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199 Hawthorn Road Lots 7-8Davie County, NC Tax Parcel Report Thursday. January 26. 2017 Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 1.64 Elementary School Zone: CORNATZER 6/2009 Middle School Zone: WILLIAM ELLIS 007971081 Soil Types: GnC2,GaD,WATER 0004 Flood Zone: 105 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: F-0 WARNING: THIS IS NOT A SURVEY NC Parcel Information Parcel Number: J605000004 Township: Fulton NCPIN Number: 5758801993 Municipality: Account Number: 82530922 Census Tract: 37059-804 Listed Owner 1: HORN HENRY COOPER Voting Precinct: FULTON Mailing Address 1: 190 N MAIN ST 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: LOTS 7-8 HICKORY HILL Fire Response District: FORK Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 1.64 Elementary School Zone: CORNATZER 6/2009 Middle School Zone: WILLIAM ELLIS 007971081 Soil Types: GnC2,GaD,WATER 0004 Flood Zone: 105 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: F-0 Davie County, 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 NC or arising out of the use or Inability to use the GIS data provided by this website. Y „ DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT k 1 IMPROVEMENT PERMIT **NOTE** This improvemet 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 Art kie 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) i,, NAME � n /'ra /1 i^/7 PROPERTY ADDRESS .lYA Gi A m o t f2d — a ? O Ag DATE LOCATION SUBDIVISION`NAME /Y� C �a/ r /✓.' / LOT NUMBER SEC. /BLOCK NUMBER ' U/ ble- RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS T' # BATHS # OCCUPANTS a GARBAGE DISPOSAL: Yes/No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZEl '� C TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE JZ REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE Z,�2L GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH _ LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE FLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. .2A"ee N / 1 IMPROVEMENT 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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY h Qd �S I AUTHORIZATION NO., OPERATION PERMIT, BY DATE t �b - **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 Davie County Health Department ENVIRONMENTAL HEALTH SECTION P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with -Article 11 of G.S. Chapter 13OA, 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 Form/Authorization Number should be presented to the Davie County Building Inspections ' Offic ,when applying for Building Permits.*** AUTHORIZATION MM BER NAME •/ i? 1114 � /�l DATE �/ ,� /9I N1 n i ` 7 9 NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION �f< Jl� f�� /� b 7 ?l COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM ***NOTICE*** THIS AUTHORIZATION FOR A�TEWATER�5Y5TEM_ CCONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENVIRONMENTAL HEALTH -SPECIALIST DATE DCHD 10/95 .it APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE LE OW p,0 Davie County Health Department �• ,5.� �/ , Environmental Health Section NOV 2 1 1995 P. O. Box 665 e� ✓ Mocksville, NC 27028 1. Application/Permit Requested By Ike h f v C. Mailing Address 1,7 0 Q( rna I 5A-- • Home Phone aa- A4su/Ile itJC?oz� Business Phone 2. Name on Permit if Different than Above ���� 3. Application for: El General Evaluation fdSeptic Tank Installation Permit 4. System to Serve: ❑(House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown '719'5. If house, mobile home: Subdivision_ ►C Section C_ Lot # � O'tasement/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 Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: Public ❑ Private 8. Property Dimensions G fie, -- Sewage Disposal Contractor ❑ Basement/No Plumbing 2' Washing Machine P'Nshwasher ❑ Garbage Disposal 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No If yes, what type? ❑ Community I '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. PROPERTY INFORZ•iATION REQUIRED: Directions to Property: Tax Of f ice PIN 15- 7.55- 5-10 - j S9 3 Road Name '' II c . J rh(j rir y.4 :Y(D0S.o C00aL4 t t_�— Fox # (if available) , City .� I far T��,r,5lki.0 This is to certify that the information provided is correct to the best of my knowledge, and I understand 1 am responsible for all charges incurred from this application. l/'a/-9� DATE SIGNATURE/ CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I OWN the property. W2. I 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 representativ o the Davie Ccnty ealth Dep ment to enter upon above described property located in Davie County and owned by K Y to conduct all testing procedures as necessary to determine said site's suitability fo ground absorption sewage treatment If disposal system. K" aL=-- DATE/SIGNATURE DCHD (1/93) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAMEf� rn ADDRESS PROPOSED FACIILTY Water Supply: On -Site Well WA/ DATE EVALUATED �J//01� ll*gd' PROPERTY SIZE ,/l �> LOCATION OF SITE 1p' �, Community Public &-� Evaluation By: Auger Boring 1/ Pit Cut FACTORS 1 2 3 4 Landscape position Lr Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH l t 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 ,3 S— SITE CLASSIFICATION: �J LONG-TERM ACCEPTANCE RATE: '35— REMARKS: 3rREMARKS: DCHD (01-901 EVALUATED BY: Gam, ll 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 ;lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- V+ ---y 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 3C -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 Davie County Yleall D artment • and Nome Xealj � yency 210 HOSPITAL STREET/ P.O. BOX 665 MOCKSVILLE. N.C. 27028 PHONE.- (704) 634-5985 December 7, 1995 Henry C. Horn 190 H. Main St. Mocksville, HC 27028 Re: Site Evaluation Hickory Hill/Sec. C -Lot 7 & 8 Dear Mr. Horn: As requested, a representative from this office visited the aforementioned site on December 6, 1995. Based upon the information provided on the application for site evaluation and after the evaluation was completed, the site Was found to be provisionally suitable for the installation of an on-site sewage disposal system. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure(s)