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165 Canterbury Ln� Davie County, NC Tax Parcel Report Wednesday, October 12, 2016 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: F400000010 Township: Clarksville NCPIN Number: 5821903765 Municipality: Account Number: 78540000 Census Tract: 37059-801 Listed Owner 1: WHITE JOHN FRANK Voting Precinct: CLARKSVILLE Mailing Address 1: 165 CANTERBURY LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27028-4660 Voluntary Ag. District: Yes Legal Description: 64 AC OFF ANGELL RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 66.23 Elementary School Zone: WILLIAM R DAVIE Deed Date: 4/1995 Middle School Zone: NORTH DAVIE Deed Book I Page: 001800072 Soil Types: SeB,Gn62,GnC2,GaD,MsC,ChA,Ce62 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 40160.00 Outbuilding & Extra 8400.00 Freatures Value: Land Value: 167650.00 Total Market Value: 216210.00 Total Assessed Value: 111610.00 �,vi All data is provided as is without warranty or guarantee of any kind either expressed or implied Including but not limited to the 9�" ` F Davie County� implied warranties of inerchantability or fltnass for a particular use. Ail users of Davie Countys GIS website shall hoid harmless tho County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to npU x,�'� NC or arising out of tho�use or Inability to use the GIS data provided 6y this website . � _.....�,.._�. . .,_ ......... . . . ..._.. ........ ..._._ ._. , . ...--..-_.-. ... .. ,..._.. . ....__..____ ...........__—�-----�._._.__._,_...,..._._.I ..,-'.-' _'.: `.; ,..:"��� .:'-- ' ' . r . . . . , � . , . . ` ..:.� _ =�aU�,r�ozu�ATiON rro. O � 4 O DAVIE COUNTY HEALTH DEPARTMENT �`� �� J��� O. " -�-• Environmental Health Section PROPERTY INFORMATION Pern�ittee' ` \i\\ •�, P.O. Box 848 Name: ��Ylr� �. � Y�\ \ P� Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property: �� U��� � �y *� Section: Lot: AUTHORIZATION FOR � t� \ (_ C' M WASTEWATER C � c^ -? ,� �"��'' �\�`� ` t��� �'�I�`��� ��" SYSTEMCONSTRUCTION TaxOfficePIN:#._)��� -�-�.-�� r� �~, �.t.� �„�.^.''��"r� hJ C>� y.s�*_ Road Name. �' .�ip: 6�►-1� **NOTE** This Authorization for Wastewater System Conshuction MUST BE ISSLTED by the Davie County Environmental Health Sec�ion prior to issuance of any Building Pernuts. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Pernuts. " (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ° e;� h �,� �� � .� � ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ���:.'� ��� �cr k"s.T.`��. )"�.,�� IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED ��,.' _ r .. , , - , , , . , :, :, _ � •,. . . ,.: ; , X , r �O � ,. - � 1�:�, , :�.� ''?, ,� l�,°�y? .,:a DAVIE COUNTY HEALTH DEPARTMENT '-� � F� ,,�;f.�-'r--� ` IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION .,�Peirxi�' �� -, �.. ' u `.�` � #.w, � Name: �-� ��� ���h��. �i�"�\ \ C?,� � Directions to property_, ��>' � 3 � ' � i � � � -. � .i..b .,.I� )\ �.i., ~ � �+, � '� f. \! k u �`.�' �'. �. � �n"^*."� ` .,.� Y;'-� '� � ..