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123 Bowman RdDavie Gaantv, NC Tax Parcel Report Wednesday, October 12, 2016 WAK1V11V1s: llil� 1� 1VU1 A�UKVLY Parcel Information Parcel Number: B30000000606 Township: NCPIN Number: 5813898538 Municipality: Account Number: 77031750 Census Tract: Listed Owner 1: WATERS JOHN DALE Voting Precinct: Mailing Address 1: 123 BOWMAN ROAD Planning Jurisdiction: City: MOCKSVILLE State: Zoning Class: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: 2.01 AC BOWMAN ROAD Fire Response District: Assessed Acreage: Deed Date: Deed Book I Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 1.75 Elementary School Zone 3/2016 Middle School Zone: 010120840 Soil Types: Flood Zone: Watershed Overlay: 64250.00 Outbuilding & Extra Freatures Value: 25810.00 Total Market Value: 100360.00 Clarksville 37059-801 CLARKSVILLE Davie County DAVIE COUNTY R-20 No COURTNEY WILLIAM R DAVIE NORTH DAVIE MnB2 DAVIE COUNTY 10300.00 100360.00 9�,�� i�, All data fs provided as Is wfthout warranty or guarantee of any kind cither expressed or Implied Including but not limited to the Davie County� Implied warranties of inerchantability or fitness for a particular use. All users of �avfe County's GIS website shall hold harm�ess the N� County of Davie, North Carolina, its agents, consultants, contrectors or employees from any and all elalms or eauses of aetion due to np� xq"� or arising out of the use or inability to use tho GIS data provided by this website. . . ., .. . . .. .. � ns:..,, �k. - � •��� . , . , :;., ,t � � . , � : •�, . " : ` ' �' ,. , , - -- . , � ' J.� �CO � . �,�'���QRIZATION NO: O$$ 6 DAVIE COUNTY HEALTH DEPARTMENT �"��`"'�`' � a'�� -- �_. " Environmental Health Section PROPERTY INFORMATION Penl�ttee' ,`, ,�c P.O. Box 848 Natrie:` �ja�G w''Q�� �K7 Mocksville, NC 27028 Subdivision Name: � Directions to ro ert �� d i�'*� ' tiy..r. _ Phone #: 704-634-8760 , P p y� AUTHORIZAT'ION FOR Section: Lot: "�.� �;;y ��,s�;�.,.�.� ��� �,(�� � �. WASTEWATER Tax Office PIN:# � � � - �� - � � t�'"�' SYSTEM CONSTRUCTION -, � `�`'�.y..�^c.ra.r- �\�, � � Zi ��- ' RoadName�LiWttr,�.t� p: � 4�..� **NOTE** This Authorization for Wastewater System Constnaction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts. This Form/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. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) � �, C,-` ;� „� ^�, p ***NOTICE*** THIS AUTI�ORIZATION FOR WASTEWATER CONSTRUCTION ._.'�.,—':�=��� �-`�_a���. ��� r !� IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED . _. . - , . : DAVIE COUNTY HEALTH DEPARTMEN . . ��� _ `U r •� � ^, r: .y.. � �` j (.� .'"1�.� � � � �. T. �.a_.. . k..:a ��,1-�;`� IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Peranit"�ee'-� • �,, Nanie:r �'�� t� f?-`� '��'r� �6`� .-�-_� Subdivision Name: � • � . Directions to property: �:? f� � t'� ~�� Section: Lot: Il�IPROVEMENT ,; ,. v:r;` ,•t--:��.. �:��. �;�t�,� 't.,� _. PERMIT Tax Offce PIN:# r��- 'f - % ���`�"�Y ' �`' < _,-..r.,x..�-,.,r-.. �`'`�;=y�. Road Name�� ,.�� ��c;.y, 'i- � Zip: t:� tl��`�� **NOTE** This Improvement Permit DOES NOT authorize the const�uction or installatian of a septic tanlc system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTTON must be obtained from 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 andpisposal Systems) 4' ` ***NOTICE*** THIS PERNIIT �S SUBJECT TO REVOCATION IF SITE �. � ti ' �,,- ti ,� � � , ,. � _ � �� , £:-. �.._ , ;... �. s���;).;�. � :.: ;�� PLANS OR Tf� INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TEIIS PERMIT BEFORE INSTALLING TFIE SYSTEM. RESIDENTIAL SPECIFTCATION: BUILDING TYP�'� •�4a:a # BEDROOMS � # BATHS � # OCCUPANTS i� GARBAGE DISPOSAL: Yes o.N�o COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLF/SHIFI' # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE� � s z:� TYpE WATER SUPPLY �^'��� DESIGN WASTEWATER FLOW (GPD) ��� NEW SITE � REPAIR SITE -, � .