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147 Bowman RdDavie County, NC Tax Parcel Report Wednesday, October 12, 2016 WARNING: THIS IS NOT A SURVEY _ _ Parcel Information Parcel Number: B30000000611 Township: NCPIN Number: 5813899844 Municipality: _ __ Clarksville Account Number: 82532240 Census Tract: 37059-801 Listed Owner 1: BARKER DEANNA C Voting Precinct: CLARKSVILLE Mailing Address 1: 6230 ARMSBURG ROAD Planning Jurisdiction: Davie County City: CLEMMONS Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27012-0000 Voluntary Ag. District: Legal Description: 2.200 AC BOWMAN RD Fire Response District: Assessed Acreage: 1.80 Elementary School Zone: Deed Date: 10/1999 Middle School Zone: Deed Book / Page: 031880134 Soil Types: Plat Book: 0007 Flood Zone: Plat Page: 075 Watershed Overlay: Building Value: 88830.00 Outbuilding & Extra Freatures Value: Land Value: 24310.00 Total Market Value: Total Assessed Value: 113140.00 °P°�°'F Davie County, �o�,N4j 1\l. No COURTNEY WILLIAM R DAVIE NORTH DAVIE Mn62 DAVIE COUNTY 0.00 113140.00 , ,, .. , � } . .f_; . .: , . : � - � . . • � �� d a AUTHOR,.IZATION NO: �� DAVIE COUNTY HEALTH DEPARTMENT ,�/,s�, Environmental Health Section PROPERTY INFORMATION Perin'ittee's '�/' P.O. Box 848 Nam�'t �-/'�,��c� Mocksville, NC 27028 Subdivision Name: Directions to ro ert :�. ��'%•%�'r'��.�J'� �� r�' �� Phone #: 704-634-8760 � p P Y � Section: Lot: AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION � ')� ;r Tax Office PIN:# � �f� - � � - ��`�`% Road Name: , � I ip; •�-�� **NOT'E** This Authorization for Wastewater System Construction MUST BE ISSLJED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts. This Forn�/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Pernuts. (In compliance with Aiticle 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Trea[ment and Disposal Systems) ; ,� 1 / � �y � �f�, ' f c'r;��! � f %� �� //f-L�l{.� .s�'~, r^� p ~ �i ENVIRONMENTAL HEALTH S�CIALIST DATE ISSUED ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALm FOR A PERIOD OF FIVE YEARS. . . ; •: . . . . �k ,� � � �� . �= ►/�^ v � � DAVIE COUNTY HEALTH DEPARTMENT ,. �� r � ; �•'.- ;',:-�� `�� ( IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Pe�imttee's a,(� , / � � m .A ' Name, ��:' - - �'"� -�"�� --��'; Subdivision Name: , � _ ... �- Directions toproperty: � � r� ': �'" -` ^'� '�• ` � Section: Lot: � _ n�xovE�iv�r �!�p �;� r� :� ;�; �Ll�.�� - - - PERMIT Ta�c Office PIN:# ^� ��'" _ �-y % _ �"' ,' f � Road Name T �.,��, �s;-�r ��,G;,,,., �lp; ��!r_.�;.�� **NOT'E** This Impmvement Pernut DOFS NOT authorize the construction or installation of a septic tank system or any wastewater system. An . AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained fram 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 Systems) - r' � �. ! ***NOTICE*** TEQS PERNIIT IS SUBJECT TO REVOCATION IF STTE ;% �' .,J:: ; <�'- , �` ,�',i' . .�'",' ;,r � PLANS OR Tf� INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SpBCIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE Tf�.S PERMTI' BEFORE INSTALLING TI� SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING 1'YPE f i# BEDROOMS �,� # BATHS r� # OCCUPANTS +-� GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILII'Y TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE;r� I� TYPE WATER SUPPLY =rl �/ DESIGN WASTEWATER FLOW (GPD) �-�'r�� NEW SITE�'REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE r�:��'� GAL. PUMP TANK GAL. TRENCH WIDTH --_�� ROCK DEPTH i� �' LINEAR Ff. ��'�%' � REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT ��' �„ '.