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761 Cedar Grove Church RdDavie Co�zntv, NC Tax Parcel Report Tuesday, October 11, 2016 WAK1V11V(7: l'Hl� l� 1VU1 A�UKV1:Y Parcel Information Parcel Number: K70000002001 Township: NCPIN Number: 5767618806 Municipality: Fulton Account Number: 40836000 Census Tract: 37059-804 Listed Owner 1: JONES DALLAS WAYNE Voting Precinct: FULTON Mailing Address 1: 2338 US HIGHWAY 64 EAST Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: NC Zoning Overlay: 27028-7418 Voluntary Ag. District: No 22 AC CEDAR GROVE CHURCH Fire Response District: FORK 19.43 Elementary School Zone: CORNATZER 6/1979 Middle School Zone: WILLIAM ELLIS 001080169 Soil Types: Pc62,PcC2,RnD Flood Zone: Watershed Overlay: 0.00 �utbuilding & Extra Freatures Value: 164270.00 Total Market Value: 11290.00 DAVIE COUNTY 4500.00 168770.00 �,v i All data Is provided as Is without warranty or guarantee of any kind either expressed or implied including but not Iimited to the 9 �a,s F Davie County� implied warranties of inerchantability or Fitness for a paRicular use. Ail users of Davie County's GIS website shall hold harmless the N� County of Davie, North Carolina, its agents, consultants, contractors or empioyees from any and all claims or causes of aetion due to n�� N,�'` or arising out of the use or Ina6ility to use the GIS data provided by this website. •� , , IpfPROVEMENT PERMIT DRVIE COLINTY HEAITH DEPARTMENT IMPROVEMENT PERMIT and OPERATIDN PERMIT : ''%C o **t�TE�+� This i�prove�ent per�it DOES NOT authorize the construction or installation of a septic tank syste� or any Naste►+ater syste�. AN AUT�RIZATIDN FOR NASTEWRTER 5Y5TEM CON5TRUCTI�J �ust be obtained fro� this Depart�ent prior to the construction/installation of a syste� or the issuance of a building per�it. (In co�pliance Nith Article il of 6.5. Chapter 1�A, Naster►ater 5yste�s, 5ection .1900 5ewage Treat�ent and Disposal 5yste�sf NAME ���i %'� ��/ �...! Z�%v�S PR�ERTY ADDRESS iQ�I�! r1 � r �n� (� �� • PtD 2%D a s� DATE �:�,� LOCATION / ���� Il �f�i�o �/i %�� 5UBDIVI5IDN N�MIE LDT NI�IBER SEC./BL�1( NUFIBER RESIDENTAL SPECIFICATION: BUILDING TVRE �CT � BEDR�MS � � BATHS �# D(�ANT5 � 6ARBt�E DISPOSAL: Yes/No CDMI+�RCIAL SPECIFICATION: FACILITY TVPE � PE�LE # PEDPLE/SHIFT # SERT5 INDUSTRIRL WASTE: Yes/No LOT SIZE t�� � TYPE WATER Sl1PPLY C � DESI6T1 VIASTENATER FLDW t6PD) � NEN SITE �REPAIR SITE 5Y5TEM SRECIFICATIONS: TRt�( SIZE /�'l 6RL. PI�IP TRM( 6AL. TRENCH WIDTH �_� � RDCK DEPTH /�� LIt�AR fT. .��1.� OTHER l;/-�'` �� REQUIRED 5ITE I�DIFICATI�IS/CO�IDITIDNS: �+�tTHIS PERMIT IS SUBJECT TQ REVOCATION IF SITE �ANS OR TF� INTENDED 11SE CHANGE. Y�R WASTERWATER SYSTEM CONTRF�TOR b0.1SST SEE THI5 PERMIT BffORE INSTALLING THE SY5TE►t, � � � IMRROVEMENT PERMIT BY �� �*CONTACT A�RESENTATIVE � THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTIDN � THIS SYSTEM EETWEEN 8:30-9:30 A. . OR 1:�-�:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE � IS (7@4) E34-8760. U� �ERATION PERMIT �, G� � a SYSTEM INSTALLED BY I �'�"-\ �����\ F ,,, �, I ! ����� � m. .Flo�.� AUTHORIZATION N0. 0�� � DpERRTION PERMIT BY ` DATE - l'2-� �`� ��THE ISSIIANCE OF THI5 OPERATI�I PERMIT SNALL INDICATE TF�T TFIE SYSTEM DESCRIBED ABOUE HRS BEEN INSTALLED IN COMPL.IANCE NITH AATICLE 11 OF G.S. CHAPTER 130A, SECTION .19� "SEWAGE TREATMENT AND aIS'POSAL SYSTEMS', BUT SNALL IN NO WAY BE TAKEN A5 A 6'UARANTEE THRT THE SYSTEM WILL FL�TION SRTISFRCTO�ILY FOR RNY 6IVEN PERIOD �' TIIE. DCHD 10/95 , = , _ , , . , ..� � .�� ..._. -_; �.�� � � a:;::. ; ", _—...� :. •_y�� a si.::s,r- = y e.. e'_.�, _ _ , ' `li.� � s,s' ,. - —_ _ _rY i _s - ,- _ ` . � � .,, Davie County Health Departient ENUIRONMENTRL HEALTH SECTIDN P.O. Box 665 � Macksville, N.C. 27@28 AUTHDRIZATIDN FDR {�STE�qTER SYSTEM COk5tRUCTI�I tIsaued in co�pliance with Article 11 of G.S. Chapter 13@A, Wastewater Syste�s) +�+�+�This Ruthori�ation For WasteMater 5yste� Construction �ust be issued by the Davie Gounty Environ�ental Health Section prior� to issuance of any 8uilding Persits. Thia For�/Ruthorizatian Nu�ber shauld t,e presEnted to the Davie County Building Inspectior�s Office when applying for Building Per�its.