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394 Hobson Drive Lot 20, Section ADavie County, NC I I Tax Parcel Report Tuesday, January 31, 2017 WARNING: THIS IS NUT A SURVEY Parcel Information Parcel Number: M5110B0020 Township: NCPIN Number: 5745560646 Municipality: Account Number: 82527111 Census Tract: Listed Owner 1: SPILLMAN CALVIN D JR Voting Precinct: Mailing Address 1: 366 HOBSON DRIVE Planning Jurisdiction: City: MOCKSVILLE Zoning Class: State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: LOT 20 HOLIDAY ACRES SECTION 2 Fire Response District: Assessed Acreage: 1.30 Elementary School Zone Deed Date: Deed Book I Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 5/2006 Middle School Zone: 2006EO184 Soil Types: 0003 Flood Zone: 111 Watershed Overlay: Outbuilding 8r Extra Freatures Value: Total Market Value: Jerusalem 37059-807 COOLEEMEE Davie County DAVIE COUNTY R-20 DAVIE COUNTY CZOD No COOLEEMEE,JERUSALEM COOLEEMEE SOUTH DAVIE GnB2,GnC2,ChA DAVIE COUNTY 9 A�� Davie County, All data Is provided as is without warranty or guarantee of any Mnd 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 NC 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 website. AUT ORIZATION NO: 15 0 5 DAVIE COUNTY HEALTH DEPARTMENT `. Environmental Health Section PROPERTY INFORMATION Permittee's P.O. Box 848 Name: ! Mocksville, NC 27028 Subdivision Name: ! ✓�/ f� Phone # 336-751-8760 4 Directions to property: / ��' /, ��' �t �' l Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:#S7361-*' SYSTEM CONSTRUCTION Road Name: Zip: '0( **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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ! 6j.A , �1; 1� -% %� IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED - ry O DAVIE OUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION PelpiAee'� i -Name �� '�/ I Subdivision Name: o Ct"s Directionsto°property: Section: Lot: ' IMPROVEMENT PERMIT Tax Office PIN:#�, �Zerl_ - LJ Road Name: **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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE 1` ~°; s ^� ✓ 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 42� H # BEDROOMS # BATHS_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPES # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE/'% TYPE WATER SUPPLY < is DESIGN WASTEWATER FLOW (GPD) NEW SITE ��REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE �l)l)C) GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH J , LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: "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 (336)751-8760. OPERATION PERMIT 1' p � '� b� AUTHORIZATION NO. —� OPERATION PERMIT BY: DATE: ! v "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 WELL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96 (Revised) i APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMI Davie County Health Department Environmental Health Section (9 P O B 848 Fimm ox Mocksville, NC 27028 30SX&1 X ENVIROtAIEWAL 10,1.111 (336)751-8760 DAVIE COUrM ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ^ ALL THE REQUIRED INFORMATION IS PROVIDED. % 1. Name to be Billed I �� / � 11'� 0- ./1� f (/J �es� �%�� Contact Person Mailing Address P. 0 6 oX Home Phone —07- g& City/State/Zip C>oo/ eek &,e— Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address 6LJA e. Q6 QL oQ e City/State/Zip 3. Application For: Site Evaluatio El Improvement Permit & ATC El Both 4. System to Serve: ❑ House Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms —*2 # Bathrooms ❑ Dishwasher ❑ Garbage Disposal O Washing Machine U Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: 7. Type of water supply: # Seats County/City Estimated Water Usage (gallons per day) O Well 8. Do you anticipate additions or expansions of the facility this system is intended to serve? If yes, what type? *** IMPORTANT ❑ Community ❑ Yes Ur --No WITH THIS APPLICATION. Property Dimensions: C t WRITE DIRECTIONS (from ksvill e)TO PROPERTY: Tax Office PIN: # i Property Address: Road Name V� A-) -�--)ccl -_ t A p bso n lots 1 t 1 1 t 3l on If in Subdivision provide information, as follows: 1 Name: �� t 0 1 t Section: Lot #• t 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 , C� I I `� e 1 a,n O n i �6 cxn . , to conduct all testing procedures as necessary toll P111, ettermi a the site suitability. DATE � SIGNATURE Revised DCHD (06-96) YOU MAY USE THE BACK OF THIS FORM FOR DRAWING YOUR SITE PLAN. -- 'DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT'S NAME PROPOSED FACILITY? SUBDIVISION Water Supply: On -Site Well Community, SECTION_Z LOT.219 DATE EVALUATED ;_7 -"l.- / 1S PROPERTY SIZE C ROAD NAME�i7�a Public Evaluation By: Auger Boring Pit cl___� Cut FACTORS 1 2 3 4 5 6 7 Landscape position L. Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence r Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE Al - CLASSIFICATION LONG-TERM ACCEPTANCE RATE L SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) EVALUATION BY: OTHER(S) PRESENT: 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 ■■EEMEM■ ■■EEM■M■ ■M■■■EN■ ■E■ME■■■ ■M■■MME■ ■MEM■■M■ ■E■EME■■ ■MEMEMM■ ■MEM■■■■ ■MEM■■M■ ■o■m■■■■ ■EMEMEM■ ■MME■EM■ ■M■■EM■■ ■E■E■ ■EN■■ ■ENE■ ■■MM■ ■EN■■ ■EN■■ ■ENE■ ■■■E■ ■■M■E■■M■ MOMMEMEME ■■ENME■M■ ■E■M■■EM■ EMMEMEMEM ■M■M■■EM■ MEMMEMEME EMEMMEMEM ■M■■M■■M■ mons■NOM■ MEMMEMEME ■E■E■ME■■ ■■M■M■EM■ MOMMEMEME ■■EEMEN■■ ■■M■E■■M■ ■ ■■M■NM■■ ■E■■MME■ ■■MMEMM■ ■EMMEM■■ ■■M■■ME■ ■mMMEMM■ ■EMMEME■ ■EM■■ME■ ■EMMEMM■ ■EN■■M■■ ■■M■■M■■ ■E■■E■M■ MMM■_ ■ ■E■ ■ ■ NONE MEMO ■ ■ ■ ■EM■O■ ■■MEM■ ■EMNO■ ■EMEM■ ■■■E■EM■ ■■M■■ME■ ■■MEM■M■ ■E■■MM■■ ■E■■ MEMO