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653 Bell Branch Rd Davie County,NC 'fax Parcel Report Friday, September 23, 201 f 687 678 653 f fir 625~ WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: B20000003101 Township: Clarksville NCPIN Number: 5814306614 Municipality: Account Number: 82530991 Census Tract: 37059-801 Listed Owner 1: WILSON ERIC LEE Voting Precinct: CLARKSVILLE Mailing Address 1: 653 BELL BRANCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: 1.687 AC BELL BRANCH RD Fire Response District: COURTNEY Assessed Acreage: 1.45 Elementary School Zone: WILLIAM R DAVIE Deed Date: 7/2009 Middle School Zone: NORTH DAVIE Deed Book/Page: 008010937 Soil Types: MnC2,MnB2,MdB Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 152110.00 Outbuilding&Extra 20280.00 Freatures Value: Land Value: 17840.00 Total Market Value: 190230.00 Total Assessed Value: 190230.00 All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, 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 �'pUN.t NC or arising out of the use or Inability to use the GIS data provided by this website. e ' ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990004079 Tax PIN/EH#: 5814-30-4694 Billed To: Eric Wilson Subdivision Info: 6-053 Reference Name: Location/Address: AQ Bell Branch Road-27028 Proposed Facility Residence Property Size: See Map ATC Number: 4494 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s)(in compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Al•�4� Date: O� CERTIFICATE OF COMPLETION , **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improv ent/Operation Permit has been installed in compliance with Article I 1 of G.S.Chapter 130A,Section.1900"Se a Treatment and Disposal Systems,"but shall in NO WAY be taken as a guarantee that the system will fun on satisfactorily for any given period of time. TV—\ ^ aT s 1tv r� —ter �ta It(Lo It 3! lv �-��A� N•Ia sr � � s Septic System Installed By: l Environmental Health Specialist's Signature: Dat.) / Div DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT •.. Environmental Health Section ' P.O.Boa 848/210 hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account M 990004079 Tax PIN/EH M 5814-30-4694 Billed To: Eric Wilson Subdivision Info: Reference Name: Location/Address: 719 Bell Branch Road-27028 Proposed Facility: Residence Property Size: See Map ATC Number: 4494 **NOTE**This Improvement/Operation Permit DOES NOT authorize the construction 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 I 1 of G.S.Chapter 130A,Wastewater Systems,Section .1900 Sewage Treatment and Disposal Systems). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type �j �� #People _ #Bedrooms --7L #Baths Dishwasher: Fr Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ i Lot Size Type Water Supply Design Wastewater Flow(GPD) Q Site: New) Repair❑ ' t� System Specifications: Tank Size L05AL. Pump Tank GAL. Trench Width7� Rock Depth OJ A Linear Ft.3 D S 1 r� I Other: 5 WAS 1(111 yyW�t W�, ott �n d\ -� ntt rw 7 N�vtyu-S m 1 r Required Site Modifications/Conditions: V 0 Sv�0., OVA S IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUEN ILTER RISER(S)IF 6°G BELOW FINISHED GRADE. ****NQTICE:_Contact a representative of*k-nav+esol Ith Department for final inspection of this system between 8:30 a.�to 9:30 a.m.or 1:00 p.m.to 1:30 p.m.on y� ...., of installa 1 n. Telephone#is(336)751-8760.**** i MSX �Y��6 / Oct Qr � o J 3 1 S on, r )00 d 801 ' . • C`�Y\, Environmental Health Specialist's ignatu Date: 1-10 1 SS w�er+V c rnp.V DCHD 05/99(Revised) 9-S A.4. S Vo ld '4' � I 1 Iqs wick ' SITE EVALUATION/IMPROVEMENT PERMIT & ATC L Davie County Health Department 1 2006 ` Environmental Health Section P.O.Box 848/210 Hospital Street Mocksville NC 27028 COUNn � ..