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1060 Cana RdDavie County, NC Tax Parcel Report 6137 Tuesday, September 27, 2016 PB11 PG308 —i CO PB11 - PG311 � N LOT 1 1\ --PB11-PG308 PB11_PG311 Qo 1 Ld/ 5344 / `7wo 546 4�6 CO 433 ry A Davie County, NC WARNING: THIS IS NOT A SURVEY _ Parcel Information _ Parcel Number. F400000013 Township: Mocksville NCPIN Number. 5831217546 Municipality: Account Number: 8304011 Census Tract: 37059-806 Listed Owner 1: KONKEL JOHN E JR Voting Precinct: CLARKSVILLE Mailing Address 1: 1060 CANA 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: 13.25 AC CANA RD (1.030 AC) Fire Response District WILLIAM R. DAVIE Assessed Acreage: 1.03 Elementary School Zone: WILLIAM R DAVIE Deed Date: 8/2014 Middle School Zone: NORTH DAVIE Deed Book / Page: 009660428 Soil Types: MrB2,MsC Plat Book: 11 Flood Zone: x Plat Page: 311 Watershed Overlay: - Building Value: 45480.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 20340.00 Total Market Value: 65820.00 Total Assessed Value: 65820.00 A Davie County, NC AN data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the implied warranties of merchantability or rArress for a particular use. All users of Davie County's GIS website shall hold hamdess the County of Davie, North Carding,its agents, consultants, contractors or employees from any end all claims or causes of action due to or arising out of the use or inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968)p Permit Number Name Date , 1 No 5736. t;. Location �• T `% C-1. 'n t` Subdivision Name D8Lot No. Sec. or Block No. Lot Size '� 4� ` s' House Mobile Home _ Business Speculation No. BedroomsNo. Baths y a -�� _�— No. in Family –' Garbage Disposal YES ❑ NO 8 S cifications for st m: Q Auto Dish Washer YES p-/ NO C]I ©D d td0 Auto Wash Machine YES p' NO ❑ q60' /®O y/ 1a Type Water Supply \'> 'w_ _ "� !` 'This permit Void if•sewage system described below is not installed within .� i' _�%. 'c '2W -"kms i'•("ti \_km.- � ' I months from date of issue. 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. It Final Installation Diagram: /3� f�- System Installed 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. Xi O+Od DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT—AND CERTIF_LCATE OF COMPLETION *NOTE: Issued in Compliance with G.S. of North Carolina Chapter .130 Article -,13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number 47 Name .> .,•_r �, . �\1 '�-_�-�_>_ : Date NO .57 Location l C� rte` . — ;. «— \� • G % J1=.-i� �,t� c���-'"a C' Subdivision Name D� Lot No. Sec. or Block No. Lot Size j cx House Mobile Home _ Business Speculation No. Bedrooms —3_ No. Baths No. in Family -� Garbage Disposal YES fl NO 2� Specifications for System: Auto Dish Washer YES NO Auto Wash Machine YES NO ,p �� (a�� Type Water Supply \� "This permit Void if'sewage system described below is not installed within months from date of, issue. 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 Ir Certificate of Completion --z Date -1zY22/ o,e "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. �' _V APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 RECEIVED MAR 1 0 M9 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone 1. Permit Requested By J u ! T l`f�K �� Business Phone�9' 2. Address dP�137 11acKS U1 LLQ _ A% C-- 7 O 8 P 3. Property Owner if Different than Above -522LU �-��� 6#1 LQ EEP-s Address 4. Permit To: a) Install Alter Repair b) Privy Conventional ✓Other Type Ground Absorption c) Sub -Division Sec. Lot No. 5. System used to serve what type facility: Housed Mobile Home—/ Business IndustryOther b) Number of people /12PY47' -2 K105 6. ay If house or mobile home, state size of home and number of rooms. House Dimensions L4�o,of=ox• lgoG _44, Bed Rooms 3 Bath Rooms I Den w/Closet b) If Business, Industry or Other, State: Number of persons served What type business, etc. Estimate amount of waste daily (24 hours) 7. Number and type of water -using fixtures: commodes a urinals garbage disposal lavatory a showers washing machine / dishwasher �� sinks 8. a) Type water supply: Public Private ✓ Community b) Has the water supply system been approved? Yes No 9. a) Property Dimensions L�zuz?