�,,,, ��,.y,�� �_;� s , �32 ,.;� IMPROVEMENT PERMiT Subdivision Name: Section: -- Lot: Tax Office PIN:#�_ - � . _ - f �'. � � n __+� \ i . _ _ ._ Road N **NOTE** This Improvement Pernut DOFS NOT authorize the construction or installation of a septic tank system or any wastewater sys�fem An AUTHORIZATIOlY FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Deparkment prior to the construcUon/installation of a system or the issuance of a building pemut (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ° � `` ***NOT'ICE*** TEIIS PERMIT IS SUBJECT TO REVOCATION IF SITE �`. _'-'�,, -,•�::` �, '�`^.�,;. ;� _�,,,.� �`,�' PLANS OR Tf� INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERNIIT BEFORE INSTALLING Tf� SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE�� H �^ i� :` # BEDROOMS � # BATHS �.�._ # OCCUPANTS ^^ GARBAGE DISPOSAL: Yes crr N^o'a 1`--� COMMERCIAL SPECIFICATIONc FACILITY TYPE # PEOPLE # PEOPLF/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE � r c� � � TYPE WATER SUPPLY l�)�� DESIGN WASTEWATER FLOW (GPD) �� �+� NEW SITE � REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZFJ b Op GAL. PUMP TANK GAL. TRENCH WIDTH '��j ROCK DEPTH �--� LINEAR FT. �� 4 REQUIRED SITE MODIFICATIONS/CONDITIONS: ± � IMPROVEMENT PERMIT LAYOUT 6 ti ��,�'v�.�e� C,� ���� , **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 TF� DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. I OPERATION PERMIT � SYSTEM INSTALLEDBY: AUTHORIZATION NO�� OPERATION PERMIT BY: �' N. J i, 1 Ih�r� p h1S DATE: � I�_�� "`*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, SECT'ION .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 , `� ' Davie County Health Department - ' Environmental Health Section P.O. Box 848 Mocksville, NC 27028 � (704) 634-8760 �***IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed �O � I�% l'. �,lJ/h i� �� Contact Person S �� I'� �• !�'J� ���P" Mailing Address �� � C/� N�e f^ � Ur y� N, Home Phone 1��'✓��� � City/State/Zip %��G f-i S 1/ r� �,� � /�. ��. a� 7��` � Business Phone �i�� � � 2. Name on PermibATC if Different than Above Mailing Address City/State/Zip 3. Application For: �f Site Evaluation [] Improvement Permit & ATC �,Both 4. System to Serve: [] House [v]'�Nlobile Home [] Business [] Industry [] Other 5. If Residence: # People # Bedrooms�_ # Bathrooms � [] Dishwasher [] Garbage Disposal [vj�Washing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing C. If Business/Other: Specify type # People #Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: [] County/City [��'Well [] Community `�,�,���L,_, p�.S�v .�jC1_► �L,� Gc�.rtJQ.S1-- T/ 8. Do you anticipate additions or expansions of the facility this system is intended to se e? [] Yes [�j'�To If yes, what type? r��I�f.`fy����ls�l PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A��;�,�OF THE PROPERTY MUST BE 5UBMITTED WITH T�IIS APPLICATION. GE.c.t.�o ' WRITE DIRECTIONS (from 1-ocksville) TO PROPERTY: Property Dimensions: � � � � Tax Office PIN: #� ga'� - R� - 37� S ;�Dl N�rfil, / o C/�/vii' Ilca� �i , q Il T l D Property Address: Road Name C/���� r 6 urv .1 N. ;/%NG' e� �4� � e�T oN /�N.� e� �'d A� r City/Zip l'Iocks t/� ��e /". C�. 0��0��; C/�N� CAmm v�; t�lr b v��� c�.�N� �/n7 t If in Subdivision provide information, as follows: � Cl�Nfe� b ve y� N' • DN � c�T , 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 �� �t /� � -�� to c nduc� test/in�pr dures as necessary to determine the site suitability. DATE 3'' I'i� —/ T SIGNATURE ��� Revised DCHD (06-96) THIS ft1ZEA Mfll�/ $E USEb �OR b1�L1UZNG JOUIt SZTE YLftN: � � " .Ooz�,G/�'.