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695 Cana RdDavie County, NC Tax Parcel Report Wednesday, October 12, 2016 WARNING: THIS IS NOT A SURV�Y ____ _ _ Parcel Information Parcel Number: F40000003001 Township: NCPIN Number: 5820979245 Municipality: Account Number: 82521552 Census Tract: Listed Owner 1: IRELAND ANDREA DIANE Voting Precinct: Mailing Address 1: 695 CANA ROAD Planning Jurisdiction: City: MOCKSVILLE Zoning Class: State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: 1.200 AC OFF CANA RD Fire Response District: Assessed Acreage: 1.14 Elementary School Zone: Deed Date: 9/2003 Middle School Zone: Deed Book I Page: 005140666 Soil Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: 99920.00 Outbuilding & Extra Freatures Value: Land Value: 13570.00 Total Market Value: Total Assessed Value: 114860.00 Clarksville 37059-801 CLARKSVILLE Davie County DAVIE COUNTY R-A WILLIAM R. DAVIE WILLIAM R DAVIE NORTH DAVIE En6 DAVIE COUNTY 1370.00 114860.00 Q�,����, . All data is provtded as Is without warranty or guarantee of any kind either expressed or Implied including but not limlted to the Davie County� Implied warranties of inerchantability or Ttness for a particular use. All users of Davie County's GIS website shall hold harmless thu I County of Davie, North Carollna, its agents, consultants, contractors or employees from any and all daims or causes of action due to I npt x,�"i NC or arising out of the use or Inability to use the GIS data provided by thls websitn. ��.. �. . IMPROVEMENT PERMIT . . , . ,. . '�Xo DRVIE CDUNTY HERLTH DEPRRTMENT IMPROVEM�NT PEAMIT and �ERRTIDN PERMIT **NOTE+�* This itprove�ent per�it DOES NOT authorize the ronstruction ar installation of a septic tank syste� or any wasteNater syste�. AN AUTHORI2ATION FOR IJA5TEWATER SYSTEPI CDN5TRUCTI�tJ �ust be o6tained fro� this Depart�ent prior to the construction/installation of a syste� or the issuance of a building per�it. tIn co�pliance with Article 11 of 6.5. Chapter 130A, Flastewater Syste�s, 5ection .1900 Sewage Treat�ent and Disposal 5yste�s) NAM� C �i f;I�,� �. _ PRDRERTV ADDRESS (_� Q� t�-- /��_ �� 7D,,7i � DNTE ,..S�,�l.� L�:RTION /',/`1,.r/iJ �c�/ SUBDIVI5ION NAME LDT MJMBER SEC./BLDCf( NU�1BER RESIDENTAL SPECIFICATION: BUIL�ING TYPE ��k BEDR�MS � N BATHS �# OCCUF'ANTS � 6AR84�E DISPOSAL:�/No CDMMERCI� SPECIFICATION: fACILITY TYPE # PEDRLE # PEOF'LElSHIFT # SEAT5 INDl15TRIAl WASTE: Yes/No LOT SIZE ��� TYPE WATER SUPPLY / / DESI6M 4�5TE41ATER FLOW lGPD) ,,�� NEN SITE �/�REPAIR SITE SYSTEM 5PECIFICRTI�IS: TANK 5IZE � 6AL. FNMP TRNK 6AL. TRENCH WIDTH � R�K DEPTH _� LINEAR FT. !v� .� � OTHER ��l,r.�,���C"r-��� l��ic�,c REt�JJIRED SITE MDDIFICATIONS/CONDITIONS: *�*THI5 PERMIT IS SU9JECT TO REVOCATION IF SITE PLANS OR THE INTENDED US'E CHANGE. YDUR WASTERWATER SYSTEM CONTRRCTOA MUST SEE THIS PERPIIT BEFORE INSTALLIt� THE SYSTEM. �"".,►-- .i'"". � r IMRRDVEMENT PER�fIT BV ,/" Yu'.� // �*CONTAGT A REPRE5ENTATIVE � THE �AVIE C�ITY NEAI.TH DEPARTMENT FOR FINAI. INSPECTION DF THIS SYSTEM AETWEEtJ 8:30-9:3@ A.M. OR i:�-1:30 P.M. ON THE DAY �F INSTf�LATION. TELEPHONE � I5 f7a4) E34-8760. OPERATION PERMIT AUTHORIZATION N0. � � � � SYSTEM INSTALLED BY �J ���-�1 N %� . �d c�� g, �� �' . oa� ��►�► � � , � Q/ c+ � n�, s�� N�n� ' �p� i�)�- ID�1 PERMIT BY ' � ___ _..._- -- �*THE ISSURNCE � THIS OPERATION RERPIIT �N9� E THAT TflE�Si`5 ARTICLE 11 � G.S. CNAPTER 13@A, SECTION .