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181 Allison LnDavie Countv. NC • Tax Parcel Renort Wednesdav. October 12, 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: WAK1VllV(T: "1'tllS 1� 1VU'l� A aUKV�Y Parcel Information H30000003503 Township: Calahaln 5719718500 Municipality: 1365000 Census Tract: 37059-801 ALLISON MARGARET B Voting Precinct: NORTH CALAHALN 181 ALLISON LANE Planning Jurisdiction: Davie County MOCKSVILLE Zoning Class: DAVIE COUNTY I-4,R-20 NC Zoning Overlay: 2702&8100 Voluntary Ag. District: No 2.25 AC OFF POWELL RD LIFE ESTATE Fire Response District: CENTER . 2.02 Elementary School Zone: WILLIAM R DAVIE Land Value: Total Assessed Value: 9"�'A Davie County, �o��,�� NC 7/2004 Middle School Zone: NORTH DAVIE 005600665 Soil Types: PaD,PcC2,CeB2 Flood Zone: Watershed Overlay: DAVIE COUNTY Outbuilding 8 Extra 0.00 Freatures Value: 0.00 8290.00 Total Market Value: 8290.00 8290.00 ;. �. - , ., _ � . , r ., .., ;.. . .. . .. _ „t - - _ a `. ' . i � ... . � � 7 . . ,. . - . ... . _ ,. .,. . . ` AUTH9RI�ATION NO '% ��,� J DAVIE COUNTY HEALTH DEPARTMENT �� '+ Environmental Health Section PROPERTY INFORMATION Permittee's J /� .,,,) P.O. Box 848 Name: t'��7}ii �°� r'�t' ��"�j��''" . Mocksville, NC 27028 Subdivision Name: i�:�l�Lt '1.. � � �ti;��t- �=� Phone #: 704-634-8760 Directions to property: . r Section: Lot: �i t,r'�F,I Lc:.Fr �, AU �ORIEWATER �R � �`��` � � SYSTEM CONSTRUC'TION Tax Office PIN:# •� �� - � �t- fr-.� ,�f i.� i_ �=_ F'� /i•r �i Q 3�.. �t11�L- G C�F'i �/f�c;y �.� 7�� c�3 � v/- i' Road Name: ��-'�-�—`'�-'a3 �.►'J Zip; L%c::�2�'� **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts. This Forrn/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Pernuts. (In compliance with Article 11 of G.S.,Cfiapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) . ,%� ,,� ,! l �- �' � i� l'`,,."�� ,%-.�'�""�""""`� � j,� ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION �_.e� l` ---"�r`"j %7 ��7� IS VALID FOR A PERIOD OF FIVE YEARS. � --- ' � ENVIROI3NIEN7'A�L�-IEALTH SPECIALI DATE ISSUED � - 'J : . _ ..ta . ; , ., � . - r . .. . . , , . : _, . . - a � � +�^ � �r --' � � .. `" � � -' ".� � "� DAVIE COUNTY HEALTH DEPARTMENT . r � �;r � ''.. y . • ' '`''�� IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Pernuttee's : � � N�me:�,; ; '�r , ' � _; �. `' '��€.� /'.� �'�, ��.�`.� Subdivision Name: 'Directions io property: '%'� p, ` 11, � ` '• : ` `� �"'~'� , Section: Lot: ' IMPROVEMENT , . f,� � t. � » ;, ��. f .�rr �.: �.�-� PERMTI' Tax Office PIN:# "�, .�r � ~�'� _ ~'";� � � { F e '3 . �.. f a ��.. . l'. . �l S,�- /, ' -, s .. '� . t. i�. {: %� . t,..�.�-�c . . _, . � ;.- � �;"' ; ;. { � d. � �� Road Name: .t � ' .� � �� Zlp: � c._ �f <. .. f ; **NOTE** This Improvement Pernut DOFS NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WAST'EWATER SYSTEM CONSTRUCT'ION must be obtained frc�m this Department prior to the construction/installarion of a system or the issuance of a building pernut. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) r- ; , � , �5{ � Jt. +� �,,......�-,. J. �.� ��lr (.. r ENVIRONMENTAIiHEALTH SPECIALIST-� �•. ' DATE ISSUED r ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INT'ENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING T'f� SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE �!•� # BEDROOMS -� # BATHS 7�, # OCCUPANTS _L GARBAGE DISPOSAL: Yes or�oJ COMMERCIAL SPECIFICATION: FACILITY TYPE 7 L �,�">"> LOT SIZE L•��' �YPE WATER SUPPL��k= Z-� # PEOPLE # PEOPLFJSHIFf # SEATS INDUSTRIAL WASTE: Yes or No DESIGN WASTEWATER FLOW (GPD) -~-�-�� NEW SITE �REPAIR SITE � �L� r ► ► ► �„�,,/ � / SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH �=-''��=' ROCK DEPTH ��` LINEAR FT. -�' /'�' . OTHER I ��`7 � t�'L�"�T f� o.J r"Y>;� •1��/� 1 /� REQUIREDSITEMODIFICATIONS/CONDITIONS: �'*�c�>7'��-�- C�`°a Ct'��CU``" �'��-±5 � C�F �-,Gif":�c- j��'-�'4:1 (,�T' �F j`�.c:C(� , '../',,. �_ **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: _S � Q�� Y ' AUTHORIZATION NO. " V � OPERATION PERMIT BY: DATE: �,o�� / ✓ **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 OS/96 (Revised) . •�"'"`l�7" � ' �� y � � APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERM � �A �� `� �`� Davie County Health Department � �'' � `' � �� " `i � Environmental Health Section 1 P. O. Box 848 �R 2 � �� Mocksville, NC 27028 � (336 751-8760 ENYIRONP�IENTAL HF1`il.IFI ' 4AVIE COl1fJTY ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed .a / /� � � Contact Person � � Mailing Address %�/ ,��. G �.r� � y. - Home Phone �`!2- h 7�'"7 City/State/Zip 1�%� n �S' 1/ � � ��-P /�, �. �-7 �' � � Business Phone 2. Name on PermiUATC if Different than Above �'�_� I� �' r� ti�,[g- _ /� I�� S�'r� Mailing Address �� .'r ,..._ 1. �. City/State/Zip /1�4C �'� C �� %/. 19C: 2 7 G'�� 3. Application For: ❑ Site Evaluation 0 Improvement Permit & ATC � Both 4. System to Serve: ❑ House 0� Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People _� # Bedrooms � # Bathrooms � ❑ Dishwasher ❑ Garbage Disposal � Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: # Commodes If Foodservice: 7. Type of water supply: Specify type # Showers _ # Seats ❑ County/City # People # Sinks # Urinals Estimated Water Usage (gallons per day) pd' Well # Water Coolers ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes �' No If yes, what type? E Z THER tt PLttT OR SI IE PLrIN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A P.�' THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: � • .Z � �i ,C ,C�� Tax Ofiice PIN: # S %� � - " �% � - D �Q � Property Address: Road Name ��'s �,.-� j� City/Zip '� �l'� � � � If in Subdivision provide information, as follows: Name: Section: Lot #: WRITE DIRECTIONS (from Mocksville) TO PROPERTY: G C� r.�� - %�a ��' 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 as necessary to determine the site suitability. DATE ��_ SIGNATURE Revised DCHD (06-96) .; l�JOU MAI,J USE THE $ttCK O� THIS �OIZM �'OR blZttWING l�/OUR SITE PLtIN. conduct all testing procedures d` � "° na.eeA� � « 4128 +a � � riooa� eso� � � 0 � l2/A! C � 8879 � w � to° y � +ti 5 $ n.9zn� � �sst � �� 'd A1 1,a 0 W � . a � ^� � .,a V� A � ,� �. % 1� �aa � � ° � d l� a t l&74A1 " I > 13.I4A) �' 6155 . � / . �� f� 1111 � nN) �� 4 � °j u� Y � +� sa fzisa! v+ 6est �� r Scale:l"= 616 April 21,1998 9:26 AM , • ' ' , . � , �` •� • � ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME �.`�i� �LLI_ F�� l`� DATE EVALUATED �� I hg 1 q� PROPOSED FACILITY '`� �� % PROPERTY SIZE 2-.�LCca QC.�L;z� SUBDIVISION ROAD NAME %-bLLtS�On) �� Water Supply: On-Site Well � Community Evaluation By: Auger Boring '� Pit FACTORS Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 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 C� l' 1 ). SITE CLASSIFICATION: i -� � LONG-TERM ACCEPTANCE RATE: � � �� REMARKS: DCHD (OI-90) Public Cut 3 4 5 6 7 EVALUATION BY: �I�F � � � OTHER(S) PRESENT: ��^1`�"/1o�t1�"� � TT��-�.vs�— 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 MineraloEv 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fll - 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 - gaUday/ft2 ■■ ■■ ■■ ■■ ■■ ■��■■■■�i�■�■■ ■■■■■��II■��■ ■�■�■■��1■�■■ ■■■��I��■ ■��■■■■■■■■�■■ ■�■��ii��■ ■■■■■��1■��■ ■�■■■■■■\r■■�■■ ■�■��■�■■■�■■ ■■■■■■■■■■■�■�■ ■�■�■■��■■■■■■■ ■��■■�■■■�■■■■ ■��■�■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ � ■ ■ ■■■ ■■■ �� ■■■ ■■■ ■ ■■■■ ■■■��■ ■��■■��■■■■ ■��■■■■�■■ ■�■�■��■ ■�■��■ ■�■■■■■■�■■ ■��■ ■��■■■■��■ ■■■■■■�■�■■ ■■��■■ ■■■��■O�■ ■��■■■■��■ ■��■■■■��■ ■��■�■■ ■■■��■■ ■■■■■■■■�■■ ■��■ ■■��■�■■ ■��■■■■■■■■ ■��■■■ ■O�■■■■■��■ ■■��■��■ ■■■■��■■■■■ ■■�■■■■■■■■ ■■��■■ ■■■■■■■■■■■ ■��■ ■�■�■■■�■■■ ■�■��■�■ ■■■��■�■ ■■■■��■■■ ■�� ■ ■��■ ■■�■��■��■■ ■��■ ■��■��s ■��■�■■■■�■