■EM■■■■ ■ ■ Davie County, NC 1 Tax Parcel Report Tuesday. January 3. 2017 Zip Code: 27014-0000 Voluntary Ag. District: Legal Description: LOT 2 GRANT HEIGHTS Fire Response District: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 1.60 Elementary School Zone: 2/2014 Middle School Zone: 009500872 Soil Types: 10 Flood Zone: 371 Watershed Overlay: Outbuilding 8r Extra Freatures Value: Total Market Value: COOLEEMEE COOLEEMEE SOUTH DAVIE GnB2 DAVIE COUNTY No All data Is prodded as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the i Davie County, I Implied warranties of merchantability or fitness for a particular use. All users of Dade County's GIS websfte shall hold harmless the i County of Dade, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to soup Ca NC or arising out of the use or Inability to use the GIS data prodded by this website. WARNING: '1'H1S IS NUT A SURVEY Parcel Information Parcel Number: M401OA0002 Township: Mocksville NCPIN Number: 5726-81-8983 Municipality: Account Number: 82516538 Census Tract: 37059-801 Listed Owner 1: SPILLMAN ROGER P Voting Precinct: SOUTH CALAHALN Mailing Address 1: PO BOX 738 Planning Jurisdiction: Davie County City: COOLEEMEE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27014-0000 Voluntary Ag. District: Legal Description: LOT 2 GRANT HEIGHTS Fire Response District: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 1.60 Elementary School Zone: 2/2014 Middle School Zone: 009500872 Soil Types: 10 Flood Zone: 371 Watershed Overlay: Outbuilding 8r Extra Freatures Value: Total Market Value: COOLEEMEE COOLEEMEE SOUTH DAVIE GnB2 DAVIE COUNTY No All data Is prodded as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the i Davie County, I Implied warranties of merchantability or fitness for a particular use. All users of Dade County's GIS websfte shall hold harmless the i County of Dade, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to soup Ca NC or arising out of the use or Inability to use the GIS data prodded by this website. tv�Z1 3 r DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT 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 6.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) NAME APROPERTY ADDRESS ,%7 Cy • ' ��`E /� LOCATION SUBDIVI5IDN NAME, ,Piil !/ S LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE , � #BEDROOMS #BATHS� # OCCUPANTS GARBAGE DISPOSAL: Yesdo) COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE �5��%TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) <_5��� MEW SITE _4Z REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE I� GAL. PUMP TANK GAL. TRENCH WIDTH J'/. " ROCK DEPTH X.� LINEAR FT. _1790 OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. IMPROVEMENT PERMIT BY **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 SYSTEM INSTALLED BY DCHD 10/95 Davie County Health Department ..1r ENVIRONMENTAL HEALTH SECTION P.O. Box 665 ` Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of G.S. Chapter 13OA, Wastewater Systems) ***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 lying for Office whW4,157er Building Permits.*** NAME ��/�� DATE `�� '�r! AUTHORIZATION NUV3ER i n 3 5 r NAME ON IMPROVEMENT PERMIT (If different than above) SITELOCATION v i COMMENTS/CONDITIONS ON AUTHORIIATION TO CONSTRUCT WASTEWATER SYSTEM **#NOTICE+ THIS AUTHORIZATION F WASTEWATER SYSTEM CONSTRUCTION �IslID FOR A PERIOD OF FIVE (5) YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE DCHD 10/95 1. Application/Permit Mailing Address APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER By Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 I OUT IIAY 1 4 19;;1- Home Phonet� Business Phoney 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation eptic Tank Installation Permit 4. System to Serve: ❑ House E2;,4bile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision 14 r1 Section Lot # ❑ Basement/Plumbing No. of People ' ❑ BasemenVNo Plumbing No. of Bedrooms No. of Bathrooms ❑ Washing Machine ❑ Dishwasher Dwelling Dimensions L Z � 17 V ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Sinks No. of Urinals No. of Water Coolers No. of Showers Water Usage Figures _ 7. Type of water supply: ❑1 ublic ❑ Private 8. Property Dimensions lag, 1t '� 5 q j Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No If yes, what type? ❑ Community 'NOTE: Improvements Permits shall be valid 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 incurred from this application. r DATE Tax Office PIN: #'TaX Lzr l c) /Alfie PROPERTY ADDRESS,as follows: Road Name: City:����.��`c.i 1 (�' �,. SU13MIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. the best of my knowledge, and I understand I am responsible for all charges E CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. B'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 representativ o Al)a�tie Co y H t taem t ante upon above described property located in Davie County and owned by G ��ig, to conduct all testing procedures as necessary to tete mine said site's qyitability for a ground absorption sewage treatment and disposal syste3 t y'% A41tes � DATE DCHD (1193) . ` ` DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ADDRESS PROPOSED FACIILTY loy- //- Water Supply: On -Site Well 7/z DATE EVALUATED 2Z.0 /& PROPERTY SIZE / �/9G LOCATION OF SITE JaW-/eA Community Public Evaluation By: Auger Boring Pit 1/ Cut FACTORS 1 2 3 4 Landscape position ,L Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH t f Texture group C_ Consistence Structure C Mineralogyi r 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: EVALUATED BY: LONG-TERM ACCEPTANCE RATE: Ile 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 -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- V+--. -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 ■.■■■■■.■■......■.■...■..■■.■..■■.....■■ ■EMEMEMCMEM■MME■ ME■.■.■ ■.■..■...■■■_■■.....■■N■■..........■■.. ■OO■M■■■ MEMEMMOMME.EO..■ ■■■M...■■■E■.MEMEEE.M■■■.......■ MEMO.■■CMM ■■M.■.ME■E■■■M■M■■E■■ .......................................... ....■...MENEM ■■■■.MEM■O■ .■...................■E■■E■NEE■EEMEEEEMEEE■EEE■MM.EC ■■MEMM■ ...............■................ ................. ■■....■.■■■■■■ ................................ 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