1285 Junction Road Lot 20Davie County, NC Tax Parcel Report Wednesday. January 4, 2017
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
WARNING: THIS IS NOT A SURVEY
Parcel Information
M401OA0020 A Township: Mocksville
5726903260 Municipality:
82516538 Census Tract: 37059-801
SPILLMAN ROGER P Voting Precinct: SOUTH CALAHALN
PO BOX 738 Planning Jurisdiction: Davie County
Zoning Class: DAVIE COUNTY R-20
NC Zoning Overlay: DAVIE COUNTY CZOD
City: COOLEEMEE
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
27014-0000 Voluntary Ag. District:
LOT 20 GRANT HEIGHTS .73 ac Fire Response District:
0.69 Elementary School Zone:
2/2014 Middle School Zone:
009500872 Soil Types:
10 Flood Zone:
371 Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
No
COOLEEMEE
COOLEEMEE
SOUTH DAVIE
GnB2,GnC2
DAVIE COUNTY
All data is provided as is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to the
m Davie County, implied warranties of merchantability or fftness for a particular use. All users of Davie Courdy's GIS webstte 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
NCor arising out of the use or Inability to use the GIS data provided by this website
AUTHORIZATION NO: 0716' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Permittee's'
PROPERTY INFORMATION
/ P.O. Box 848 ,
Name: � ! Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property: U Section: Lot: -`2t 5
AUTHORIZATION FOR L� //
WASTEWATER Tax Office PIN: ! - 3s'j 6
SYSTEM CONSTRUCTION
Road Name: J14i Dl? 1zp:
**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)
***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
Permi4
Name: ame„
Directions to property: �---J15,-;}Z
IMPROVEMENT
PERMIT
A
PROPERTY INFORMATION
Subdivision Name:
Section: / Lot: f .
Tax Office PINA--' + .)
E �t
Road Name ._ a,d �it:i.1f�}� .PZ1D
**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 /0 H # BEDROOMS 3 # BATHS _:� # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE,/ # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE %% TYPE WATER SUPPLY [ c % DESIGN WASTEWATER FLOW (GPD) 66) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE 14"l GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH � LINEAR FT. —=
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
O
AUTHORIZATION NO. OPERATION PERMIT BY: L' %�" `" f 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 [1,:-5 19�i
Environmental Health Section
P. O. Box 848
Mocksville, NC 27028
(704)634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
ALL THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed ��la! C 1 PT !-Lm P r J Contact Person Qn04t- P -!5()'l MCn
Mailing Address ecy. r73 9 Home Phone a `I g - Q T 7
City/State/Zip 1rr M�z . !\A �,n %,01 Business Phone C�) $`t �Z-- I
2. Name on Permit/ATC if Different than Above j AU -Tr 5P1 LLmA rJ
Mailing Address
P CYo r City/State/Zip
1 WRITE DIRECTIONS (from
Tax Office PIN: # � / � % -
�`
�_ - �'�7P__n+
1 Mocksville) TO PROPERTY:
3. Application For:
El Site Evaluation GY Improvement Permit & ATC
❑ Both
Property Address: Road Name \ 11IC
-71U1 t) 12D
1
1 �-'7&/I/e,�lU/✓PD
4. System to Serve:
❑ House u/mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence:
# People # Bedrooms_ #
Bathrooms
1
❑ Dishwasher ❑ Garbage Disposal a --'Washing Machine ❑ Basement/Plumbing ❑
Basement/No Plumbing
6. If Business/Other:
Specify type # People
# Sinks
# Commodes
# Showers # Urinals #
Water Coolers
If Foodservice:
# Seats Estimated Water Usage (gallons per day)
_r-
1
1
1
7. Type of water supply:
a/ 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: (t
q J4 , 3 (o1
1 WRITE DIRECTIONS (from
Tax Office PIN: # � / � % -
�`
�_ - �'�7P__n+
1 Mocksville) TO PROPERTY:
1
Property Address: Road Name \ 11IC
-71U1 t) 12D
1
1 �-'7&/I/e,�lU/✓PD
City/zip �D('S(l_7
LG F, /✓G c�'7�?
.
�TCl2LG�Ha L'�lC[�C'N
1
If in Subdivision provide information, as follows:
1
�j
&RAn%r %7�
Name: �I
r(A i_
Section:
Lot #:
.
_r-
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 Health Department
_to/ enter upon above described property located in Davie County
and owned by �� JAZ SP�L�mA /V to conduct all testing procedures
as necessary to determine the site suitability.
DATE e?O— 7 SIGNATURE YA!Aev,4
Revised DCHD (06-96)
dw DAVIE COUNTY HEALTH DEPARTMENT
' Environmental Health Section
Soil/Site Evaluation
NAME
ADDRESS
PROPOSED FACIILTY
Water Supply: On -Site Well
DATE EVALUATED
PROPERTY SIZE
LOCATION OF SITE
Community
Public
Evaluation By: Auger Boring Pit I �- Cut
FACTORS
1 2 3 4
Landscape position
4, -1—
Sloe %
Slope
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
>
Texture groupC
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: EVALUATED BY: //_
LONG-TERM ACCEPTANCE RATE: 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- 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
Mineralo¢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 - gal/day/ft2
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