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1029 Eatons Church Road Lot 8Davie County, NC f . Tax Parcel Report Tuesday, November 29, 2016 WAKNENG: '1'1115 1, IVU"1' A bUKVhY Parcel Information Parcel Number: D312OA0008 Township: Clarksville NCPIN Number: 5822529282 Municipality: Account Number: 15254540 Census Tract: 37059-801 Listed Owner 1: CHURCH JOAN C Voting Precinct: CLARKSVILLE Mailing Address 1: 1029 EATONS CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 8 COUNTRYSHIRE WAY LIFE ESTATE Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 1.28 Elementary School Zone: WILLIAM R DAVIE Deed Date: 3/1994 Middle School Zone: NORTH DAVIE Deed Book / Page: 001730391 Soil Types: MrC2,MrB2 Plat Book: 0006 Flood Zone: Plat Page: 051 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 9 i u�rFAll daft is provided as is without warranty or guarantee of any Mod either expressed or Implied Including but not limited to the Davie County, implied warranties or 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, consultants, contractors or employees from any and all 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 0."r,.'t:. .,•i'Q, ..r f,. i". ���t mal AUTHORIZATION NO. DAVIE COUNTY HEALTH DEPARTMENT �►'3AEnvironmental Health' Section IROdPETTY INFORMATION Permit[ee's ` P.O. Box 848 Name: 'V el, � dlt(1 �i Mocksville, NC 27028 Subdivision Name: ��'• Cf/ u, //pry Phone # 336-751-8760 Directions to property: fi� �O�I (�. Section: % Lot: _ AUTHORIZATION FOR f� WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION - - Road Name.47A)14C(&ip: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior - to issuance of any Building Pen -nits. This Form/Authorization Number should be presented to the Davie County Building" Inspections Office when applying for Building Permits (In compliance with Article I I of G.S. Chapter 130A. Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) . F ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SP CIALISTDATE ISSUED P :,. #r`N`'�'7- f r,:;;,.e.trV4i.:. ,..,rY ,Y•"ty,zi 1 ;=,�_ �. Sl;.t is 9'.`"�7 t } ++vax 4^ •tu:, "f.sl .. .. .. .l. .i " „ ,r h . ¢ ° DAVIE COUNTY HEALTH DEPARTMENT `� y IMPROVEMENT AND: OPERATION PERMITS ROPERTY INFORMATION Permitee's /'� Name: «.i f" �,1 t t' /' t r' Subdivision Name: L o p Directions to property:Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:#n _ Road Name.�C-4 ln/ trA �f'�Lip: **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 constructionrnstallation 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 SP CIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERM BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS __ Ste" GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEJSHIFT # SEATS INDUSTRIAL WASTE: Yes or N LOT SIZE /, o2k , TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH,-?,( ROCK DEPTH .2 LINEAR FT. 106 OTHER REQUIRED SITE MODIFICATIONSICONDITIONS: (r r~ IMPROVEMENT PERMIT LAYOUTARRROVED EFFLUEEN FILTER4 *RISER (S) IF 6". BELOW FINISRt=D' 6RA0E� ' Ilea d ,b e _ t� - 4�r�°i"dw•yw++��"'+.�,.r-.�>v:,....f..'f�i�°�w T�..�i,�T,'r'.p�v,:r��,,.�ti-r�^"w', "`t.�3tii's:'.41,.-i:�" , i�..'..� � `:`,,a ri.� o +. ,.. ..e ., ..i"' . :4,,..-.:„ r'...t .. ... 6$ ,s� " DAVIE COUNTY HEALTH DEPARTMENT i >r e -IMPROVEMENT AND OPERATION PERMITS ' ROPERTY INFORMATION Perm>ftee's-- Name Subdivision Name: (Zll 1 / r 11"V4 Directions to property: a ", rr Section: % Lot: IMPROVEMENT PERMIT'..'.. Tax Office PIN:# ,�,� ,.- / � L Road Name�� f,�s;J C .�c I�Gip: **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) r ***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 # BEDROOMS # BATHS 2— # OCCUPANTS 'r"�"GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No, LOT SIZE TYPE WATER SUPPLY f t> DESIGN WASTEWATER FLOW (GPD NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH, ROCK DEPTH Y LINEAR FT. le a - OTHER ell REQUIRED SITE MODIFICATIONS/CONDTI'IONS: IMPROVEMENT PERMIT LAYOUT APPROVED EFI O $J be dbje M,4. aLlt,I: / v t / G' ! FILTER* *RISER(S) IF b" BELOW FINISI,M GRADE* .4 f "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 (7M MM -W( (336)751-8760 OPERATION PERMIT SYSTEM INSTALLED BY: f 01 q AUTHORIZATION NO. GLS OPERATIONIT ' X/w PERM BY: 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) DAVIE COUNTY HEALTH DEPARTMENT 00. 0-0 V IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systems ��.�� _ �� Permit, or Name `-�>�:,. ,:..t,:. \� . • ...