-.^"'"�R-� �r�_..._.....�-•--^.-�^~r_ �t �- .. - ...�-r �.._-..--.•�.-`�..<,",-.,' � **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 SYSTEMINSTALLED r �o�� %'�� D� �L �/. �i(J•' %/��S/J�a �� AUTHORIZATION NO. _��j� OPERATION PERMIT BY: lC_ ye�� 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, 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 PB �._��`• Davie County Health Q R/7 I Environmental Heal V P.O. Box 84 Mocksville, NC A�� 8 19�7 � (704) 634-87 � _J ��*IMPORTANT**** THIS APPLICATION CANN ED 1 THE REQUIRED INFORMATION IS PROVIDED. &ATC- '�". +1, �� i �6�� a� � �n� � �I � ..%J , � �a ��-- =--:=r--. �, ,ESS ALL 1. Name to be Billed 4 J 09 e v !� Q�9 � C s��i � Contact Person � i 1 b�� 1J Q s-e v Mailing Address �� 8 U• � � wy , ��5� Home Phone �l �9r1' % % � � City/State/Zip �� ✓A �1c+ a /� • �'• �-% Ob (o Business Phone "�1 �18% � c3 3 �L 2. Name on PermidATC if Different than Above 1/� 1d �.� Mailing Address �'4 5 �I 6 0�/ 2 City/State/Zip 3. Application For: � Site Ev�luation �]'tmprovement Permit & ATC Q,�'Both 4. System to Serve: [] House � j)Cj Mobile Home [] Business [] Industry [] Other 5. If Residence: # People�_ # Bedrooms 3 # Bathrooms�_ [?�Dishwasher [] Garbage Disposal [] Washing Machine [] BasementlPlumbing [] Basement/No Plumbing 6. If Business/Other: Specify type # People #Sinks # Commodes # Showers # Urinais # Water Coolers If Foodservice: # Seats �' . Estimated Water Usage (gallons per day) 7. Type of water supply: [] County/City �j'Well [] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes ,�'No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** ��'�'�'OF THE PROPERTY MUST BE y SUBMITTED WITH T I�S APPLICATION. l Property Dimensions: �' �- � C � r=S ,$ ec' %�'�1� � WRITE DIRECTIONS (from ocksville) TO PROPERTI': Tax O�ce PIN: #��_ - �_ - _�;�_ ; Property Address: Road Name��c� �-�rv4 �y K V� � City/Zip 1� c)�KSJi � �N %Vr�• 27v�-� ; If in Subdivision provide information, as follows: � Name: � � � Section: Lot #: ; , � 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 � � 1��5 �r A-�`I �cs7/� �e. to 'duct all t stin oce res as necessary to determine the site suitability. DATE � '� SIGNATURE � � Revised DCHD (06-96) THIS t11ZEA AfAJ $E USEb �"OR �2ZttWZNG �OULZ SZTE f'LAN: � NOTE: This p�at b�ubJect to oiry Eaesmenb, Aqrsemenh, or Riqhb—ei—Wcy of raeord prior to Ma date of thl� plal, whlch •nro not vlslbb a! !hn tim� of my ImpecUon. Th(e tnap or drowing end any accompanying � documenta aro furntehed to the pereo�(e) named theroon and no alteratTone or uae by othere la permttted unlese authorized by Aliled Land 5urveying, P.A. — U Map not for recordatlon. SCQ�9 �+ }��------� n Precinlon 1:10,000+ � 0 200 400 "" a 0 � � � ��13� � 5 _ �5�� S 29°07'30"E 176.96' �e Line 1,z5" EIP � Fred W. Pratt � Eloise M. Pratt � D8 92 A 480 � o James Gentry ---+ ' `� P/0 DB 45 O 584 � S 88•1�'00"E 428.91' � a Tis Une v t's' 1/2" E1R po m 1' � � �_— S 94'18'25"W P/0 Lot 6 1/2" EIR $ James M. Whisonant �8.77' Tie Une R. S. Pratt Fstato Maria L. Whisonant EPK �'� � P/0 DE� 45 O 584 � '� ��I� N80°3 3g ��E EPK �i�, 1�2�� EIR 38i .80' S 14° 19'20"W �+ �� ? � 13127' � � �;� G � � � v y �� -O G6.,�� o � �O_ � '� � � O � ,,��Ifr1111�� .�`'.�� C A R0� � ''� •` N �,� Q,�...........�� ,9 I declare thQ� oO� 1E� �� we aurveye� th� pro�t��hown' tn�$ iat• ' 6 4 P �' � '-,��, � GI L-3Y! � : •/ ., ,�, --, ...- '� � PA R KS ��'•�n��+ LEGEND R/W — Right—of—Woy QF' — Exietfny Iron Pipe EIR —� �st(ng Iron Rebar P — Polnt CM — Concrote Monument IRS — Iron Rebar Set P/L — Proptery Une C A — Controlled Acceea RCP — Refnforond Concrete Pfpe CIAP -- Corrugated Metai PIpe CCP — Curtugoted Pla�tic Pipe —F— 100 ysor Flood 8oundary —0— Ovefiead Utilities —%— Fence EAI — Exletinq Mqie iron � P/0 Lot 6 � � 2. c. +/— � 0 Area I clue e of R/Y! . � 1/2" EIR � � N 68��- S,� ry 0 �, �� 2S� �� O � Lot 6.06 , 1/2" OR John Waters s a/w Betty �� D.B. 185 `� A 232 `�r� 'fi. EPK EPK N 23°33'S5"E 36.30' Tie Llne 1 !�°i,� � Center Une �— engter 1 e P — �ower°�o'je� ment �p ht Pole MH — n Hole R — Radiva C — Chord Oietanee P 0 — Part of S — Sight Eaeement � — Dled gBo�k F`� — �e�ce �oetn —S— ewer Une EPK — Ezieting Alasonry PKS — Alaeonry Noil Set ti EPK • Q � /� S 15°33'35"W � � i 100.19' � EPK � ` S 18°23'S0"W � � 100.94' � Q EPK + 21 °45'00"W N K 66.07' � ^ � � � � Apol�nar Mendez Valdez P/0 Tax Lot 6 Tax Map B-3 Deed Book 40 � 612 P/0 Deed Book 45 � 584 Bowman Road & H�11Y 601 2.20 Acres +/— by corr�puter SGLE TOWtISF#P COUHiY SfAli MTE 1"Q200' Clarkavil�e Dwle NC 8-12-•97 � Allied Land Surveying Co.� P.A. ,,oa,�. DMM,TYVW Rtchord P. Bennett, RLS-3176 7075 4720 Keater biill RooA Phone (910) 765-2J7� ��• Na1) �� wneton—Saiem, N.C. 27103 �AX 760—A886 7075—R3 � 0 � �, DAVIE COUNTY HEALTH DEPARTMENT ��- � Environmental Health Section SECTION LOT ' SoiUSite Evaluation APPLICANT'S NAME �/ /L/'LTi DATE EVALUATED �� PROPOSED FACILITY _��/l,clb`. PROPERTY SIZE v�.�aGi%L�i SUBDIVISION ROAD NAME Z3' � .�%SI Water Supply: Evaluation By: FACTORS Slope %a HORIZON I DEPTH Texture group Consistence Structure HORIZON II DEPTH Texture group Consistence Structure HORIZON III DEPTH Texture group Consistence Structure HORIZON IV DEPTH Texture group Consistence Structure On-Site Well L� Community Auger Boring Pit SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE 1 � � SITE CLASSIFICATION: v— LONG-TERM ACCEPTANCE RATE: _ �� REMARKS: DCHD (01-90) 2 � .S3 Public Cut 3 4 5 6 7 EVALUATION BY: OTHER(S) PRESENT: r 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 Wet NS - Non sticky NP - Non plastic FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm SS - Slightly sticky S- Sticky VS - Very Sticky 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 ■■ ■■ ■■ ■■ ■ ■��■��■�■��■■■■�■■■■��■ ■■■■■■■■■■■��■■��■ ■��■��■�■��■��■�■■■■■■��■ ■��■�■■■■■■�■�■■�■��■��■ ■��■■��■■■■■■■■■ ■■■■��■�■��■��■��0�� ■■■■■■■�■��■��■�■��I�■��■�■ ��%%�� ■■��■■■�■■■■■■■�■�1/■��■■�■ ■■��■��■■■■■��■ ■■■�■��■�■■��■�i�■■�■■■■ ■��■��■�■��■�■■��I��■■��■ ■��■■■■■■■■■�t'��■��■ ■■■ ■■■ ■■ ■�■�■ ■�■�■ ■ ■■■`i ■■��■ ■■■■■ ■��■ ■■■�■ ■■��■■■ ■■��■�■ ■■��■■ ■■��■��■ ■■�■��■■ ■��■ ■�■■■■■■ ■��■ ■■■■��■ ■��■ ■■■■■■ ■��■ ■��■ ■■■■■■ ■��■ ■��■ ■�■ ■■■ ■■■ ■�■ ■�■ ■��■ ■■ ■�■■�■ ■■■■■■ ■��■ ■��■ ■��■ ■��■■■ ■�■ �� ■■■ ■�■ ■�■ ■�■ ■�■ ■�■ ■■■ ■■■ ■■■ ■�■