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1920 Angell RdDavie County, NC , Tax Parcel Report Wednesday, October 12, 2016 WAK1VllVCT: '1't115 l� 1VU'1' A �UKVI:Y Parcel Information Parcel Number: E30000008003 Township: Clarksville NCPIN Number: 5821622672 Municipality: Account Number: 82531406 Census Tract: Listed Owner 1: DICKSON PAMELA A Voting Precinct: Mailing Address 1: 1920 ANGELL ROAD Planning Jurisdiction: City: MOCKSVILLE State: Zoning Class: NC Zoning Overlay: Zip Code: 2702&0000 Voluntary Ag. District: Legal Desc�iption: 1.752 AC ANGELL RD Fire Response District: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Totai Assessed Value: 1.83 Elementary School Zone: 12/2009 Middle School Zone: 008150082 Soil Types: Flood Zone: Watershed Overlay: 112910.00 Outbuilding � Extra Freatures Value: 25710.00 Total Market Value: 146150.00 9"�'�' Davie County, °o� NC 4 37059-801 CLARKSVILLE Davie County DAVIE COUNTY R-20 WILLIAM R. DAVIE WlLLIAM R DAVIE NORTH DAVIE Ce62 DAVIE COUNN 7530.00 146150.00 No ..�,Y t -_-' . .. .. ... . . .,.. h:_..:: -_ -- .. . . . _. - � . . -� . . : .. . . . .. . . _ .. . . . _. _ . . , ,_ t . y_ � �a � 'i . ... s `��`� AUTxoRizA'r�o� rro: DAVIE COUNTY HEALTH DEPARTMENT ' w-`� ��. ' Environmental Health Section PROPERTY INFORMATION Permittee,s �"'i � , P.O. Box 848 Name: �•�� ` Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 .,,'�"'--_. E �' / 'L�'y`' Directions to property: ,�'�,��;�Jr"�% ,�e"''F� Section: .I„ot' r� �t/ AUTHORIZATTON FOR SYST'EM CO ST UCTION Tax Office PIN:#���I�- C-'�.�� -%�� Road Name: . Zip: � � **NOTE** This Authorization for Wastewater System Construction MUST BE ISSLTED by the Davie County Environmental Health Section prior to issuance of any Building Pemuts. T'his Form/Authorization Number should be presented to the Davie County Building Inspections O�ce when applying for Building Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal SystGms) � „� �/ �% % ,,�,,., �, J ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION �'� .>�`�;:� �:>� ./ lf�� `�`J Js� /��'� �T IS VALID FOR A PERIOD OF FIVE YEARS. , ENVIRONMENTAL HEALTH ECIALIST DATE ISSUED � _ __ _ � � ;!:''_ ... � . " � � ��� �� � ���'� ' � - � � DAVIE COUNTY HEALTH DEPARTMENT � , s `' �� l;� �,.. .. •*� IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION ,,P _ .tt� .,. � F � . ermi ee s ,,�rr" � �, .t � 'Name: � f �� '� J:�F '�A��I��.A� �f:i I.ia /Y%,r ��� - � - ,r.�,.� . .:. � c:: a^'•- e . ;.Direction,s to property: ,�r ;� J i' rf��'' ,�' .�`` - i � IlVIPROVEMENT PERMIT Subdivision Name: f' ��~ ` �r��� , f �• i � F�� —`. _ Section: .Lot: f � Tax Office PIN:#�.. .��'� - �� �-+ �, .`., ,�--- �.;{ ;/; , x /:;T � ��J` ; °i" ^fi ;'/ t . � f� C"'�°' Road Name:: �"r �' { �� �> � f ,� '�-'' . Zip: �`�� �t - f: � y cy **NOTE** This Improvement Pernut DOFS NOT authorize the construction or installa6on of a septic tank system or any wastewater system. An ' ALTTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCI'ION must be obtained frc�m this Department prior to the construction/installation 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 Syst�ms) , q'`'.' f,' ��' ,..' ,�., �� t%r..