�.. - Np 777, S/ 4 Dte h ^� Location _ Subdivision, Name Lot No. Sec. or Block No. Lot Size House Mobile Home_ Business Speculation No. Bedrooms - .No. Baths No. in Family _ Garbage Disposal YES 0 NO n SP ci is ions f, r System. Auto Dish Washer YES p NO ✓0 �'' �"" Auto Wash Ma .hine YES NO Type Water Supply __— *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject tp revocation if site plans or the intended use change. Improvements 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 day of completion. Telephone Number 704-634-5985. Final Installation Diagram: % System Installed by Certificate of Completion Date *The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. V 1 Improvements 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 day of completion. Telephone Number 704-634-5985. Final Installation Diagram: % System Installed by Certificate of Completion Date *The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. f s APPLICATION FOR SITE EVALUATIOWIMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. O. Box 665 SEP w 7 1993A� Mocksville, NC 27028 - --------- 1. Application/Perm Mailing Address Home Phone _ !ZZUF 7 Z % Business Phone 2. Name on Permit if Different than Above / 3. Application/Permit for: El General Evaluation a Septic Tank Installation 4. System to Serve: ❑ House V/Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms 3 Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions I FAX # I/ ❑ 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 Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: ® Public ❑ Private ❑ Community 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes VNo If yes, what type? *NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: 60'Zo'- 14? ck'f'�// Ra - This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. g --6-R3 DATE SIGNATURE CONSENT FOR SITE EV LUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: M 1. 1 OWN the property. ❑ 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 representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment and disposal system. DATE 3 � �( � / ( SIGNATURE DCHD (12-90) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME DATE EVALUATED J - ADDRESS _S A��' PROPERTY SIZE PROPOSED FACIILTY o LOCATION OF SITE Water Supply: On -Site Well Community Public Evaluation By:( .L Auger Boring Pit ✓ Cut FACTORS 1 2 3 4 Landscape position S S s" S- S Sloe ). - 13 HORIZON I DEPTH Texture group c L C L C Consistence l 57= I Structure Q P t Mineralogy 1 J 1:-77- 7 HORIZON II DEPTH HORIZON z)b' a a t-fo' y ' Texture group 0 Q_ IZ-14 Consistence 1- 1—S l•� Structure? A B Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS s• S '77- sRESTRICTIVE RESTRICTIVEHORIZON -- --- SAPROLITE -- --- CLASSIFICATION �3 0 LONG-TERM ACCEPTANCE RATE Lt v SITE CLASSIFICATION: EVALUATED BY:c+J2 LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:p Ao- REMARKS: ' �- --�T JZ�, N�► 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 DCHD(01-901 I APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department jn, IE Environmental Health Section P. O. Box 665 MAR i Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address -s Home Phone '?q8 7 17 Business Phone 2. Name on Permit if Different than Above 3. Application/Permit for: General Evaluatio ❑ Septic Tank Installation 4. System to Serve: ❑ House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown o , 5. If house, mobile home: Subdivision ,d Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms ❑ Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposal 6. If business, industry, place of public 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: Vxpl"Ublic ❑ Private ❑ Community 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No If yes, what type? *NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: �a- &w G&441t, 0'a"'e c� G Q/ �ic�2� - taw �G;Z��►-+- �� This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. DATE � �-� S GNATURE CONSENT FOR SITEE A I TO aE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1, I OWN the property. ❑ 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 representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment If disposal system. DATE SIGNATURE DCHD (12.90) • _ DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME�i91 DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY %�i'� ( LOCATION OF SITEi11`B� Water Supply: On -Site Well Community Public A/ Evaluation By: Auger Boring + Pit P/ Cut FACTORS 1 2 3 4 Landscape position Slope %— HORIZON I DEPTH Texture groupS' Consistence Structure Mineralogy HORIZON II DEPTH �/ -► Texture groupG Consistence Structure 6,1 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: Ar EVALUATED BY: LONG-TERM ACCEPTANCE RATE: f' 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 'r__*-_ 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)