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152 Citadel Road Lot 12Davie County, NC Tax Parcel Report Tuesday, November 15, 2016 161 All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to theDavie County, Implied warranties of machardabllny or M m" for a particular use. All users of Davie Countys GIS website shall hold harmless theNC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and ail claims or causes of action due to or arising out of the use or inability to use the GIS data provided by this website. WAK1 ING: MIN IS 1VU'1' A bUKVEY Parcel Information Parcel Number: F301OA0012 Township: Clarksville NCPIN Number: 5811729675 Municipality: Account Number: 16355500 Census Tract: 37059-801 Listed Owner 1: COLE DONALD H Voting Precinct: CLARKSVILLE Mailing Address 1: 152 CITADEL ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 12 CHARLESTOWNE GRANT Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 1.40 Elementary School Zone: WILLIAM R DAVIE Deed Date: 9/2007 Middle School Zone: NORTH DAVIE Deed Book / Page: 007300254 Soil Types: MnC2,MnB2 Plat Book: 0007 Flood Zone: Plat Page: 102 Watershed Overlay: DAVIE COUNTY Building Value: 203020.00 Outbuilding & Extra Freatures Value: 1920.00 Land Value: 30800.00 Total Market Value: 235740.00 Total Assessed Value: 235740.00 161 All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to theDavie County, Implied warranties of machardabllny or M m" for a particular use. All users of Davie Countys GIS website shall hold harmless theNC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and ail claims or causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Account #: 990004433 Billed To: Don Cole Reference Name: Proposed Facility: Residence ATC Number: 4749 DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Fax # (336)751-8786 f OPERATION PERMIT l7 Tax PIN/EH #: 5811-72-9675 ( 7 Subdivision Info: Charleston Grant Lot # 12 Location/Address: Wagner Road -27028 Property Size: 1.42 ac. **NOTE** The issuance of this Operation Permit shall indicate the system described on the ATC 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. q ac System Type: rF S.T. Manufacturek!�h ¢moi Tank Date k Size OD d Pump Tank Size System Installed By: {1uy�oa� �inlPlpr! srt E.H. Specialist: AO Ala_ 0ftS�Date: 6 DCHD 11/06 (Revised) s, S � 7. ►; y5, f DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848%210 Hospital Street Mocksville, NC 27028 (336)751-8760 Fax # (336)751-8786 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990004433 Tax PIN/EH #: 5811-72-9675 Billed To: Don Cole Subdivision Info: Charleston Grant Lot # 12 Reference Name: Location/Address: Wagner Road -27028 Proposed Facility: Residence Property Size: 1.42 ac. C .a m ATC Number: 4749 Site Type: ONew ❑Repair ❑Expansion **NOTE** This Authorization to Constrict (ATC) MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is.subject to revocation if site plans, plat or the intended use change. Residential Specifications: # Bedrooms # Bathrooms # People 3 Basement;o'*Basement plumbing❑ Non=Residential Specifications: Facility Type # People # Seats_ Square F6otage(or Dimensions of Facility) Lot Size I -Oe(e5 Type of Water Supply: Xounty/City DWell OCommunity Well System Specifications: Design Wastewater Flow (GPD) Tank Size_L00_ GAL. Pump Tank GAL. Trench Width Max. Trench Depth__ Rock Depth Linear Ft. Site Modifications/Conditions/Other: Kee is�f+ � i%ie/11, ED /d DrdOPrftJ tVG Contact the Davie County Environmental Health Section for final inspection of this system between nrTTTI 11104 fl?P�,;cPrll DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 2 (f (336)751-8760 Fax # (336)751-8786 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account M 990004433 Tax PIN/EH #: 5811-72-9675 Billed To: Don Cole Subdivision Info: Charleston Grant Lot # 12 Reference Name: Location/Address: Wagner Road -27028 Proposed Facility: Residence Property Size: 1.42 ac. ATC Number: 4749 Site Type:/New ❑Repair ❑Expansion **NOTE** This Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any.building permit(s), (in compliance with Article 11 of G.S. Chapter 130A_ Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat or the intended use change. Residential Specifications: # Bedrooms # Bathrooms e,.