� u �1 SYSTEM SPECIFICATIONS: TANK SIZE �� Q GAL. PUMP TANK GAL. TRENCH WIDTH � ROCK DEPTH �-L LINEAR FT.'�'� REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT �� �`1. \� G �e .__._---�--- � I �1 � �'��^G,.E . �---�.,—..,..._ **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 - 130 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY: C1sm�� � � (`c�. 1� � ��e � � , "'p Q r� n� O�Sr AUTHORIZATION NO. � ��� OPERATION BY: ��' � �_ DATE: �Y``� " V � **THE ISSUANCE OF THIS OPERATION PERMIT SHAL�INDICA�HAT T ESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAP'TER 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) APPLICATION FOR SITE EVALUATION/IMPROVEMENT �: ****IMPORTANT**** Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 � c� � a�� D r�AY 2 7 �997 � THIS APPLICATION CANNOT BE PROCE5SED UNLE5S ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Bi11ed� Y�. (it%� _ Contact Person �Q-�`Q- �' � W��'�"" ""' Mailing Address ��� ��u��� �� Home Phon �� �� d� I �^'v City/State/Zip �%I�i�C��%�� �i �� 70 �-g Business Phone 2. Name on PermidATC if Different than Above Mailing Address 3. Application For: [] Site Evaluation City/State/Zip [�Improvement Permit & ATC [ ] Both � 4. System to Serve: [] House f�(] Mobilr__________e Ho_me [] Business [] Industry [] Other � 5. If Residence: # People 2 # Bedrooms�_ # Bathrooms "Z [�Dishwasher [] Garbage Disposal [�] Washing Machine [] Basement/Plumbing [] Basement/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: [] Couniy/City [� Well [] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes [] No �� If yes, what type? EITHEIZ tl PLttT OIZ SITE PL.tIN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** AC�',�'4K'OF THE PROPERTY MUST BE SUBMITTED WITH T I�S APPLICATION. Property Dimensions: � �� �iLai�.. � WRITE DIRECTIONS (from V�Iocksville) TO PROPERTY: Tax Office PIN: # -%r l - � � - � � y � � Ln () % �l �� uc�-�t+-•�. %i�•U Property Address: Road Name �..1. �� / d.i City/Zip ��� .nr .� Y� �. Ci ; �—�run� Lo � I � � �C� If in Subdivision provide information, as follows: �-� 0�"� � � Name: � � � Section: Lot #: � This is to certify that the information provided �s conect 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 Repr entative of the Davie County Health Department to enter upon above described property located in Davie County and owned by ' t conduct all testing procedures as necessary to determine the site suitability. DATE � % SIGNATURE ,�O �. (.t� Revised DCHD (06-96) THIS tlltEtt ��tJ 13E USEb �OR bRt11VZNC� JOUIt SZTE YLs'1N: � � J .• �� � , , APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER • Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 ECEIVE ��{� z 3 ���� �� J 1. Application/Permit Requested By ,�� e� v {'C � A � � s7►=3 '% '�- —1 �• Mailing Address � . 