� (336)751-8760/Fax (336)751-8786 Application For: ❑ Site Evaluation/Improvement Permit ❑ Authorization To Construct(ATC) 2-goth ***IMPORTANT***THIS APPLICATION CANNOTBEPROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. f APPLICANT INFORMATION Name to be Billed J=r i C W i I So h Contact Person Billing Address '71 el (3 e l l Q ,an Ch Road Home Phone S96—11 to 3-a/6, 1 City/State/ZIP MoCKSYMe, 1VV_ 270a8 Business Phone 33[0 - JPga - ,7&.o& mobile; Name on Permit/ATC if Different than Above Mailing Address City/State/Zip PROPERTY INFORMATION NOTE: A survey'plat or site plan must accompany this application. (Permit is valid for 60 months with site plan,no expiration with complete plat.) Street Address '7 /C) 6 e d Oraneh Roelof City vi 11 e Tax PIN# 5.ff1 y 3 D q l0 9 y Subdivision Name Section/Lot# Lot Size Directions To Site: From Moek1svi 11c, - tooltJ 4-0 1 eFf-I CW0Jaapi� ; qo -la S*Dj2 S1yi ;�m Jrft ave (3ctt ey-Arid, r-oad ` Date House/Facility Comers Flagged $ -ot/ -D If the answer to any of the following questions is"yes",supporting documentation must be attached. Are there any existing wastewater systems on the site? ❑Yes 0610 Does the site contain jurisdictional wetlands? ❑Yes Ao Are there any easements or right-of-ways on the site? ❑Yes L60 Is the site subject to approval by another public agency? ❑Yes 21�o Will wastewater other than domestic sewage be generated? ❑Yes 1!nqo IF RESIDENCE FILL OUT THE BOX BELOW #People 3 #Bedrooms J #Bathrooms A Garden Tub/Whirlpool ❑Yes Q'No _ Basement: ❑Yes [9, o Basement Plumbing: ❑Yes Qflo IF NON-RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building #People #Sinks #Commodes #Showers #Urinals Estimated Water Usage(gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: #Seats Type system requested: AConventional ❑Accepted ❑Innovative ❑Alternative Zotherr,hCun6Qr!2i$ rY1 Water Supply Type: ❑ County/City Water C9*New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes B to If yes,what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s)or ATC(s)issued hereafter are subject to suspension or revocation if the site is altered,the intended use changes,or if the information submitted in this application is falsified or changed. I understand that I am responsible for all charges incurred from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine complianc with applicable laws and rules on thabove escribed prop located in Davie County and owned by Site Revisit Charge Property owner's or owner's legal repitsentativAignatu6i Date(s): 7-a l-,�b Client Notification Date: Date S u4 W/ �,�G w 1'tc:� EHS: Sign given es ❑No +Cti � ��✓\5� "' b�� Account# Revised 2/06 0 Z�l -Vol -\41� V0i (,` Invoicel,#11 w IPS z N 34057'48"E 373.30' �. NEW LINE IPS o - 1 . 68742±ACRES W BY COORDINATE COMPUTATION z ev °.' INCLUDING AREA IN RIGHT-OF-WAY a cn � W o z E P Z B200000031 EIP MELVIV LEE SON ET UX 0 E- DEFT BO 30 PAGE 166 0 a \� m cv PT \ J !n \ o a \ o \ 'n LLB 2° PT `_- �.\ IPS Sg„ ;n \LIc R W 1p0°0 N GHT,op-h, PTS 42006',56"W 82.27. ` PT -`, s•R. 137 LEGEND -- EIP EXISTING IRON PIN IPS IRON PIN SET PT . POINT .a . Davie County GIS Viewer Page 1-of 1• V)SVIO County Home Contacts Departments Information Help Property LinesZoom Power Redraw Map ••, ' Rec 1 Layers Parcel Number 6200000031 Visible k PIN ❑ Address Points Number 5814304694 ❑ Driveways Account 000080192500 Cit..-�--�-..