�ic� �r�- 5���, ��' .-� 1� � �.� � �v�// � ��� � � � r ` � _ . . . .., ... ._ ___ , .��t ^. .:Y-. . ,. � ,. � t - h � � � � � � �� � � tk y � ;' � �� y� �' ��� � `� �' t � � �'a �+. 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V�1 `�;�\Q DATE EVALUATED � y�y r` 1 PROPOSED FACILITY � ' �� � ``� � PROPERTY SIZE � � ���� SUBDIVISION ��� ROAD NAME � �`� Water Supply: On-Site Well " Community Evaluation By��� Auger Boring � Pit FACTORS I 1 I 2 Sloe% - -� O� HORIZON I DEPTH ' � ' � Texture rou �, L 'Lt Consistence �`: Structure C` � (�P HORIZON II DEPTH � � � Texture rou C � Consistence �, Structure `� �,�:...._,.,,.,... � , HORIZON III DEPTH Texture group Consistence Structure HORIZON IV DEPTH Texture eroun Structure SOIL WETNESS aS RESTRICTIVE HORIZON — SAPROLITE --- —' CLASSIFICATION • .S LONG-TERM ACCEPTANCE RATE � . �� SITE CLASSIFICATION: �'�S - LONG-TERM ACCEPTANCE RATE: ` REMARKS: \��� �.,. �� � - ����� DCHD (01-90) Public Cut 3 4 5 6 7 EVALUATION BY: � \\ OTHER(S) PRESENT: �" �'� �'`����. � --�� - � A�� �J " � LEGEND � Landscape Position R- Ridge S- Shoulder L- Linear slope FS - Foot slope N- Nose slope CC - Concave slope CV - Convex slope T- Tenace 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 Moist VFR - Very 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 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 ■ ■■�■ ■■■■ ■■■■ ■.■■ ■�■■■■��■■�■■■■■■�■��■■���■■�■���■��■��■�■�■■����■�v■a■■ ■�■�■���■■■■■�■■■■■■■■■�■■■■■■■■�■��■■■■■■■■■■■■■�■■L`��■ ■�■�■■��■�■�■■■�■■■■■■�■■■�■■��■■■■■�����������■■��■�■■ ■■�■■■■■■���■■■■■■■�■■ ■■■■■■������■■■■■■■■■■■■■�����■■ a�������■■■■��■■�■■�■■■�■■■�■■■■■■■■�����■■■���■�■■■■��■ ■■■■■■�■■�■■■■■■■■■■■■■■■■■■■���■�■■����■■��■��■����■�■■ ■�■■■■■■■�■■■■■■■■■�■■�■■■■�■������■■■■■■���■�■■■���■■■■ ■■■■■■■■■■■��■■■■■■■■■■■■■■■■■■■■■■■�■��■�■■■�■■��■��■�■ ■■■■■�■■��■■■■■■■■■■■�■■■■�■■■■■���■■■■■��������■■■■■■■■ ■■�■■�■■■�■��■��■■��■�■■■■■■�■■■■■■■�■■■■■■■■■■����■�■�■ ■■�■���■�■■�■■��■■�■■■ ■��■���■■■■■��■�■�■�■■�■■�■■�■■■ ■■�■■�■■■■■■■■■■■■■■■■' ■��■■■�■�t■■��■���■■�■��■�■■�■�■ ■■■■��■■�■�■■■��■■�■■��■■�■■��■■■��■■�■�■�■��■��■�■■■■■■ ■■■■■�■■�■■■■■■■■■■■����■�■■��■����■■■■■��■�����■■■■■■■■ ■■�■��■■�■■■■■�■■■�■�■�■■■■■�■■■■�■���■���■��■■■��■■�■�■ ■■■■■�■■�■■■■■■■■■�■��■■■����■■�■�■■��■���■��■■■�■■����■ ■��■�■■��■�■■■■�■��■��■■�����■■■■■■��■��■■■■■■■■■■■�■�■■ ■■■■■■■�■���■■■■■■■■■����■■■■■■■����■�■����������■■■■�s■ ■■■■�■■��■�■■��■■��■�■ ■■■�■■■�■■■�■■�■■■�■■■■■■■��■�■■ ■�■���■�■■�■�■■■�■���■ ■■■■■■���■■�■�■■■■■■■■�■■■■■■�■■ ■■■■■■■�■����■■■■■■■�■���■■■■■��■■■■■���■■��■�■■�■���■■■ ■■■�■■■�■■�■��■■■■■■■■■��■■■■■��■■�■■■■■■���■�o■■�■�■■■■ ■����■���■�����■�����■■���■■■��������■■�����■���■�■■��■■ ■■■■■■��■■■■■■■■■■■■■■■�■■■■■■■■■■■■■■■■■■�■■■■■■■■■■■■■ ■■■■■■■�■■�■�■■■■�■�■�����■■■■��■■��■�■����������■■���■■ ■■■■■■■■■■■�■�■■■�■■�■��■ ■���■�■�����■��■�����■�■■ ■����■�■■■��■�■■�■■�■■■■■ ■��■■■�����■■����■■��■��■ ■����������■■�����������■ ■��■■■��■��■■■■■�■■�■■■■■ ■■■■■■■■■■�■■■■■■■■■■■■■■ ■�■■�■�■■�■■■■■�■■■�■■�■■ ■■��■■ ��■��■ , ■ ■■,. ■\■��i ■■■■■■■■■■■■■■■■��■■■ ■�■■■■■�■■■■■■■■■■■■■ ■��■��■ ■��■�■■ ■■���■�■ ■������■ ■■■■■■■■ ■���■�■■ ■���■�■■ ■■�■■■■■ ■��■■��■ ■�■■■�■■ ■■■■■■■■ ■�■■��■■ ■■■■��■■ ���Y�� ������� ■■■■■■■ ■��■��■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ �� ■■