1- W 01 Home Phone �V�CwrC�-) �� � ��� Business Phone 9 ' N' � 3 � 2. Name on �ermit if Different than Above ��� �� �`�-� 3. Application for: �( eneral Evaluation ❑ Septic Tank Installation Permit 4. System to Serve: ❑ Business ❑ House ❑ Industry 5. If house, mobile home: Subdivision ❑ Mobile Home ❑ Other No. of People -�-• No. of Bedrooms 3 No. of Bathrooms Z Dweiling Dimensions a � ii !S��" 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Sinks No. of Urinals No. of Water Coolers No. of Showers Water Usage Figures _ 7. Type of water supply: Public • O Private 8. Property Dimensions Sewage Disposal Contractor ❑ Place of Public Assembly ❑ Unknown Section Lot # 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? �Yes If yes, what type? ❑ Basement/Plumbing ❑ BasemenUNo Plumbing �Washing Machine �Dishwasher ❑ Garbage Disposal O No ❑ Community i 'NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. PROPEP.TY INFOItMATION RI:QUIR�7: DirectionstoProperty: Ta�: Office PIN �� ,�g/3- �Q- � �t�C� Ro«d Name ,(�0 w�l,q �v �i,� • "'V� /Y�v�l� �0 �OW��nr('��, Box �� (if availab'e) � City %r DC��.S t/.`I %�. � 0✓ N� r � � D � /.� N C� �O C� /� l� �� �� � This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. � � , �, ' ' ��..'' �-_ �i '- � ��'— �fx� � .�.�.... a�' �'l� � DATE SIGNATURE . CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I OWN the property. ❑ 2. 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 representative of e Da ie County ealth Departme t to enter upon above described property located in Davie County and owned by � � t „,..��� , 2; �„c to conduct all testing procedures as necessary to determine sai 'te's suitability or a ground absorption sewage treatment and disposal system. / — � 3 — 9 c� � .� c��- � DATE SIGNATURE DCHD (1/93) _ __ _ ' � � � ,���i� y� r� � '� y' ���` `�� .�� ' . � , ���!u ,� ' n. i . ' . .� , ,;r•• 'i � � , � �� � ,;�.��,,�k� .,.e y, rt.t,��,'" ;!� �ir. Et,� °�. � 1' Iti °+� H� �}w y�t� K•'� ' ' �J' ti i . , � ��¢ ��'��,��� ; ,.: rb�;I;: , ��'� 11�1� 4 ,�; . . . � ��,h� F �.f�l! � r;;�• �,Li ' �i' }jh��. lT��t ' . ! �� � , �,� , �+�+,� , � "4t�` .�� r �t�t f �3� � C' �� . "t . . 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DAVIE COUNTY HEALTH DEPARTMENT • _ ' Environmental Health Section ' Soil/Site Evaluation � %"`" �� ' � � NAME o �2.'CZ — DATE EVALUATED ADDRESS S A'l`�� PROPERTY SIZE ���� PROPOSED FACIILTY � ���� LOCATION OF SITE �� � Water Supply: V� On-Site Well _ Community Public Evaluation By:��,L AugerBoring v Pit Cut FACTORS 1 2 3 4 Landsca e osition R HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure MineraloAy HORIZON IV DEPTH Texture group Consistence Structure MineraloQy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLaSSIFICATION LOyG-TERM ACCEPTANCE RATE ����� ��m�� E��i��i� �L���� B'���_� ��al���1_='i7 '. � I 1',1 I 1 '� `t���`�E� �—� �—� ��`��� ����� SITE CLASSIFICATION: � S ' LDNG-TERM AC�CEPTANCE RATE: � REMARKS: \'�'� `� � DCHD(01-90� EVALUATED 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 �;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-Finn 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 ,iC--Sin�le grain M-Massive CR-Crumb GR-Granular ABK-Mgular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralo�ty 1:1, 2:1, Mixed Notes }�ori2on depth - 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BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634-�r e�''%�7 d Dale Waters c/o Boger Real Estate 142 N. C. Hwy. 801 Advance, HC 27006 January 26, 1996 Re: Site Evaluation Bowman Road Tax PIH: #5813-89-3844 Dear Mr. Waters: . As requested, a representative from this office visited the aforementioned site on January 25. 1996. 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. CL/Wd Enclosure(s) Sincerely, � �� Charles E. Little, B. S. Environmental Health Section i � . � I ��� tyLU � �1 � � �/ --- �9d� � -- . -�. , � � c' �,, r� G �� G� �' G 4 0 c d'�G" r/`� �c- �,.��� . fr� , c' G � � ( � �' .� .�t� Q �� �� d �� `' L `� � � � a � �'- c �, �? < �... 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