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117 Leanne Lane Lot 60 Davie County. NC ' Tax Parcel Renort Tuesday, November 29, 2016 Building Value: Outbuilding 8r Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 0 A IS SOU ti'tA WARNING: THIS 1S NOT A SURVEY All data Is provided as Is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to the Implied warranties of 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 or arising out of the use or inability to use the GIS data provided by this websNe. Parcel Information Parcel Number: D3120A0006 Township: Clarksville NCPIN Number: 5822628299 Municipality: Account Number: 33741500 Census Tract: 37059-801 Listed Owner 1: HAYES LARRY WAYNE Voting Precinct: CLARKSVILLE Mailing Address 1: 117 LEANNE LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 6 COUNTRYSHIRE WAY Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 5.88 Elementary School Zone: WILLIAM R DAVIE Deed Date: 12/1995 Middle School Zone: NORTH DAVIE Deed Book / Page: 001840720 Soil Types: MrB2,IrB,MsC,MsB,MsD Plat Book: 0006 Flood Zone: Plat Page: 051 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 8r Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 0 A IS SOU ti'tA Davie County, NC All data Is provided as Is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to the Implied warranties of 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 or arising out of the use or inability to use the GIS data provided by this websNe. IMPROVEMENT PERMIT - DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT ✓x� **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) —to-14 DATE /%'/T, "/j LOCATION SUBDIVISION FLAME t �G7.�%� �y'7.���%Z-�--Vb4LLOT NUMBER (!.+ SEC. /BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE #DROOMS,, # BATHS -9 # OCCUPANTS GARBAGE DISPOSAL: Yes Co COMMERCIAL. SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE 5 ; `%r'c TYPE WATER SILLY / DESIGN WASTEWATER FLOW (GPD),-;Wh FEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ! ' , ROCK DEPTH _ LINEAR FT. S ;�6 OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PIANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR FUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. VI � IMPROVEMENT PERMIT BY N **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 ( 1 F P0 py ,,� /Jo AUTHORIZATION NO. OPERATION PERMIT BY ��'/D 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 R.i• ♦ e, t.'.. 1.� �' Ser '.:.'•. ..l + '.'.t 4 f ' ...- �.1-c�,�\ :..f_ err. ~, 'Davie County Health Department ENVIRONMENTAL HEALTH SECTION i. .. P.O. Box 665 .�' Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in'rompliance with Article`ll.of S.S. Chapter130A, 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,Fore/Authorization Number should be presented to the Davie County Building Inspections :- Office when applying for Building Permits.*** - .k AUTHORIZATION NUMBER NAME A ' DATE !S �� N2 ,i � 6 3 NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM *}*NOTICE*}* THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. a _,2.17 JrL AJ APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERM 5� Davie County Health Department Environmental Health Section P. O. Box 665 D �C Mocksville, NC 27028 1 0�1 , J yaw pplic'dffon/Permit Requested By Mailing Address -?'-s - z OCT 10 in F . Home PhoneCZ0 !/) 9 ,Ss- ` 73 Business Phone�ld� 9 / S 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation Veptic Tank Installation Permit i:. 4. System to Serve: ❑ House Mobile Home q� ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑Unknown 5. If house, mobile home: Subdivision YJ CUA Section �_ Lot # _;e ❑ Basement/Plumbing No. of People ( ❑ Basement/No Plumbing No. of Bedrooms 91-W9shing Machine No. of Bathrooms Cl-&s`>'iwasher Dwelling Dimensions ❑ 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 Sinks No. of Urinals No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply:ublic ❑ Private 8. Property Dimensions - L?dnLQ-2 Sewage Disposal Contractoi 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Yes U/No ❑ Community 1 *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. YRUYLRTY 1NEUKM TlUN REQUiRLD: Directions to Property: C Tax Office PIN # 5792,;L-102 - 828 4a Gasp\ �' %L Road Name 004-6,77,tp- ��:�;, �2 Box # (if available) cls QJ City ` or-,�'st�i//rte p4qn per -j- y +0 +I..� �,�(, „ fv,. bio- w'*►1 b� oeil� a~.� L'a�.Po1� �'�'* A" `� S .b (-►� +�S'iJi�"- 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. y- 9S - DATE SIGNAT E CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. C► 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: 1 hereby give consent to the authorized representativ f theavie Co my ealth Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to 6iter said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIG URE DCHD (1193) 1. Application/Perm Mailing Address APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMI T Davie County Health Department let) Environmental Health Section P. 0. Box 665 1 Mocksville, NC 27028 Home Phone qSYM 2 7 Business Phone AO _ ,A- D D . 2. Name on Permit if Different than Above 3. Application/Permit for: LZ -General Evaluatio+-/ ❑ Septic Tank Installation 4. System to Serve: ❑ House ❑ Mobile Home q� l Place of Public Assembly ❑ Business ❑ Industry ❑ Other ���� V)6p Unknown 5. If house, mobile home: Subdivision , li�JLE Section.—I Lot #— ❑ Basement/Plumbing No. of People No. of Bedrooms No. of Bathrooms _ Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Sinks No. of Urinals No. of Lavatories . No. of Water Coolers No. of Showers Water Usage Figures. 7. Type of water supply: Public ❑ Private 8. Property Dimensions 4Z !1&1 Sewage Disposal Contractor ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No If yes, what type? ❑ Community "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 Props (0 0'/ /llea,Z� - �w �li•�a.�- 1 pCP.aoL 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. /IV,aAelz 15; �� g913 4 A,4Z 1444-17Y DA E81GNATURE CONSENT SITE EVA4UATION TODONE QN 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 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section ��( Soil/Site Evaluation j � (�' NAME 1,4,11� DATE EVALUATED 7 ADDRESS PROPOSED FACIILTY PROPERTY SIZE �� LOCATION OF SITE Water Supply: On -Site Well Community Public z:;� Vim' Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position 14 Sloe % HORIZON I DEPTH !/ " r -e Texture groups`z Consistence Structure Mineralogy HORIZON II DEPTH Texture group' Consistence Structure .oI C 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: 11/y,// 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 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 -Finn 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 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 DCHD(01-901