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117 Camellia Ln (2)�avie Countv, NC Tax Parcel Report Wednesdav, October 12, 201E WARNING: THIS IS NOT A SURVEY , _.. „�,.�,.�.,,_�_ , _ _. , _,_ . __ . ,.,�,. _� �._ � .�,..�. �.�.. �, .� � �� ParcelInformation � � � ��' �,_ _�m�. ��. ��. , _ _���_ �„ _ �____..� Parcel Number: F300000098 Township: Clarksville NCPIN Number: 5820566061 Municipality: Account Number: 8301838 Census Tract: 37059-801 Listed Owner 1: BUFFONE CHRISTOPHER M Voting Precinct: CLARKSVILLE Mailing Address 1: 117 CAMELLIA LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag. District: No Legal Description: 9.94 AC DANNER RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 9.84 Elementary School Zone: WILLIAM R DAVIE Deed Date: 1/2013 Middle School Zone: NORTH DAVIE Deed Book / Page: 009150134 Soil Types: PaD,PcC2,Ce62 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 122570.00 Outbuiiding 8� Extra 7580.00 Freatures Value: Land Value: 80570.00 Total Market Value: 210720.00 Total Assessed Value: 210720.00 • °� `'F Davie County, °oU�,�'� NC . .. . . IM�ROVEt�NT PERMIT DRVIE COUNTY HEAITH �PARTMENT IMPROVEM�NT PERMIT and OPERATIDN PERMIT ��NOTE+�* This i�prove�ent per�it DOES NDT authorize the construction or installation of a septic tank syste� or any NasteNater 5y5tB1. AN RUTFI�RIZATIDN FOR NA5TEIJATER SYSTEM CONSTRIICTIDN �ust be ohtained fro� this Depart�ent prior to the construction/installation of a syste� ar the issuance of a building per�it. (In co�pliance Nith Article 11 of 6.5. Chapter 130A, NasteNater Syste�s, 5ection .1900 SeNage Treat�ent and Disposal 5yste�s) �(b FIA� � ✓ O � PR�ERTV RDDRE55 �1=1 NN ER k� Z 7v Z� DRTE ���,� ., _ , LOCRTION �/�/'/t/Q/�/ k�=r" SUBDIVISION NRME LDT NUMBER SEC./BL�1( NUMBER RESIDENTRL SPECIFICATION: BUILDIt3(i TYPE ,�,� i BEDR�MS ,� 1k BATHS � ik OCCl1PANTS � 6ARBA6E DISP05Al.: Ye !t� COFI�RCIRl. SPECIFICATIDM: F�ILITY TYPE � PEOPLE � PEDF'LE/SHIFT � SERT5 INDUSTRIRL WASTE: Yes/No LOT SIZE �� TYPE WATER SI�PLY ��r// DESI6FI NASTEWATER FL0�1 i6PD> �� t�N SITE !�' REPAIR SITE 5Y5TEM 5PECIFICATIDNS: TAt�( SIZE �� 6AL. Pt� TRM( 6AL. TRENCH WIDTH .s,� ROCK DEPTH Jti.i ,, LIt�AR FT. /_�'J � OTHER .i / ��/9� REQUIRED SITE MODIFICATIDMS/CONDITIDNS: �*THI5 PERMIT IS 5UBJECT TO REVOCATION IF SITE PLANS OR TF� INTENDED U� CHANGE. YDUR WASTERWRTER SYSTEM CONTRi�TOR p0.1ST SEE THI5 PERMIT BEFORE INSTALLIN6 THE SYSTEM. IMPRDVEMENT PERMIT BY _�,// ��CONTACT A REPRESENTATIVE � THE DAVIE C�NJTY HEALTH DEPAATI+�NT FOR FINAL INSPECTIDN DF THIS 5Y5TEM BETWEEN 8:30-9:3@ R.M. OR 1:�-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-87b0. �ERATION PERMIT SYSTEM INSTALLED BY � �'�� t'l1C-''4 AUTHORIZATION N0. � _ OpERflTIDN PERMIT BY ,�VGYr/��r DATE IC% �O f+�THE I5�INCE OF THIS OPERATI�I RERMIT SHALL INDICATE THAT THE SYSTEM �SCAIBED ABOVE HAS BEEN INSTALLED IN C�PI.IRNCE WITH AATICLE 11 OF G.S. CHAPTER 130A, SECTION .19� "SEW4�E TREATMENT AND UI�OSAL SYSTEMS', BUT 5HALL IN NO WAY BE TAKEM AS A IXIARANTEE THAT THE SYSTEM WILL FI�ICTION SATISFACTO�ILY FOR RNY 6IVEN PERIOD OF TIME. � DCHD 10/95 _ _ �. :,, _ , �-.� s� e;� � •"''�` ..t �� � ti. � • I U" Davie County Health Departient ENUIRDNMENTflL HEALTN SECTIDN P.O. Rox 665 Mocksville, N.C. 27028 AUTHDRIIATION FOR �ISTEbqTER SYSTEM CONSTRUCTION lIssued in co�pliance with Article 11 of G.S. Chapter 1��hA, Wastewater Syste�sl +�*+�This Authorization For Wastewater 5yste� Construction �ust be issued by the Davie County Environ�ental Health Section prior to issuance of any 9uilding Per�its. This Far�/Authorizatian Nu�ber shauld be presented to the Davie County B��ilding In:pections Offire when plying for Building Per�its.