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1151 Junction Rd, 128 Grant Trl Lot 3Davie County, NC 5 _ 1165 Tax Parcel Report 139.- Tuesday. January 3. 2017 113 131 - jl 123 ^' 115 ��r' 167-. 157 107 _ 1 1161 q� 214 211 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: M401OA0003 Township: Mocksville NCPIN Number: 5726818892 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: No Legal Description: LOT 3 GRANT HEIGHTS Fire Response District: COOLEEMEE Assessed Acreage: 1.56 Elementary School Zone: COOLEEMEE Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 12/2013 Middle School Zone: SOUTH DAVIE 009450507 Soil Types: Gn132 10 Flood Zone: 371 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, I implied warranties of merchantability or Illness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to i rap NC or arising out of the use or Inability to use the GIS data provided by this website. fI AUTHORIZ,%ON NO: 1408 DAVIE COUNTY HEALTH DEPARTMENT y Xa Aa ' Environmental Health Section PROPERTY INFORMATION I_, Perms tee's' , // P.O. Box 848 Name: ��` .9 /° Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property: \ I,I1j11 /1 Section: Lot 117,- . AUTHORIZATION FOR r� WASTEWATER Tax Office PIN:# .,% � - SYSTEM CONSTRUCTION Road Name: , ! d A rY Zip: **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 Fonn/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED . `_! ` DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permitfee s � �� Name -N", �' r = o,; ,r .5: � /h� Al Directions to property: "N._ � Ilr'. Subdivision Name: ^Pcy • �E'f',H Section: Z IMPROVEMENT PERMIT Tax Office PIN:#<;- Road Name: -.11;.<, ' • O , r Zip: 1; **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) I f rsi . ✓' _ S A ***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 TYP21# BEDROOMS —F # BATHS -:2_ # OCCUPANTS GARBAGE DISPOSAL: Yes or INo COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE 17FA C TYPE WATER SUPPLY _ DESIGN WASTEWATER FLOW (GPD) � NEW SITE --L,---- REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE 110 GAL. PUMP TANK GAL. TRENCH WIDTH -n< l ROCK DEPTH 1159 LINEAR FT. 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 'lQd � 2,4-r y -40- AUTHORIZATION NO. I OPERATION PERMIT BY: A�z DATE: "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 05/96 (Revised) APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & Davie County Health Department Environmental Health Section P. O. Box 848 Mocksville, NC 27028 (704)634-8760 JUN - 31998iml ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS p ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed Pa "1/� y, q f'U ryloLkl Contact Person v, Mailing Address !" oQ Y V Home Phone City/State/Zip C000 1 P. e rmee Uy�/ ��O Business Phone ';�U'T ' I 2. Name on Permit/ATC if Different than Above Mailing Address _ 3. Application For: 4. System to Serve: 5. If Residence: 31Dishwasher 6. If Business/Other: ❑ Site Evaluation 0 ❑ House ' Mobile Home # People ❑ Garbage Disposal Specify type City/State/Zip C://improvement Permit & ATC ❑ Business ❑ Industry # Bedrooms 3_ EfWashing Machine ❑ Basement/Plumbing # People ❑ Both ❑ Other # Bathrooms ❑ Basement/No Plumbing # Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ®' County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 2 --'No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 1 Tax Office PIN: # Property Address: Road Name l V I� S ISI I ��02- 1 City/Zip 1 1 If in Subdivision provide information, as follows: 1 Name: (-rvah+ h fs 1 Section: Lot #: 3 1 1 WRITE DIRECTIONS (from Mocksville) TO PROPERTY: 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 Health Department to) enter upon above described property located in Davie County and owned by �,� 13 ' 6 p ��/`� to conduct all testing procedures as necessary to determine the site suitability. DATE SIGNATURE Revised DCHD (06-96) �P0-- #a4z /MI' , I DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation 57, -Ye Z APPLICANT'S NAME PROPOSED FACILITY SUBDIVISION <ii l`11, " &C h Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit DATE EVALUATED PROPERTY SIZE ROAD NAME Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % Z - HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH f �' Texture group Consistence / Structure Mineralogy , J 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 ACCEPTANCE RATE: EVALUATION BY: -9 /Z OTHER(S) PRESENT: REMARKS: LEGEND Landscape Position 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 DCHD (01-90) ■■NE■ ■■NE■ ■■NE■ ■■M■■ ■E■E■ ■■NE■ ■■■■■ ■■M■■ ■■NE■ ■■■E■ ■E■E■ ■E■■■ ■ ■ ■ MONS■■■ mons■■■ ■■ns■■■ ■OM■ON■ ■E■■ME■ ■■■■ME■ ■M■MME■ MONSOON ■OM■ON■ ■■■■ME■ ■ ■■■O■ ■■N■■ ■ ■ ■ ■ ■■ ■ ■ MEMO ■■M■ ■EM■ ■N■■ ■EN■■O■■■ ■ENO■ONE■ ■E■OM■NE■ MEMMEMMEN ■M■■M■■M■ ■ENO■■NE■ ■■NOM■N■■ ■EMM■■E■■ ■■N■■ONE■ MENOMONEE ■■M■E■■M■ ■■MME■■E■ Davie Countv. NC. Tax Parcel Report Tuesday. January 3. 