� "SE4�GE EA�l4E� 6UAAAPITEE THAT THE 5`lSTEM WILL FLINCTION SATISFACTO�ILY FOR RMY 6I DCHD 10/95 DATE 4 � I � ! +� IBED ABOUE HAS BEEN INSTi�.LED IN C�L.IANCE WITH 5AL 5YSTENSB, BUT SHALL IN NO WAY 9E TAKEN R5 A B-� TII�. f i . , : - _. . ` �-: .� . .. ..-- • v'1C o is,_�,r.-`Yj , ��� • � �:,��.. . � . � .�� ��, Davie County Health Depart�ent �� -�- .��=�a H " ENVIRONMENTRL HEALTH SECTION r,�, ,� _ . . ,� a, , - P.O. 2ox 665 , �r--�� �.� . " - � - Mocksville, N.C. 27028 �•' ; , ^ ;��,, � ,- ..;,: �. ^�',, ° Alli}IDRIZATIDN FOR WASTEWRTER SYSTDI l�F�iTRUCTIa! .. _ �,. _ . . � i? � .. , (Izsued in co�pliance with Article 11 of • G.S. Chapter 1s0A, Wastewater Syste�s) +�*+�This Authorization Fnr WasteNater Syste� Construction �ust be issued by the Dav;e County Environ�ental Health 5ection prior to issuance of any 9uilding Per�its. This For�/Ruthorization Nu�ber should be presented to the Davie County Building Inspectior�s Dffice when applying for Building Per�its.+�+� / AtlTHDRI2RTION I�IJb'.�ER „ �r�� a! Q n (� `'1 I�IRME � �� P ��C% �'(� /� /1,if_' DATE �.3'„�li .I": �,�.o � �) .1 � � NRME ON IIPRUVEMENT PERMIT (If different than abovel SITE LOCATIp�I /" ",��r l-� c� COlIfNTS/(X11�ITIQrS ON RUTHDRIIATIp�I TO CONSTRLICT WR5TEI�ATER 5Y5TEM �fNU'TICE� THIS AUTHORIZATIDN FO WA5TE41ATER SYSTEM CONSTRI�TIDN I5 VRLID FOR R PERIOD DF FIVE t5) YEARS. �i��� �%r� -� �� �.s��l�/,%'��./� . ENVIRO�lENTAL F TH SPECIALIST DATE DCHD 10/95 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1VE P�9AY -� 19�6 1. Application/Permit Requested By � � � `/'/ Mailing Address ��5 l�x-�f�� Home Phone�'7o��S�l�/ (Ylc<��5����� `� ( �'�� Business Phone �3�1 ` ,��`l� 2. Name on Permit if Different than Above 3. Application for: 4. System to Seroe p Business ❑ General Evaluation ❑ House ❑ Industry 5. If house, mobile home: Subdivision No. of People � No. of Bedrooms �c, °�0-8�eptic Tank Installation Permit �Idlobile Home ❑ Place of Public Assembly ❑ Other No. of Bathrooms � Dwelling Dimensions �,u,��—�,� 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: O Public Q�Private 8. Property Dimensions �1� �� rf'-- C►1 �t1GC(f5 Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Unknown Section Lot # O BasemenUPlumbing ❑ BasemenUNo Plumbing L9'GVashing Machine �Dishwasher �Garbage Disposal ❑ Yes �-No ❑ Community 'NOTE: Improvements Permits shall beyalid from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: ( �a-��- 2a '�' i� E, a j� Sr� � � Q / J� %v c� � GUH � T 8�c�c tfa�rsC -����.'�. Orcc�t � -�1 � � _ _ i w �t � �j,�G�G � ' � �` � •___�l'. a � � � 1 '� �� � �_ - - - - - 7�0�905� J ��o��` ��; �� ���-�,f,cc I�tds` 5� �� YI�OYEItTI� ZN�DILN�ITION ItEC1UZXED: Tax Office PIN: # �����d0��.� PROPEIZTJ A�bRESS, as follows: 1Zoad Name: �(�/Xjj, R(�(�' cLt�: ����Jr Ile- SU$MZZ tl PL�IT WZTH ZHZS ttPPLICtITZON. �Revisions ef,fective October 1� 1995. �a��� Thi�to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges in rred�from this a��licaiion. ATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I OWN the property. •�. 