+�* AUTF�RIZATION I�A'.�ER NRME I� DATE �,���%� 1 ��' � r�`� � NRl� ON IMPROUEMQ(T PERMIT (If different than above) SITE LOCATI�I COMI�ENTS/I;ONDITI�IS ON AUTHORIZRTION TD CON5TRUCT WA.STEWATER 5Y5TEM �NOTICE� THIS RLITHDRIZflTION FOR STEWATER SY5TEM C�NSTRIlCTIDN IS VALID FDR A F�ERI�D OF.FIVE t5) YEARS. it-cz���i. �'..�CP �����/ ENUIRO�lENT�L t�Al. SPECIALIST DATE . DCHD 10/95 `�� �*� ��� � C� C� C� 0 M C� —1 ��� v� APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER D ,,o �� � Davie County Health Department t�' ��, � Environmental Health Section `���- 2 5��`'� C�` ,✓ � P. O. Box 665 � /D y Mocksville, NC 27028 �� . . Application/Permit Requested By �0 V �%�A/7 �/a/vG� �a Mailing Address ��% G�►'"� �//�'R �c,,,,a P Home Phone %" 70 5�` yy� -��%7 �i[aL,F f v, ��� �/ � 2 7v.,2 Y Business Phone 5� rn 15C;� r� u e=�• 2. Name on Permit if Different than Above 3. Application for: 4. System to Serve: ❑ Business O House ❑ Industry 5. If house, mobile home: Subdivision No. of People No. of Bedrooms _ No. of Bathrooms _ Dwelling Dimensions � General Evaluation � Mobile Home ❑ Other business, industry, place of public assembly, other: Specify type No. o�ople Served No. of No. of Lavatories No. of Showers _ 7. Type of water supply: ❑ Public Tank Installation Permit of Sinks No. of U Is No. of Water Co ts Water Usage Figures C� Private O Place of Public Assembly ❑ Unknown Section Lot # 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes If yes, what type? ❑ BasemenUPlumbing ❑ BasemenUNo Plumbing � Washing Machine Q� Dishwasher ❑ Garbage Disposal l; . ❑ Communiry "NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: � q�S � � �� noc th ."� �o''^ he�ns +s���K s-�-�P �° ab�u-� � M;�e�, 1 q,ke. S`�yr,-`- ovt c�an�e � Ro0.a . �o � a�own �,��� �o -�,�s+ b�� cK tio�se o n-�-� e 1 e�-4-. � Tax Of f i ce PZN: #���+� �j(Q -( � n�Q � PROPERT� tlbbRESS, as follows: Road Name: L^ -- -"`�-'.• - � D�'1nGR✓ c;. ty: /�c�c_k s� ,%� SU$MZT A PL✓tT WITH THIS APPLICATZON. Revisions effective October 1� 1995. 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. ,1�---���� � �- 3 - 96 R�, �,� DATE �— SIGNATURE � CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I OWN the property. Q�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 representati of the Davie County Health D�p,�rtment to enter upon above described property located in Davie County and owned by s,., ��y, n rs�lc�c� -S K to conduct all testing procedures as necessary to dete�ne said site's suitabiliry for a ground absorption sewage treatment and disposal system. �� 7� 3' 9 DATE �—/%�1� SIGNATURE DCHD (t/93) _ _ _ _ __ __ _ _ _____ __ _ ___ _ __ __ _ _ � � !!1�n CC 1 ;� ' �v � { 1�'� •,�: �� ♦+�P"��� w L ° 'Y � : , . 3,.��'. 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' . � ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ��/fi'C/K DATE EVALUATED /_��� ADDRESS PROPERTY SIZE ��C PROPOSED FACIILTY lY /+� LOCATION OF SITE ��A'��/1�,� ��X Water Supply: On-Site Well _ Community Public �� Evaluation By: AugerBoring � Pit Cut FACTORS 1 2 3 4 Landscave �osition .c! _ __ �-- �- Slo e 7. HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH t 's/ � Texture rou L Consistence r' � Structure �/C � � Mineralo / i`/ HORIZON III DEPTH Texture rou Consistence Structure Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLaSSIFICATION LO�1G-TERM ACCEPTANCE RATE i . �,/ SITE CLASSIFICATION: �,/� EVALUATED BY: -- /�y�L�� LDNG-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-Silt,y �: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-Firm 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--Single grain M-Massive CR-Crumb GR-Granular