+�+� NHlE �iY_` /.I �P ! �.�.6� DATE �" �,�.,, l %,� �a�iNDRIZATa �i1�A'.'�ER NAME ON IlPROVEMENT PERMIT lIf different than above) SITE LOCATION COl�ENTS/(�NDITI�15 ON RU'iHORIIATIDN TD (;UN5TRIJCT 41R,STEWRTER 5YSTEM �fND'TICE� THIS AUTHORIZRTIDN FQR-W WATER 5YS TRl�TION IS VALID FDR A GER OD DF FIVE i5) YEA . e �` �/�� ENVIR0�IENTAL tfNLTH SPE 5T DATE DCHD 10/95 , -. , . „_ ' APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC ___,_, `� -Lk �,,�' �� Davie County Health Department � � � a �% � , �`� S ��►s_ � Environmental Health Section n C,�.�� '�w�i — P O. Box 848 �f J� �, 1�96 p. � Mocksville, NC 27028 ����3 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESS ESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed LG L° �'1 Contact Person �� C .,,� �Ne.,i Mailing Address ��f(� t�ll�P �-r' � Home Phone �9�” ��d.? City/State/Zip dtfq�`C L ��(JI�L Business Phone %�'' S'la �// 2. Name on PermidATC if Different than Above Mailing Address 3. Application For: [] Site Evaluation City/State/Zip [�Improvement Permit & ATC [ ] Both 4. System to Serve: [] House [U]'Mobile Home [] Business [] Industry [] Other 5. If Residence: # People � # Bedrooms�_ # Bathrooms�,_ [V]�Dishwasher [] Garbage Disposal [�,]�Vashing Machine [ ] BasementlPlumbing [ ] Basement/No Plumbing 6. 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 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes [rj No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 2� �l`. � WRITE DIRECTIONS (from Mocksville) TO PROPERTY: , , ��� �p � Ta�c O�ce PIN: #i� 7G 2-�- fS 80 G ;�J� �v y�s� �v C"�i/a•- Property Address: Road Name `�C+�' �i"rcOVP l/.v✓'t,� R�� ����� ��"`"� �,,. 2 fd City/Zip �oQ.�eS:'lj�/Q �riOZ$' � 3 rn��rS 't'1C�.'c1 ,b� h° 'f'�p If in Subdivision provide information, as follows: � � c_�c �' %0 tLS � U r� LC.-�f' Name: � � � Section: Lot #: � This is to certify that the information provided is conect to the best of my knowledge. I understand that any permit(s) issued hereafter aze 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 to con uct 1 testin ocedures as necessary to determine the site suitability. DATE � �� SIGNATURE Revised DCHD (06-96) ______ � r r, � 1 � � �.� .:s. �� �� � . s , . � � � r ', +�1 y :,.x �R g 4j �. f4� � �;•� ' . � p �� «�'"��y� ;� � }E, . l�: r'' , ` �� € g * e� „, � ,,,_,.. �.�5'+ �, i. . . 0 ,. ., ,. r: . 2 ..,r .. � �i-r. . ,�, . r'«: c _ . � � � . ��- � �'�., �4� rpA. . .,e �aS . `� A »s , $ :� 0 �' � . � 3 �,tr . �'3 °; . �, r �, � ,.,;. ��� 21 `�%L'�'.��� ���` to""�� , � �0� p ,r � � r . �A . �GG . ,, o /� � �; :t _��.-�� I� � �'" � «. ' 4 6. ,. 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O �n � i�h; , 4. .� � �+�� � �* r+ sY�, ��.s ' �{,k t _� Ill � ����€ r` P � ,� i 4 =u �4 l�" y� � ��' - t � . `, -;, �.,.,. : �� �: ��i �et�' t +�,� �f�Fr t a�, � f ° � +�� 6� . . . . . � y'� 1'".rr� . „ .^ � �`�. �_�� F�, a'y� �.,?.� . .-`�,., . . �' . Y . .. .. � - - __ ..� G • � � �� , DAVIE COUNTY HEALTH DEPARTMENT y � Environmental Health Section . Soil/Site Evaluation � �.1G �,� NAME � DATE EVALUATED ADDRESS PROPERTY SIZE o � PROPOSED FACIILTY � � LOCATION OF SITE � i�� .� Water Supply: On-Site Well Community Evaluation By: AugerBoring Pit FAC' Landscape po Slope 7 HORIZON I DE Texture grou Consistence Structure Mineralogy HORIZON II D Texture grou Consistence Structure Mineralogy HORIZON III Texture grou Consistence Structure sition TH DEPTH Mineralogy HORIZON IV DEPTH Texture group Consistence, Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLaSSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: '�l:Ij�iE�!/S� �0� i�'_.����� �/��i.��� ������8� EVALUATED BY: LDNG-TERM ACCEPTANCE RATE: OTNER(S) PRESENT: REMAR KS: LEGEND DCND(01-901 Publ i c Cut Landscape Position R-Ridge 5-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- Vc-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-Sin�le grain M-Massive CR-Crumb GR-Granular ABK-M�ular blocky SBK-Subangular blocky PL-Plnty PR-Prismatic Mineraloocy 1:1, 2:1, Mixed Notes }iorizon depth - 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