� � Y Limit Lines Number Listed ux ,f � El5 Ft. Contour Owner#1 WILSON MELVIN LEE �� - . ❑ RailroadHos Listed Streets Owner#2 WILSON VIRGINIA G F Property IMailingDimensions Address 1 719 BELL BRANCH ROAD f� Property Lines Address 2 � 1 ❑ Aerial Photos City MOCKSVILLE El Subdivisions State NC ,'' ElCensus Tracts I Zip Code 27028 �,� ,f' ❑ Emergency Legal 4 ,y' Service Zones Description 6.92 AC BELL BRANCH R[. �� 'f ❑ Flood Zones Acreage 6.517 % 110N Flood Map Deed Date 019771028 �,f f Panels Deed Book' n ,� � D Streams and Page 001030166 N: ! f, ' ❑ Water Bodies Plat Book ' ' ��' `.' Middle School Plat Page ` ,ff ❑ Districts Building ❑ Elementary Value 91020 School Districts Outbuilding ❑ Soil Types and Extra Features 10080 ❑ Township Value ❑ Voting Precincts Land Value 34670 Click a button below,then si Tn4�1 _e click on the map to get info a t Get Parcel Info New Search Hein Get All District Info /--� /maps.co.davie.nc.us/website/mapviewer/viewer.htm?name=Davie&Cmd=Start 08/01/06 • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990004079 Tax PIN/EH#: 5814-30-4694 Billed To: Eric Wilson Subdivision Info: Reference Name: Location/Address: 719 Bell Branch Road-270,28 Proposed Facility: Residence Property Size: See Map Date Evaluated: Ef Water Supply: On-Site Well ✓ Community Public Evaluation By: Auger Boring LZ Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope% o Z HORIZON I DEPTH Texture groupL L Consistence Structure Ls�^ .Mineralogy /; HORIZON H DEPTH j Texture group '(r Consistence r r' 7171 Structure Mineralogy / ` HORIZON III DEPTH f 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: EVALUATION BY: LONG-TERM ACCEPT CE RATE: ' � OTHER(S)PRESENT: 6 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 firm }�'et 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 DCHD 05105(Revised) ■e■■■■■e■■■s■■■■■■eee■ee■■e■■■■■■■■■■■■■■■s■■■■■■■■■■■■■■■■■■■■■■■ ■■se■■■e■■e■■e■■■■■ee■ee■ee■ee■■�a■■■e■ea�■■■■■■■■■■■■■■■■■e■■ee■■ ■■■■■■see■■■■■■■■■■■■■■■e■�==_�====a■■■■■■e■■e■■e■■e■■ee■e■■ecce■■ ■■■■■■■■e■■s■■■■sass■■■s■s�i■■■■■�■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■s■■■■■■■■■■■e■■■■i�■■■ ae■■■■■■■■■■■■■■■■■i�w■■■eee■■■■ee■ ■■■■■■■■■■■■■■■e■■ENE■■■■■e■I■■■!romwFoOMM■■MEN■e■■e■ ■ UiiiiiassiiiiiiNNEN R Mii MEW295P oisii i LOiiiiiMENNEN e■e■■■■e■■■■■e■■■■■■■■■■■■■i■■■r■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■eee■ ■■■■■■■■■■■■■■■■■■■■■■■ee■ie■err■■■■■■■■■■ee■■eeeeee■eeeee■■e■■■■■ ■■■■■■■■■■■e■ee■■e■■■■■ase■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ee■■■e■ecce■e■■■■■■■■■■■■e■ee■ee■■■■■■■■■■■■■■■■ ■■eeeee■■■■■■■e■■e■■■e■e■ee■■r�■■eeeee■ee■■■■■■■■■■■■■■■ea■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■e■■e■■■■■■■■eee■■e■e■■■■■■s■■■■■■e■■■■■■■■■■■■■■■■■■■■■■■■ ■■ee■ee■e■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■eee■■■■eeeee■■■■■ ■■■ee■■■■ee■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ecce■■■■ee■■■■■■■■■ ■■■■■■■■■■■■■■■■■■eee■■e■■■■■ee■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■■e■■■■■ee■■see■e■ ■ecce■■■ecce■■■■■■e■■ecce■■e■eeeee■■■■■ecce■■■■■■■■e■■■t■e■■■■■■■■ ■■■ecce■■e■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■t■■■■■■■■■■■■■■■■■■ee■e■ ■■■■■■■■■■■■■■■■■■■■■■■■■ee■■■ee■■■■■■■■eeeee■eeeee■■eee■e■ee■e■■■ ■■■■■■■■eeeee■ecce■■■■■■■■■■■■■■�■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■s■■■■■■■■■■■■■see■■■■ecce■■■e■■■e■■■■■■■■ ■■■■eeeee■■e■■e■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■ fig Aj 7A, O�o w— Davie County Health Department Environmental Health Section P.O.Box 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760/Fax(336)751-8786 Improvement Permit September 11,2006 Mr.Eric Wilson 719 Bell Branch Road Mocksville,NC 27028 Re: 719 Bell Branch Road Tax PIN#5814304694 Dear Mr.Wilson, This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems). This Improvement Permit is subject to revocation if site plans or the intended use change. System To Serve: &4 5 Wastewater Design Flow(GPD): ? O Valid: KYears ❑No Expiration System Type: PConventional /Accepted ❑Innovative ❑Alternative ❑Other Site Modifications/Permit Conditions: A a pied Systems may also bo use 661A Z Site Plan t LAI P61P �e -------------- �D bid hvironmental Health Specialist Date i.p.letter 7/06