118 Calahaln Rd Davie County,NC Tax Parcel Report 4-- 66 aj Friday, September 23, 201 E
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: H2O0000010 Township: Calahaln
NCPIN Number: 5709754137 Municipality:
Account Number: - 8303337 Census Tract: 37059-801
Listed Owner 1: ANDERSON Z NEIL ETAL' Voting Precinct: NORTH CALAHALN
Mailing Address 1: 186 CALAHALN ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20
State: NC Zoning Overlay:
Zip Code: 27028 Voluntary Ag.District: No
Legal Description: 29.53 AC CALAHALN RD Fire Response District: CENTER
Assessed Acreage: 29.53 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 2/2014 Middle School Zone: NORTH DAVIE
Deed Book/Page: 2014EO204 Soil Types: PaD,PcC2,CeB2,ChA,WATER
Plat Book: 10 Flood Zone:
Plat Page: 367 Watershed Overlay: DAVIE COUNTY
Building Value: 85640.00 Outbuilding&Extra 4210.00
Freatures Value:
Land Value: 200030.00 Total Market Value: 289880.00
Total Assessed Value: 115030.00
9� 1� 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
Ws, NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME D/� PHONE NUMBER ,-//ji- 077/ 1
ADDRESS ASh Ggill SUBDIVISION NAME
LOT #
DIRECTIONS TO SITEfUW alldh"
CI(di -dL Ali%/'
DATE SYSTEM INSTALLED_/_q'0 NAME SYSTEM INSTALLED UNDER I Pi N
TYPE FACILITY_ NUMBER BEDROOMS NUMBER PEOPLE SERVED /
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING . elder
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DATE REQUESTED O?-/ ,07 INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge,and that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT rRev ��{n�
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Permittee,'
aner' t . D VIE COUNTY Environmental Health Section HEALTH DEPARTMEN f
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P.O. Box 848 IQ�
Dutelions'to property: Mocksville,NC 27028 Subdivision Name:
,� •,}� .� `r;/ i...J ( :, Phone#: 336-751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
AUTHORIZATION NO: 002747 A Road Name: !'+ = 1&1 4 t
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the,Davie County Environmental Health Section prior
to issuance of any Building Permits.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S.Chapter., 30A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONM Ti EAL�N SPECIALIST DATdISSUIED
RESIDENTIAL SPECIFICATION:BUILDING TYPE I U.F'C #BEDROOMS #BATHS W #OCCUPANTS GARBAGE DISPOSAL:Yes or No
,
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE r #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE` TYPE WATER SUPPLY--' DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE sol
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK` GAL. TRENCH WIDTH" " ROCK DEPTHtj LINEAR FT.
OTHER '�t ~
REQUIRED SITE MODIFICATIONS/CONDITIONS: �1. . -
IMPROVEMENT PERMIT LAYOUT
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FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760.
OPERATION PERMIT ,-
SYSTEM INSTALLED BY:
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AUTHORIZ TION NO. OPERATION PERMIT BY K DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT TH SYS ABOVE A EEN 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 02/02(Revised) /
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Pernrittee's DAVIE COUNTY HEALTH DEPARTMENT
Name: ` -� Environmental Health Section PROPERTY INFORMATION �
A 1w -1�%' P.O. Box 848 Cl Q7
Directions to property: Mocksville,NC 27028 Subdivision Name:
(�• �ctl.,� 1r,7 �,� ; Phone#:336-751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - -
AUTHORIZATION NO: 002747 A Road Name: (-'ALAI• At 1p. k
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with ArticlelI I gf G.S.Caftapter, 30A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
i ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
0 IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONM AL 5 PEt,IALISt,.,,) DAT ISS ED
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE
•� #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE""' ""' TYPE WATER SUPPLY-''UNTy DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE_i-l"
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH34 r ROCK DEPTH(J/A LINEAR FT./.4/e)
OTHER ICE r�:�+� '-a / � )Q3 -SY`� 1
REQUIRED SITE MODIFICATIONS/CONDITIONS: �C, ... -�/•"1"'� �- �t �L-�lr/
IMPROVEMENT PERMIT LAYOUT
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FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760.
OPERATION PERMIT rj
SYSTEM INSTALLED BY:
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AUTHO TION NO. 7A OPERATION PERMIT BY: DATE: V �T
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYS SC ABOVE 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 07/02(Revised) 1 5�v 5
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DARE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Slope%
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON H DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure N 2A
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 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 firm
3Y&I
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
NQtc� .
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)
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1V,DAVIE COUNTY HEAL�'H DEPARTMENT S
IMPROVEMENTS PERMIT ND. OERTIEICATE.'OF COMPLETION l
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*Note-. Issued in Compliance.(%�with.G.S. of North Carolina Chapter 130—Article 13c: i
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Name f'e %c�%/L� Date, 2�7;"�
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Location %/' `'�!} '-' ✓ b' f •''�.��. r��``� � �r. .� I
Subdivision'Name Lot No. _ -Sec. or.Block No.
4 Lot Size _ House Mobile-Home — Business —_-- Speculation
No. Bedrooms—"` _ No, Baths _% '— No..in Family
` Garbage Disposal ' YES 0 }'NO
11Specifications for System:
P Auto Dish Washer YES 0.' ',NO. i' " f
Auto Wash Machine YES N0 ❑
} Type WaterSupply ---
'This, permit`Void if sewage system described below is not"installed. within 36 months from
date of .issue. -
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Improvements permit by
Contact`a representative of the Davie Co6nty Health Department for final inspection of this system between 8-.30'-,,
J9:30 A.M. or. 1:00=1:30 RM. 'on day, of completion. Telephone;Number: 704-634-5985.`
Final Installation Diagram: System Installed by
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�FCertificateof CornpletionjDate --
"The signing 'of this certificate shall indicate that the system described above h been installed in compliance with
the standards set forth Irin the aboGe regulation, but'shall in NO way be taken as a guarantee'that the system will function
} satisfactorily for any given period of time'
DAVIE�COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
f
Permit Number
Name //' r ' ri'%` ` Date df C 'i j
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home — Business 'Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES ❑ NO p Specifications for System:
Auto Dish Washer YES p NO ❑ / ' ,' `� ZC
Auto Wash Machine YES p NO ❑
Type Water Supply _—
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
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Improvements permit by
'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 day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by ��� �1
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Certificate of Completion \ Date
"The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.