• S�a�i • /a. b) Land area designated.to building site c) Sewage Disposal Contractor 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? What type? This is to certify that the information is correct to the best of my knowledge. 13 _40 Qx� Date Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: DCHD (6-82) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section R O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION - Name 3 Date Address S ts'C�t Lot Size ' �- FAr.TORR AREA 1 AREA 9 AREA .q ARFA A Topography/ Landscape Position S PS Py U U U '.) Soil Texture (12-36 in.) Sandy, S S S Loamy, Clayey, (note 2:1 Clay) < PS PS U U U U 1) Soil Structure (12-36 in.) S S S Clayey Soilsk1u, PS PS U U nu G) Soil Depth (inches) S S S PS PS U U U U �) Soil Drainage: Internal S S S PS PS U PS U (,� V External S S S jP PS PS U U U U �) Restrictive Horizons LlG j► p/ Available Space S S P PS U U U U I) Other (Specify) S PS S PS S PS S PS U U U U0.P )) Site Classification �� v U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable 1 , Recommendations/Comments: ��� S e`►��'- `i -9-(o N -At Described by �- Title Date3" SIT '1-- �N• DGHD (6.82) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 \ _ - SOIL/SITE EVALUATION c �j Name Date ' o Address Lot Size FACTOAR ARFA 1 AREA 9 ARFA 3 AREA A A 1) Topography/ Landscape Position S PS PS U U U U '.) Soil Texture (12-36 in.) Sandy, S S S S Loamy, Clayey, (note 2:1 Clay) 1 0Z P PS US U 1) Soil Structure (12-36 in.) S S S S Clayey Soils PS PS PS PS U U 1) Soil Depth (inches) ' S S S S PS PS PS PS - U U �) Soil Drainage: Internal S S S S PS PS PS PS U U External S S S S PS U PS U i) Restrictive Horizons �1 1 I� Available Space S S PS PS PS PS U U U U 1) Other (Specify) S S S S PS PS PS PS U U U 1) Site Classification Vb.3 '1 `U VS UNSUITABLE Recommendations/Comments: c% -r- PS—Provisionally Suitable Described by �- s�� Title Date 1 6 SITE DIAGRAM DCHD (6.82) .{ DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION SITE EVALUATION CONSENT FORM 1. Complete the form below and return to the Davie County Health Department. 2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin." NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO BEGIN THE REQUESTED EVALUATION. DETACH HERE AND RETURN TO: Davie County Health Department, Environmental Health Section, P. 0. Box 665, Mocksville, N.C. 27028 Davie County Health Department Environmental Health Section Site Evaluation Consent Form LOCATION OF PROPERTY: DATE RECEIVED (office use only) yes no 1. 1 am the owner of the above described property. yes no 2. 1 am not the owner of the above described property, however, I certify that I have consent from, owner to obtain a owner's name site evaluation by the Davie County Health Department for the purpose of determining the suitability for a ground absorption sewage treatment and disposal system. `yes no 3. 1 hereby give consent to the authorized representative of the Davie County Health Department to enter upon the above described property and conduct all testing procedures as necessaryto determine its suitability for a ground absorption sewage treatment and disposal system. DATE Y, SIGNAT E 4. 1 hereby authorize the Davie County Health Department to release site evaluation results from the above described property to the following: Owner only — Owners designated representative Anyone requesting results Only those listed below DATE SIGNATURE DCHD (11 /84) ' Davie County dealti De arbnent and dome dea K , yency 210 HOSPITAL STREET I P.O. BOX 885 MOCKSVILLE. N.C. 27028 PHONE: (704) 084-5885 March 20, 1989 Judy R. Whittaker Rt. 8, Box 137 Mocksville, NC 27028 Re: Site Evaluation Angel & Cana Roads Dear Ms. Whittaker: On March 16, 1989, as you requested a representative from this office visited the above mentioned site. The area which is provisionally suitable is located on the top of the hill which has the reddish,soil. The other areas are unsuitable for a septic system. If you have any questions, please feel free to contact this office. Sincerely, • C, Charles ,.E. Little, R.S. Environmental Health Section CL/wd 16