ABK-MQular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralaity 1:1, 2:1, Mixed Notes tiorizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil w etness - lnches from land surface to free watef 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 (01-90� ■����■■�■�����■■����������■������������■ ■���■�■ ■��■■�■■ ��■���■ ■■����■��■■�����������N�����������n��■ ■ ������_�����■���������■ ■��������■�■���■�■■���������������������������������■�����������■ ■������������■�������������■���■ ■������_�����■��■������������■�■ ■��������■������������■���■����■■■������■ �� �������■���������■�� ■����■���■����■����■�����■������■����■����■������■��■��■��■��■���_ ■����■■�����■�■����■���■■■����������������������������■���■����■�■ ...........................................�........ ............. .......................................... ........ ............. ..........................................■..■■■..._ ............. ■���■�����������■����■■����������N���■����������■ ■������������■ ■������■��������■������������■�� �■■■�������■����■��■�■■���■����\ ■�■��■�■�■■■■�■��������■����������������������■���� ����■���■����■ ■�■���������■����■��������� ������■�■■■ ■�����■ ■■�■ ���� �������� ■����■������■■�������������������������/������ ������N ■■������■ ■�■■�e����\■�������■■■�■����������■■�■■����■�����������������■ ■��■���������■��■���■������■�����■������ ��� ■ � ■� ������n �� ■��■��������■■���■��■����������������■����■������ ■��■������������ ■■��■■�����������■�����■�������■����■�������■�■s�����■���u�■�■�■ ■������■�■■�■�■������■■■������■ �����■�N■�■�■����■��■���������■ ■�����e�����■�����■���■������■■�������■■■��N■■ ■ ■ �■��H�������■ ■����������������■���■��������■�■■■■■■����������������������■��■�■ ■����������������■�■��������■��■�■■���N�■�����■�� �������/■�■�■�� ■��■����������■����������■�����■���■ ■���■■ ���������■� ����■��� ■������■���■■������■■�������■��■�■ ���■����■■n����� ����■ ■■ �� .................................................■..C........_ ..0 ■�■■����������������■�h���■��■������N■������Mu����■�■������� ■■�■���■■■��■■����������■��■■■�� ����N�■ ���N�����■�������■�� ■���■■�������■��■�■��N�����������■M���������� ���� ��■�������� ■e�������■����t���■■�■n������������������������� ��=�■�C■���■��� ■������■N■��������■������■■�■����■����■����H� ■ ���� �■��■� ■���o�����■o���■��������������������■��■��■�����_ �iii■■��u■�■����i ■�������������■������������������■��■■��� ■���� ■ ■■ ■■ �■����■ ......................................�.�.....�C..C....=_....... ................................�.... ....... ........ ........ ■�H��■�����■�■���■���■������■■� ����N����■� ��N�■�� ��■�■�� ���������■an�n�����������■�����������a��iC��n�n�nC=���■��D ■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■■■ ■ ■■ ■�■■■■■■_ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■..■ ■ ■■■■ ■ ■ ■■■ ■■■■■■ ■■■■■■■■■■■■■■■■.�■■■■_.■■■■■■■■sC' _ '�C��=� �■■��_■■■■■ iiiiiiiiiiiiiiiii�iiii■�i�iiiiii��i ■i � H n�� �i�"i■�iiii= ����������■�������■��������� �■�� �uu�i �=�i■� �����■ . e����� ������ ■■���� r �■�� ���� ■ ■ �� ■��■■■ � ■��������■����■■������u����l����� ��■� � _ ■�� ��■���� ■����■��■���������������H�frf��■■����L■� C� �N��■ ��■����� ■■�������■������������■�\���■����f�■ � �� ��■�■��■ ■������������n�■■� ���■�������� ■ � i ■ �■ �N�� �� �������■���vh���■�■������ u �■�� ■ ��■����■ :::::::�..............��..�..�. � =�C=.....�� .............. ....... . . ..... ................................ ►�S :C::u�C:C :::::::::=::�:u'.:::::►"�:::_■■■ ' _ ... .. .. ...... . ......... .■.......... �... . ... .. ..■ ......� ■������■�■��■����u������■�=��u� �■ �■ n��■��� �������v�����H�������������■ � I� � ■■��u� �����u��������q����������� �I� Y�����N� ..._... 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