> # People 3 BasemenIO'Basement plumbing(] Non=Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Lot Size 1. y &RtEs Type of Water Supply: .66ounty/City ❑Well ❑Community Well System Specifications: Design Wastewater Flow (GPD) Tank Size I E)ODGAL. Pump Tank IAL. Trench Width 3(;' Max. Trench Depth 2-U Rock Depth 1Z+' Linear Ft.p Site Modifications/Conditions/O r: IIQI TT —:— l� Kr FV %E7) Contact the Davie County Environmental Health Section for final inspection of this system between 8:30 - 9:30a.m. on the da of installation. Telephone # (336)751-8760. As stated In 15A NCAC 18A.1969(5) accepted Systrms may also 13e usedd . , 1 J p'Wtf to�ArN Environmental Health Specialist DCHD 11106 (Revised) to ©. 3' L) �3 I )Lr V�-'� i C.1 OR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Environmental Health' P.O. Box 848/210 Hospital Street Mocksville, NC+27028 " (336)751-8760/Fax(336)751-8786 " in/Improvement Permit Authorization To Construct(ATC) Both -I r- -- • •rr••--••-••• • •-•• -1-•=m Repair to Existing System Expansion/Modification ofExisting System or Facility "'IMPORTANT'** THIS APPLICATION CANNOTBE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION /� / p Name to be Billed a� O /y �-' D E Contact Person qO �-t / & L t Billing Address f Co K 52fl I N uJ pa D Rid Home Phone 9 A W - cA9l 3 rJ 9a City/State/ZIP _ Al gt TrD t t AIQ-Z,(p9' g Business Phone ZiA5<-�"3 Name on Permit/ATC if Different than Mailing Address PROPERTY INFORMATION *Date House/Facility Comers NOTE: A survey plat or site plan must accompany this application. Included: Site Plan (Permit is vp4d for 60 months with ite plan, no expiration with complete plat.) Owner's Name C7S Phone I Owner's Address k vne City/State/Zip Property Address Cit Lot Size Tax PIN# 1"7 Plat(to scale) Subdivision Name(if applicable) 0,bpg Jr -to&;;.- !&d Section/Lot#—Ll-- Directions To Site: Lt) (- U - L. b c 24w - I - m 0w %L /A r AAW JZ If the answer to any of the following questions is `yes", supporting documentatio ust be attached. Are there any existing wastewater systems on the site? Yes Does the site contain jurisdictional wetlands? Yes Are there any easements or right-of-ways on the site? Yes Is the site subject to approval by another public agency? Yes Will wastewater other than domestic sewage be generated? Yes mu IF RESIDENCE FILL OUT THE BOX BELOW # People, # Bedrooms _ 3 # Bathrooms a PS Garden Tub/Whirlpool Yes Basement:es No Basement Plumbing: Yes (13o) IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building # People # Sinks # Commodes # Showers # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: Conventional Accepted Innovative Alternative Other Water Supply Type: County/City Water New Well Existing Well Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? Yes If yes, what type? No This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed I hereby grant right of entry to the Authorized Representativq.eflhe Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and Ws. I Oderstand that I am onsible f t pe entification and labeling of property lines and comers and locatigg d fla ing or stak' ouse it=Wl - sed well location and the location of any other amenities. Site Revisit Charge ropertyer's or owner's legal representative signature Client Notification Date: Date EHS: Sign given Yes No Revised 11/06 Account# 33 Invoice # t% -VZ— Tom GoMAPS - Davie County NC Public Access "r 32pf. Sip 316pr� 170 r � 3 n+ -1 157* 132 - — — D 47 @ 3B(} "048 i z`ao 451 753_ y 191 � �r —115 1144 fi 5p\ ,f\ 1714P 12.18 /�p ' 1� `� 110 127*1 2) i 15 C �a ^ 4016 ***WARNING: THIS IS NOT A SURVEY!