� - s**NOTTCE*** TEIIS PERNIIT LS SUBJECT TO REVbCATION IF SITE ' ��,r� r ._ 1 � ; ''�, . ; ) . ,' ' ,+ r.: . PLANS OR TI� INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TI-IIS PERNIIT BEFORE INSTALLING TI� SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE /% # BEDROOMS �� # BATHS � # OCCUPANTS � GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFTCATION: FACILITY TYPE # PEOPLE # PEOPLFISHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE ��� TYPE WATER SUPPLY B-ifr`'�� DESIGN WASTEWATER FI,OW (GPD) ��° � NEW SITE v REPAIR SITE �� / SYSTEM SPECIFICATIONS: TANK SIZE u� GAL. PUMP TANK GAL. TRENCH WIDTH �/ROCK DEPTH f--� LINEAR FT:�frJG REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT � "`*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. I OPERATION PERMIT SYSTEM INSTALLED BY: �� / AUTHORIZATION NO. S� OPERATION PERMIT BY: �� 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, SECTTON .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) � .� ,_` ` ,. � . 1. Name to be Billed Mailing Address City/State/Zip APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMI -&� R �fT (� � Davie County Health Department � L5 a�' " Environmental Health Section � ' P. O. Box 848 J� !Z 6 �(� Mocksville, NC 27028 i����X (336 )751-8760 � j•fj ;p;",',FtaTAI Ni1.��1 '�***IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED�UN C`'�,��Qil�m ALL THE REQUIRED INFORMATION IS PROVIDED. 6 Contact Person � P I� Home Phone / ���� Business Phone �J ! ��y � 2. Name on Permit/ATC if Different than Above , Mailing Address 3. Application For: �' Site Evaluation � . City/State/Zip id Improvement Permit & ATC ❑ Both 4. System to Serve: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People � # Bedrooms y� # Bathrooms o�� ishwasher ❑ Gazbage Disposal ashing Machine asement/Plumbing asement/No Plumbing 6. If Business/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ❑ County/City UY Well 0 Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 0" No If yes, what type? LL llLLl\ ft lLriL VL\_- 1l / PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A P,�j�'� THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: �� I Tax Office PIN: # LS �� -�_ - �� � g � I Property Address: Road Name � � I City/Zip i � ' G I I If in Subdivision provide information, as follows: I Name: Section: Lot #: WRITE DIRECTIONS (from Mocksville) TO PROPERTY: � 0 � � This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter aze 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 n � T . and owned by as necessary to determine the site suitability. 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C . �":;p S � '� ���, ��o� .� 3� 3- �' MAP - o E_ N ' . �C Siry�le grain �1-�lassive CR-Crumb GR-Cranular ABK-Mgular blocky SBK-�ub��ngular blocky PL,-Platy PR-Prismatic �- • ' DAVIE COUNTY HEALTH DEPARTMENT . ,, .� � ' Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME �/9 i 7 `� DATE EVALUATED 7�,,�%/� PROPOSED FACILITY /L` PROPERTY SIZE /�� SUBDIVISION� ROAD NAME �.>i�l�l f.'/� �� Water Supply: Evaluation By: On-Site Well ✓� Community Auger Boring � Pit a� Public � Cut SAPROLITE rr eccrFireTrnrv SITE CLASSIFICATION: �� EVALUATION BY: ---�' �`��� C 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 - Firm VFI - Very firm EFI - Extremely frm 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 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 - gaUday/ft2 DCHD (01-90) ■��■■■�■�■��■■■■■■■■■�■■���������t■■��■■■�■■■�■■���■�e■�■ ■�������■■�■���■■�����■■���■�������■�■■■���■��■�■��■■�■�■ ■���■■■■■�������■�������■����■■■�������■������■�■■���■■■ ■��■■■■�t■■�■���■���■�■ ■■■■■■■����■■�■■■■�■�■■��■�■■■�■ ■�■■■■■■��■�■���■��■■■■■�■�■��■�����■�■■���■■��■■���■�■�■ ■���■����■■■■■■■■������■�������■■■����■■■��■■�■■����■�■�■ ■��■■■■■���������■■■■■■■���■����■■■■����������■��■����■■■ ■�■��■■�■■■�■■■■■�������■■■��■■����■�������■�■■■���■■�■�■ ■�■�■■■■�■������������■■■■■■�■■�■����■�■■■■■��■�■�■��■�■ ■�■■■����■■■■�■■■■■■■■����������■■■■���■��■������■■■■■■�■ ■����■■��■■�■■��■���■�■ ■��■�■����■�■�■■■�■■■■���■■�■�■ ■���■■■■■■������������■�■■■�■■■■■���■�■■��■����■■�■■�■�■ ■�■■■����■■■■■■■�■■�����������■�■■■����■����������■■■�■�■ ■�■�■■�■■���������■■■■■���■■������■■�■����■■■■■■���■■���■ ■���■■�����■�������■■������■������■■�������������■■■■■�■■ ■�■�■■���■■■■■■■■■■������■���■■■■■�■�■■■��■�■���■■■■�■��■ ■�■�■■���■�■�t�■������■■�■■■�■■■�����■■�■■■■■■■■■��■����■ ■���■■■■■■�����■■����■■■��■■�■■�■■■■�■��■�■■��■�■■■■�■�■■ ■�■��■���■■■�■�■■■■■■■����■������■■�■��■■�■�■����■■����■ ■����■■��■����■■■�����■ ■■■�■■■■■■■���■����■■■■�■�■�■��■ ■��■■■■■���■������■■■■■■��■■�■■����■�■��■�■■��■��■■■■■�■■ ■��������■■■■■■■■■■■■■�����■����t��■�■�■■■■■■■■■■■■■■■■�■ ■��■■■■■�■■�■�■■■■����■■���■�■■���■■�■■�■■■■■■■■���■����■ ■�����■�■■■�■�■�■������■■■■■��■■■■■■���������������■■���■ ■■■■��■■��■�■���■���■��■■■��■■■■■■■■���■s��������■■■■■■�■ ■��■�■■■■■■�■���■���■��■�■����■������■■■■�■■■■■■■■�■■�■�■ ■■�■■�■■��■�■�■�■����������■■�■■■■■���■��■■■�■■■■����■�■ ■�����■■■■■�■■��■■��■�■ ■■■■�■■����■��■���■������■■■■■�■ ■■■■�t�■���■�■���■�■■��■■■��■�■■�■��■■■■■��■��■�����■�■�■ ■■�����■■■■■�■■■■■��■��■■���■�■■■��■■��■���s��■���■■■■■�■ ■■�����■■■■■■■■�����■��■■■■■■�■■■�■■��■���■■■■■■�■�■■�■�■ ■■��■■�■■■■�■■���■�■■��■■■��■�■■�■��■��■���■��■����■■�■■■ ■■■■■�■■■■��������■■■t�■■�■■■■■■�■■����������������■■�■�■ ■■■■■■�■�����■��■■�■■��■�■��■■�■■■■■■��■■■■■�■■■■���■�■�■ ■■�����■�■■■■■■■■■������t�������■���■■■���■��■���■■■�■�■ ■■■■■■�■■■�■��������■■■ ■■■■■��sr■■■����t�■��■����■■�■�■ ■■■�■��■■■■■�■���■��■���■■■■■■�■l�1■■■■■■■■■■��■�■■�■■�■■■ ■■■��������■��■■■■�■■��■■■�����■G����■�■������■����■■�■�■ ■�■■■■�■■����������■■■■■■�■�■��■��r��■�■■■�■■■■■■■■■■■���■ ■■��■��■■■�■■■�■�■������■■■■■�■■■■�■�������■��■����■■�■�■ ■�■�■■�■�����■������■�■■■■■■■■■■���������t���������■■�■�■ ■■■■■■�■�����■��■■■■■■■■�����������■��■■■■■■■■■■■■■■■�■�■ Ziiiiii�iiiiiii�iiiiiii '�iiiiiii�iiiiiii�iiiiiii�iiiiiii� ■■■�■��■■����■���■■■■���■������■�����������■��■����■■�■�■ ■������■■■�■■■■■■■■■■��■�������������������■e�■����■■�■�■ ■■■����■��■����t■■�����■_"=====-�►�■■■�■■�■■■■�■�■■������■e ■■■■■■■■�����■e���::i���■�����■�t���■��������■�■����■■���■ ■■■�■�■■��■�■■���■■���■�■■■■■■■■■��■■■�■■■■■■■■■■■■■■■■�■■■ ■�■�■��■■■���■�������■������������i����������■��■�����■�■�■ ■■■�■��■■��■�■■���■■�■���■■■■■e■�i■�■■■■■■■■■■�■��■�■■�■�■ ■�■�■��■■�■■■■■��■■■■■■■ ■��■����i�������������������■���■ ■�■�■��■■��■■■■����■�■���■���■��■�i■■■■■■■■■■■■�■■■■■■■■■■■ ■■■■■■■■■���■■����■�■■■■■■■■■■■■■�i■■���■���■■��■����■■�■�■ ■■�■■■ ■■■■�■ ■■�■�■ ■�■��■ ■����■ ■���■■ ■�■��■ ■■■■■■ ■�■�■■ ■�■■■■ ■�■�■■ ■��■ ■��■ ■■�■ ■���■�■ ■■■■■�■ ■���■�■ ■��■�■■ ■����■■ �■■■■■ ■��■■ ■���■■■ ■�■��■■ ■��������■��t■ ■■■■■■■■■■■■�■ ■������������■ ■■■�■■■�■�■��■ ■■■���■������■ ■■■■■�■���■��■ ■�■�■�■■■■■�■■ ■���■■�������■ ■■■�■■�■■■■■■■ ■■�■■��■�■■■■■ ■���■�������■■ ■��■���■■�■�■■ ■��■��■■���■�■ ■■�■�■■■���■■■ ■�■������■�■�■