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 the Davie County Health Department nter u on a ove described property located in Davie Counry and owned by ��� d to conduct all testing procedures as necessary to determine s' site's ' bili or a gr und abso tion e treatment and disposal s tem. ' �--��� — / U/ DATE SIGNATURE DCHD (1/93) . . �_. , DAVIE COUNTY HEALTH DEPARTII�ENT Environmental Health Section Soil/Site Evaluation NAME e � DATE EVALUATED � /��,� ADDRESS PROPERTY SIZE /�� � PROPOSED FACIILTY � .�A?'��� LOCATION OF SITE �itlw�- Water Supply: On-Site Well �/ _ Community Public, Evaluation By: Auger Boring v Pit Cut �/ FACTORS 1 2 3 4 Landsca e osition L Slope 7. ,� �- _ __ HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture Aroup Consistence Structure MineraloRy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CL�SSIFICATION LONG-TERM ACCEPTANC SITE CLASSIFICATION: M1��1 c• 1y,• i. ` C G � � i1 /�d /� / - � ,, i � � LDNG-TERM ACCEPTANCE RATE�: REMARKS: %fi/P��G'-�/O , DCHD (O1-9o1 EVALUATED BY: ,.CY�i�/ 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-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 Stru cture ,iC--Syn�le grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Min eralo�y 1:1, 2:1, Mixed Notes fiorizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil w etness - Inches from land surface to free watec' 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/ftz ■����■�������■��■�����■����������e������ ������� �������■ ���■��� �i��iiiiiiiisiiiiiiiiiii��iiiiii��iiiiii�i=�iiiu�ii��iiiiiiiiiiii iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii�iiiiii==�i��ii�ii�iiiiiii■�=iiiiii .............................................C...■...............■ ............................................ ..................... ........................................■.�C.■■.■■■ ■...■..■.■.■■ .::::::::::::�::CC:::C::::::�:::_:::�'■.:::::C..�............. . ...::::::::::::: ................................ . ........ ........ ................................il........s..�....._.............. ���������������������������������������������������H� �������� ■���■�■■ ������������/���\���������������������� iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii=iiiiiii■�i�iu=�i��=�ii��iiiin�iiii ����������������������������e���������������������i�������n������� ■��■������������������������������������u������u������un���� ■������������■■���■������������ ■����� �■��u������������������ ��������������■������������������������� ��Nt�i��i��■��u�iiiiiiiii ■������������������������������������■�������� ���� ii�iiiiiiiiiiiiiiiiiiiiiiiiiiiiii�i�iiiiii=i�iiii�iiiii=i iiiii� .............................................�...■�.�..■..=..�'C�C ....................... .................... .... ........ ����u�/��/��������/��������������uN��/�����uu�/�� ��������■�������������h�������� ����N�� ■ ���u����������� ■��■����������� ■�■��N����������■�M��■�����■� ��� ���������� ■���������������������h���■������■���������� ■ ������������ ���s��■ N��■�����������������������■��� ���N ■ ���� ������ ....... ................................. ..... ... .....0 .........................................�..... .�C:�..=C...�.. ■�N�H������n��s������������..r\������ ��H�� U ����C ���� �� ■����u�����l�� ��u���u��� �t. ���u u����� �������� ■������������■�ii��..�..�. ��u. ..�.w...