*** This map is prepared for the inventory of real property found within this jurisdiction, and is compiled from recorded deeds, plats, and other public records and data. Users of this map are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information contained on this map. The County and mapping company assume no legal responsibility for the information contained on this map. - WATER B6&gND EJ COUNTY—BOUNDARY PARCEL_DtMENStONS ADDRESS i DRNES STREETS RAILROAD—CE NTERLINE PARCELS CITY—LIMITS BERMUDA RUN EJCOOLEEMEE DAVIE COUNTY MOCKSVILLE Thursday, August 30 2007 APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 ***II4PORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed �f�� Lp[�[r Contact Person yrfP) t.oIQREG.C. Hailing Address �j Z /�4T[.E D6E ei. Home Phone 49 Z -s-46 O City/State/ZIP mQGKS(//GL.e, d -C- %O Zidd Business Phone _-4iZ -.S4",g o 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: Site Evaluation ❑ Improvement Permit/ATC ❑ Both 4. System to Service: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms # Bathrooms F1 Dishwasher II Garbage Disposal IJ Washing !Lachine ❑ Basement/Plumbing 11 Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # water Coolers IF FOODSERVICE: 11 Seats Estimated Water Usage (gallons per day) 7. Type of water supply: County/City 11 Well U Community e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 'KNo If yes, what type? ***IMPORTANT*** CLIENTS AIUST COAIPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN AIUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: Z'2 )i C pp / �J/ WRITE DIRECTIONS (from Mocksville) to PROPERTY: Tax Office PIN: # �O..J�' �'- / �/� ��/ 60 / �l o L/�EErti CIt��cN Property Address: Road Name VVA6yVF-2 20' D City/zip cKst/lc(.E Z%Z T ,�J LEFT o� L✓��le..� ZD _ If in a Subdivision provide information, as follows: Name: O_ V /(,N,gQ�GSTo•I l^tT a /o Section: Block: Lot: 2. OMAP'S This is to certify that the information provided is correct to the best of my knowledge. I understand that any permits) 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. 1, also, understand that I am responsible for all charges incurred from this application. 1, hereby, give consent to the Authorized Representative of the �D�Jp�vte Countt ' Health Department to enter upon above described property located in Davie County and owned byf/bG.1Vl�CD L• �le�t . Te . to conduct all testing procedures as necessary to determine the site suitability. DATE �— / SIGNATUREA!:�-"�'" DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME DATE EVALUATED d PROPOSED FACILITY AAo O sr+ PROPERTY SIZE - I)SO -)tx 1 3S� SUBDIVISION LAC,�� ROAD NAME w'6C�Ei Water Supply: On -Site Well Community • Evaluation By: Auger Boring Pit V - Public ./ Cut SITE CLASSIFICATION: I/-.> LONG-TERM ACCEPTANCE RATE: O, -f5 REMARKS: au -;p (,�fl LEGEND DCHD (01-90) Landscape Position EVALUATION BY: 'QJEjd-:: I:�r`ut% 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 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) LIAR - Long-term acceptance rate - gal/day/ft2 Landscape position HORIZON I DEPTH Texture group Consistenceit s K&'%%T,M0FMEM HORIZON II DEPTH Texture group Texture group Consistence fffi�� MEW WIMM Mineralogy HORIZON IV DEPT Texture group Consistence Mineralogy SAPROLITE CLASSIFICATION • SITE CLASSIFICATION: I/-.> LONG-TERM ACCEPTANCE RATE: O, -f5 REMARKS: au -;p (,�fl LEGEND DCHD (01-90) Landscape Position EVALUATION BY: 'QJEjd-:: I:�r`ut% 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 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) LIAR - Long-term acceptance rate - gal/day/ft2 ■EMMEM■ ■ME■EM■ ■E■■ME■ MONS■■■ ■■■EMM■ ■■■■■E■ ■M■MME■ ■MM■MM■ ■E■■EM■ ■E■■ME■ ■■■EM■■ ■■■MME■ ■■■■MM■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■iii■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■iii■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■EO■■ ■E■■ME■■■■ME■ ■ENE■ENME■■■■ ■■■E■■■MME■■■ ■N■■■N■■M■■M■ ■■ME■■■ME■■■■ ■■M■■■MENNE■■ ■■M■MEM■MM■■■ ■■M■OM■■NME■■ ■EM■MEMM■■NN■ ■■ME■M■■M■MM■ ■■ME■MMMME■■■ ■EM■■EMM■■ME■ ■■E■■■M■■M■M■ ■EMM■N■M■■M■■ ■MMMMM■MMM■■■ ■■ME■■M■M■MM■ ■■■E■■■ME■■M■ ■■NOO■■EN■■M■ ■■M■■NMN■■ME■ ■■M■■■EM■■M■■ ■■MMM■ME■■M■M■M■ ■■■■■■■■■■■■■■■■ ■M■■■■M■■■■■■■■■ ■■■■■■■MM■■M■MM■ ■MM■■MMMMMMMMMM■ ■■MMM■■■■M■■MMM■ ■M■■MMM■■■■■MM■■ ■■■M■■■■■■■■■M■■ ■■■■M■■■■MM■M■■■ ■■■■■■■■E■■■■■■■ ■MMM■■■MMM■■MMM■ ■■■M■■O■■■■■■■■■ ■■■■■■■M■■■O■■M■ ■■M■ ■OO■ OMEN