2017 WA tN1N is '1'Mb 1, NUI A NUKVE Y Parcel Information Parcel Number: M401OA0003 Township: Mocksville NCPIN Number: 5726818892 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 3 GRANT HEIGHTS Fire Response District: COOLEEMEE Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: Davie County, -���K� NC 1.56 Elementary School Zone: COOLEEMEE 12/2013 Middle School Zone: SOUTH DAVIE 009450507 Soil Types: GnB2 10 Flood Zone: 371 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: No ` 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 r / �/` PROPERTY ADDRESS C . — rYa4 17 DATE 5 LOCATION 611W ')I D 71. WCL SUBDIVISION NAME �7"t Gt7'(I / l �,l 4 LOT NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS 3 SEC./BLOCK NUMBER % �O 5 ab V� # BATHS �2_ # OCCUPANTS GARBAGE DISPOSAL: Ye(5 COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE TYPE WATER SUPPLY�/ a DESIGN WASTEWATER FLOW (GPD) _.� NEW SITE 4--' REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE% 7d GAL. PUMP TAW GAL. TRENCH WIDTH_L ROCK DEPTH LINEAR FT. ?� OTHER d2 -i9`:t_, 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 11-ov, **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 AUTHORIZATION NO. Q7 y/ OPERATION PERMIT BY /4� DATE **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 A A w Davie County Health Department 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 130A, 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 Office when applying for Building Permits.*** RUTHORIIATION WMR DATE 1�,�� U 3 NATE ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION 6�', .r? } / , Yom; /, /t y S— �l? /-1 APPLICATION FOR SITE EVALUATIONIIMPROVEMENTS PER Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By ,f' t' Mailing Address o� % Home Phone DAPR 151996 nominnsr. nhnnoC2A Qaq--DS5) 2. Namo on Ponnil 11 Dllloront thnn Abovo __......_ ._.. .... ._ .._ ... ,._..... m. 3;' Applicntlon for: ❑ Gonoml Evaluation rJ Sopttc Tank Installation Permit System to Serve: ❑ House [i Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 1 5. If house, mobile home: Subdivision �iLk1'i" Paa Section Lot # 1 ❑ Basement/Plumbing No. of People. ❑ Basement/No Plumbing No. of Bedrooms 3 © Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposal 6. If business, industry, place of publ'c 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: 1 Public ❑ Private ❑ Community 8. Property Dimensions jo b X, 1,4456 Sewaga Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes No if yes, what type? PROPERTY INFORNMATIQ1; REQUIRED: Directions to Property: Tax Office PIN # P Road Name "Jun4i On R� Box # (if available) City _mar—�5v;1 I� This is to certify that the information provided is correct to the best of incurred from this application. ,,. DTE edge, and I undyffand I ar�1 responsible for all charges CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. Imo£ 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 representativ of the Davie Coynty Hpa ppartme t to enter upon above described property located in Davie County and owned by L_� L /i�/1/ to conduct all testing procedures as necessary to aa ermine said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (t f 93) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME /A/ Z/,%! P N ADDRESS PROPOSED FACIILTY ,%d Water Supply: On -Site Well DATE EVALUATED PROPERTY SIZE /,-X c' LOCATION OF SITE _ �� 1 Community Public, Evaluation By: Auger Boring I-'__� Pit / Cut FACTORS 1 2 3 4 Landscape position L ,L Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH F % Texture groupC Consistence i 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: P'5 LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD(01-901 EVALUATED BY: AW/ 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 :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 ■■■■■■■■■■■■■■■■■■■MEN■■■.■■■■■■■■■■ONE ■ SSSS■■■ ■■■■■■■■ SSSS■■■ ■■■■■■■■■■■■_/■■■■■■■■■■■■■■■■■■■■■■■■■■ ■_SSSS■.0=ENE ■■■■■■■■■■/■ ■■M■■■■M■■■■ ■■■■■■■■■MEMEMM■■■■ ■■■■■■■■ ■■/SSSS O■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■ /■■ /■■ ■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■SSSS■■/■■.■■■■■■■■mom CCCCCMEMCC■■ECC■■■■■■■■■■■ ■■■■■■■■■■■■MEN■■■mom■■■■■■■■■■■■■■■■■■■■■■■■■■■■■OH■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■mom■■�■MEN■■■�■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■M■■■■■■■■■■mom■■■■■■■■■■■■■■ SSSS■■ ■■SEEMOSS ■■■■■■■■■■■■■ M MONO ■■■■■■■■■■■■/■■■/■■■/■■■■/SSSS■■/■■.0■//■■.'�..■■■■■/ ■■■■■■■■■■■■■ ■■■■■■■■■■■■■■/■■■■■■■MONSOON■■■ N■■■■/■�■■■■■■■OC■■■■■■OH■■mom ■■E■■■M■■■■■■■■■■■■■/■■■■■■■MEMO ■■■■■■■■ ■�■■/■■■S■/■■■/SSSS/■/■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■■■■// ■■■ ■■�■■■ EHM■MMMMMM.. mom ■ .....0.■■■■■/■■.■■■■■CM■MM■M■M■M■■■■■■■■■.■■■ �■SES■.S.0. 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