134 Citadel Road Lot 13Davie County. NC
Tax Parcel Report Tuesday, November 15, 2016
WAKNING: 'IMS 1S N01' A SURVEY
Parcel Information
Parcel Number:
F301OA0013
Township:
Clarksville
NCPIN Number:
5811729560
Municipality:
Account Number:
82516938
Census Tract:
37059-801
Listed Owner 1:
NEWMAN GEORGE ANDRE
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
134 CITADEL ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-4979
Voluntary Ag. District:
No
Legal Description:
LOT 13 CHARLESTOWNE GRANT
Fin: Response District:
WILLIAM R. DAVIE
Assessed Acreage:
1.55
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
5/2001
Middle School Zone:
NORTH DAVIE
Deed Book I Page:
003710334
Soil Types:
MnC2,MnI32
Plat Book:
0007
Flood Zone:
Plat Page:
102
Watershed Overlay:
DAVIE COUNTY
Building Value:
198500.00
Outbuilding & Extra
Freatures Value:
2300.00
Land Value:
28000.00
Total Market Value:
228800.00
Total Assessed Value:
228800.00
E01All data is provided as Is without warranty or guarantee of any idnd either expressed or Implied Including but not limited to the
Davie County, impiledwanar. as ofmerehardability orfitness for a particular use. All users of Davie County's GIs website shaghold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and ail claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT�`�
' Environmental Health Section 7 2 3
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 989900063 Tax PIN/EH #: 5811-72-9560
Billed To: Larry McDaniel Subdivision Info: Charleston Grant Lot # 13
Reference Name: George Newman Location/Address: Citadel Road -27028 'R 131.1
Proposed Facility: Residence Property Size: see map
ATC Number: 2884
**NOTE** This Improvement/Operation Permit DOES NOT authorize the construction 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). THIS
PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR
WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type #People Ll #Bedrooms 3 #Baths
Dishwasher: Garbage Disposal: ET Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size I a A0-RType Water Supply CWPjTYDesign Wastewater Flow (GPD) -� Site: New Repair ❑
P) .1 `
System Specifications: Tank Size 000GAL. Pump Tank GAL. Trench Width 2y Rock Depth 12 Linear Ft. J�-
Other: o\jSTQ.,6oT�o•JS , �cJST�.LL L►�ES I O.C.
1� t
Required Site Modifications/Conditions: `� �T - f� CAO1�� V�� to� 1' � osgo keepb
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
x,13' —
Nov L1 r': /
Health
DCHD 05/99 (Revs
'sSiignnaature:
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Dat_ Ci
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Bog 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #:
989900063
Tax PIN/EH #:
5811-72-9560
Billed To:
Larry McDaniel
Subdivision Info:
Charleston Grant Lot# 13
Reference Name:
George Newman
Location/Address:
Citadel Road -27028
Proposed Facility:
Residence
Property Size:
see map
ATC Number: 2884
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to
the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTEWATER C 0 VAL D FOR A PERIOD
/O'F FIVE YEARS.
Environmental Health Specialist's Signature::
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit
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
A`�iiven period of time.
CA
T
Septic System Installed By:L---
Environmental Health Specialist's Signature Date:
DCHD 05/99 (Revised)
Arruf..wrruN rust blit: EVALUATION/IMPROVEMENT PERMIT &
Davie County Health Department
• Environmental119WIM 5Wwon
j P.O. Box 848/210 Hospital Street
Mockaville, NC 27028
(336)7S1-8760
1.
Z.
***ZMPORTAIIT4s• THIS APPLICATION c.Al' NOr BE BROCESMW UNLESS
To IS PROVIDED. Refer to the INrORMATION BULLETIN
EDO,'JV 1-4 2W
Nass to be Billed hCG iZ� � 1►&k(-sJ 1o, contact Person /arrw1 �f 0 ( lel
)failing Address ( f ^ )C ` w� � soma phone
City/state/LIP Moo -k V t 1 U .
Name on Pemlt/ATC if Different than Above
` n /�r1
Hailing Address 0 E1�� ':750n City/state/Lip mocks. I t G l, J C d �ycr,
3. Application For: LI Site Evaluation 0 Improvement Permit/ATC V Both
4. Sysbw to service: $ House 11 Mobile Ho®e 0 Business 0 Indus tsy 0 other
S. If Residence: # People # Bedroom � # Bathrooms 5..�.�
W,)sh asher _v"tbage Disposal �/X/as" Machine 0 Basement/Plumbing 0 Basement/No Plumbing
S. If Business/Industry/other: Specify type - - - # People i sinks
# Coomwdea # showers # Urinals # Nater Coolers
Ir FOODSERVICB: it Seats Estimated water Usage (gallons per day)
7. Type of grater supply: WCCounty/City 0 well 0 Comsmnity
a. Do you anticipate additions or expansions of the facility this system Is intended to serve! 0 Yes "O
If yes, what type!
A"IMPORTANT"' CLIENTS A[USTCVAftE1ETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: Dl.¢3 Y ySt` �(136 X I Uh' X ,�4?r WRITE DMC110NS (from Mocluvill�1 �el)�to PROPERTY:
Tax Office PIN: # L - r1 _� S�Z o C7 NuN LQ b Q ` 0 � c be.,r� l _!U.r'ay J Cd
G
Properly Address. Rona Name I Ll.✓Y1 L -Eq. l�c� `I o b a(co 40
City/Zip ock-SV i(bJ i�Cy�4 �(Zo (urn C)
If in a Subdivision provide Information, as follow:: — 1Q r' (rS �e > r S on
Name: CSA w►,.P
Section: Block: Lot: Date Property Flagged:
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, srxAnWaad that 1 an x4onsfble for all ch gesineurred from
this app&wdon. I, hereby, give consent to the Authorized Representative of the Dffk County Health Department
to enter upon above described property located In Davie County and owned by P_Q � 0,0J wtQ d1
to conduct all testing procedures as necessary to determine the site suitability.
DATE (D 0(- _- SIGNATURE 7 � &I. A I_ —/)
THIS AREA MAY BE USED FOR DRAWENG YOUR SITE PLAN (Include all 6t the following: Ezbdng acid proposed
property lines and dimensions, structures, setbacks, and septic locations).
Revised DCHD (07/98)
Account No. 8 7 7 ° ° a
Invoice No. _ L Z- ("3
9675
14
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 989900063 Tax PIN/EH #: 5811-72-9560
Billed To: Lary McDaniel Subdivision Info: Charleston Grant Lot # 13
Reference Name: Location/Address: Citadel Road -27028
Proposed Facility: Residence Property Size: see map Date Evaluated:
Water Supply:
Evaluation By:
On -Site Well
Community
Auger Boring Pit
Public
Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Slope %
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
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION;
LONG-TERM ACCEPTANCE RATE:
REMARKS:
LEGEND
Landscape Position
EVALUATION BY:
OTHER(S) PRESENT:
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
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 05/99 (Revised)
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Health Department
Environmenta/Health Suction
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336) 751-8760
***IWORTANT*** THIS APPLICATION CANNOT EE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed 7"4N Contact Person J)54/J 699E, •-- L
Mailing Address Z /TLE x>66�a Home Phone 4,7 z '4-6/ O
City/State/ZIP /4Oet=Sd/ee.G'0, d C- Z%o Business Phone --0Z
2. Name on Permit/ATC if Different than Above
Bailing Address City/State/Zip
3. Application For: X Site Evaluation 0 Improvement Permit/ATC ❑ Both
4. system to service: A House 0 Mobile Home 11 Business U Industry 17 Other
5. If Residence: # People #.Bedrooms # Bathrooms
rl Dishwasher 11 Garbage Disposal 11 Washing Machine U Basement/Plumbing 11 Basement/No Plumbing
6. If Business/Industry/Other: specify type # People # Sinks
# Commodes # Showers # Urinals # Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
7. Type of Water supply: County/City CI Well IJ Community
a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 'KNo
If yes, what type?
***IMFDRTANT*** CLIENTS AIUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN AIUST BESUBAIITTED by the client with THIS APPLICATION.
Property Dimensions: �. 2 �- *�,
� nn , n /��/�/A$.�TE DIRECTIONS (from Mocksville) to PROPERTY:
Tax Office PIN: # %pS ! (D ( J
,'.')) 601 o L/gE�T� clecN
Property Address: Road Name WACWER ZA 1>
o,J L/8M /Grt
City/Zi'lr-K-IV/e-C.E 270?,
T �e.J_LEF� o.�_ G✓�¢GiJe.� �
If in a Subdivision provide information, as follows: 12 m /G l' o'J
Name:— CyAaL6STo,.i 2'r
Section: Block: Lot: 13 0,4 to : w
MO
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 1 am responsible for all charges incurred from
this application. I, hereby, give consent to the Authorized Representative of the Df vteCount Health Department
to enter upon above described property located in Davie County and owned by z6e l4D .
to conduct all testing procedures as necessary to determine the site suitability.
DATE t ` - / SIGNATURE .�
�e