� ����v��v�HH�h���n���������N����� �Nv�� M�� ����� ■��■ ���������n���������������������� �■��■��� ■ �� 0���� ■■��i����������u��������������� ■ �u� ��� ������� ■���e���������������■ �������=�i� �� _����� ■■��������������� ���� �■■���� ■ ■ ■ ��■� ■■���������u�t�������� ■��������� �� u �� ����■��_ ������ ������ ������ ����� ���� ■ ������ . �iiiiii�iiiiii�uii�=�� ���� �, u������� ����u����� ��� ������ ■��■��■����u ����u���N��� ���� �� �a ■ �������� ������������ ���������M�u��u�� N �� �������� ������������■n����\�j��� ��� ■ ■ �� �N���� �����������vh��u.■.�i��� � � � u��� ■ :::::::�:�.::::::::�::�::..��• .� _:::::�a ....................... ........ ...... . ... ............ ......... .. ... .... .�.�:... ■■■■.■■■■ .�iiu�y■■■■ ��i --_...:- .� v ■ ■N■■■� ��e������=��u���au��m=i�� ■ �� au�� � ����■������ ■����p���� �� ■ ■ �'■ �� n����� ������v���������N�����1� �u� ■ ■ ������ ■�r���������������/��/��������� ■ �v���l� ������v�/���//N ���■��I��u�/� ■ ■ /���v■ ■������u��■� ��� �����������l�����! ���������� �����u� �������q�� ■i::i... ��a�N� :::_::: ':' ::Z:::�:::C=:.. � �L � ..:: : ....... .C�.............. ►. .. _ .. ..��. ......... C ................C�.�..C. . .. ..... ■��������N��■�������N��u��������� n� ■ �������������������������■uu����■��� �v�� ����v�����������u����������� ■ ■ a�N�u�■���� ■������������������������������ ���� ���n����� ���������u���������/��������■� ■���b�u� ■ ������ �����������N�����u u ■ �N ��0�� 'C:::. :�:"::: :::::C.....��_ ..::__� ...... ..... ._....... ...... .�... . .............. .. .. . ...............e .... .. . ......�........... .. ....... ................. ...............................�3....=........�.................. :::::::::.::::�::::�::::::::::::::::�:::':::::::::::::::::::: .................................................................. ����������������/u�����/�������������N�u���u���v������������� ■����������/��������������� �������������0■�■�������������������� �%����������v����u������� �����������h�����u�������v���� 1:::::'::C:::'.'::::�::::::�:�'C:'. :_:::C::::C:::C:::::C:C - � �..--.�d DAVIE COUNTY HEALTH DEPARTMENT Environmental Health SecEion PO Box 848%210 Hospital Street Mocksville, NC 27028 Phonec � (336)751-8760 ON-SITE WASTEWATER CERTIFICATION FOR DWELLING (Check One) REPLACEMENT ❑ REMODELING ❑ RECONNECTION ❑ Name: ..�� �t i�v '� • �/�.- � �� f� �� Phone Number: (Home) Mailing Address: � ��l�_�L��_�-C'-� ' �, b w�'"'� � b � r � io �-3 (Work) i�'` a� lC"s � i/� � Detailed Directions To Site: (�� � 1 r� -�—,� �' fi ,�-r� -I--z..��, ,�. r� /. �:.� .��,,. /� � Property Address: Please Fill In The Following Information About The Existing Dwelling. Name System Installed Under: � � u�— �1 a/ � �,.M- ,• �� P Type Of Dwelling: %M' � Date System Installed(Month/Day/Year): G'/ �/'c� Number Of Bedrooms: r' Number Of Peopl� Is The Dwelling Currenfly Vacant? Yes C9�No ❑ If Yes, For How Long? �\/ 1e -� ' ' Any Known Problems? Yes ❑ No C9-/If Yes, Explain: Please Fill In The Following Information About The New Dwelling. Type Of Requested By:. Of Bedrooms: � Number Of People: �-_ For Environmental Health Office Use Only Approved � Disapproved ❑ Comments: Environmental Health Requested• � � — `%�--0 '�.�i � '"The signing af this form by the Environmental Health Staff is in no way intended, nor should be taken as a Quarantee(extended or limited) that the on-site wastewater system.will function properly for any �iven period of time. Payment: Cash ❑ Check ❑ Money Order 0# Amoun� $ Date: Paid By: Received By: Account #: Invoice #: