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467- 471 Childrens Home RdDavie County, NC Tax Parcel Report Tuesday, October 11, 2016 WARNING: THIS IS NOT A SURVEY Parcel Infonnation Parcel Number: B300000024 A Township: NCPIN Number: 5813744576 Municipality: Account Number: 60556000 Census Tract: Listed Owner 1: REVELS WILLIAM JUNIOR Voting Precinct: Mailing Address 1: 135 LEISURE LANE Planning Jurisdiction: City: MOCKSVILLE Zoning Class: State: NC Zoning Overlay: Zip Code: 27028-4846 Voluntary Ag. District: Legal Description: CHILDRENS HOME RD Fire Response District: Assessed Acreage: 7.53 Elementary School Zone: Deed Date: 3/1987 Middle School Zone: Deed Book / Page: 001360411 Soil Types: Plat Book: 10 Flood Zone: Plat Page: 249 Watershed Overlay: Building Value: Land Value: Total Assessed Value: °� °'F Davie County, �o�,N�; NC 0.00 Outbuilding & Extra Freatures Value: 46180.00 Total Market Value: 56090.00 Clarksville 37059-801 CLARKSVILLE Davie County DAVIE COUNTY R-A COURTNEY WILLIAM R DAVIE NORTH DAVIE MnB2,MdB,MdC DAVIE COUNTY 9910.00 56090.00 _ No All data is provided as is without warranty or guarantee of any kind either ezpressed or implfed including but not limited to the implied warranties of inerchantability or fitness for a particular use. All users of Davie County'a GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causea of actfon due to or arising out of the use or inabllity to use the GIS data provided 6y this webslte, . _.... . ;. ., .�:F. y.i�Xv AUZ'xox��A'rtorr 1vo: �� DAVIE COUNTY HEALTH DEPARTMENT - � Environmental Health Section PROPERTY INFORMATION �,Per'mittee's / i� /, %' �� P.O. Box 848 ' `Name: ' ��f�//A�'f�, �� _ Mocksville, NC 27028 Subdivision Name: j. , �,,. j, Phone #: 704-634-8760 Directions to property: .:-'�/•�✓'' �!` � ..fit�-.++� ��-j r Section: Lot: f : AUTHORIZATTON FOR �/-�"�� ! �i � � r WASTEWAT'ER Tax Office PIN:# �- �'�� ..x''"�� . /';' . r � : ' : /'� . , SYSTEM CONSTRUCTION +�-�-= —�:— ' � �� '" f� � ,;� �'', �'1f;1- s ` ��r��" �``�� '�„� �� J /�1� , � � Road Name: � �.i�i'"r' }> � lp. �� **NOT'E** This Authorizadon for Wastewater System Construction MUST BE ISSLJED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building InspecGons 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) � ENVIRONMENTAL HEALTH � � % ��f � : /�%�,%' T=--- � iCIALIST DATE ISSUED ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALm FOR A PERIOD OF FIVE YEARS. -_ s � r�.�� .� , , _ �, L�' k G - , . �- � - �- � .. DAVIE COUNTY HEALTH DEPARTMENT � ,;��,'�'°� - ,; ;.,�`� �' - - IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION — Petm�ittee�s '"- ,%�,�''�'�,�' ' .''7vame, _� _:�� l ff//A ' 1 : ,,, ,� ,� -�r="1�(�� Subdivision Name: . �. _ �. � _ . Direciions to property:, `' �'� Y� '� �` t. Section: Lot: ' r�' , IlVIPROVEMENT , r ;' /. . i' ' PERMIT Tax Office PIN:# `; .�' �' - '�� ' .l`°_a�f, , / ,�f p1 g ��f • rr ° t Road Name: �'��li`Pf 3a'� '}!_ .� T��' S+�,'lP F'1`'�•r fj,r�`< �-�� **NOTE** This Improvement Pernut DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCITON must be obtained fram this Department prior to the construction/installation of a system or the issuance of a building pernut. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) � �.� } r ***NOTICE*** THIS PERNIIT IS SUBJECT TO REVOCATION IF SITE }`:.,J � ',_ �,%''` � :.<^:' • �' . , � ',, X PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRAGTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE �� # BEDROOMS �# BATHS � # OCCUPANTS _� GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No �n �� '` - / LOT SIZE TYPE WATER SUPPLY G?�f I� DESIGN WASTEWATER FLOW (GPD)�1f� (/ NEW SITE !/ REPAIR SITE / SYSTEM SPECIFICATIONS: TANK SIZE,��GAL. PUMP TANK GAL. TRENCH WIDTH ��_� � ROCK DEPTH /,i LINEAR Ff. � l!� OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT F ""�,,,,._ **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 930 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY: ��x� �� 5 y AUTHORIZATION NO. r� �� OPERATION PERMTT BY: �_ ��_YL�� DATE: �`�/ -� `� � **THE ISSUANCE OF THIS OPERATION PERMTT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .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) 1 APPLICATION FOR SITE EVALUATION/IMPROVEN Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 i �l �1�`g'"�r'�� j� �� i�� .. ,�"+� � ,� H� � f p � � � ;7 N ��: ; 'i. �� F, � � �I � �� FEB � 7 � �, �--�--�-=•�— - � ,`� ;��-* .� _:�-� ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed 1'v «f I� J� ��e�S Contact Person �� l� �Zi�1 �� '�vE'-�.0 MailingAddress �35 t�isuec l._1.�. Home Phone��"�� ZQ �� City/State/Zip i� 0(.��.`�V 1 � �e 1.1L 27� Z$ Business Phone�3�'' �'`��p?J� c`�i K� J 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 [Y]�Vlobile Home [] Business [] Industry [] Other 5. If Residence: # People� # Bedrooms�.� # Bathrooms [] Dishwasher [] Garbage Disposal �ashing Machine [ ] BasementlPlumbing [ ] Basement/No Plumbing 6. If Business/Other: Specify type�boe�o ��'m�r # People� #Sinks�_ # Commodes_� # Showers f # 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 [�v]'No If yes, what type? EZTttER tt 1'Lt1T OR SZTE PL,�tN PROPERTY INFORMATION REQUIRED: *** IMPORTANT **'��i.�t1�I' OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: g� �'4 � � WRITE DIRECTIONS (from Ta�c Office PIN: ,�# �'�i3 - �_ - "�5�� ! � Property Address: Road I�ame C.J7/�UI2�.�S' �7iY�te-/W. �� ` � c�cy�z�P �7a�sv�rl� �! � 70,� � ; �' , If in Subdivision provide information, as follows: � Name: � � � Section: Lot #: ; � TO 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 ��I�a/r'. �� y2�� to conduct all testing procedu as ne�ssary to determine the site suitability. DATE i�1rZlC,trt-1 %7,/i9c'� SIGNATURE �� )�Q (�nDo.�-,_ � , �_,v�-1�.� Revised DCHD (06-96) T1iZS ttREA MftJ $E _�----------- iE �'Olj I AIUII� � 1 ' j �, �OUR SZTE 1'Lj11:: � �- �� % . � Yry Q �, �� - � ' DAVIE COUNTY HEALTH DEPARTMENT _,' Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME /� DATE EVALUATED �/c�/�� PROPOSED FACILITY ___��,J� PROPERTY SIZE �y�C SUBDIVISION ROADNAME ��°��eX J��- /�� Water Supply: Evaluation By FACTORS Slope % HORIZON I DEPTH Texture group Consistence HORIZON II DEPTH Texture group Consistence Structure HORIZON III DEPTH Texture group Consistence Structure HORIZON IV DEPTH Consistence Structure On-Site Well i/ Community Auger Boring � Pit SOIL WETNESS RESTRICTIVE HORIZON 1 I 2 CLASSIFICATION %� LONG-TERM ACCEPTANCE RATE ,� � i SITE CLASSIFICATION: �s � LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) Public Cut 3 4 5 6 7 EVALUATION BY: 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 - 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 Wet NS - Non sticky NP - Non plastic FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm SS - Slightly sticky S- Sticky VS - Very Sticky 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-terrn acceptance rate - gaUday/ft2 ■ ■ ■■■�■■��■��■�■■■■■■�■ ■■■�■■■■■■■■��■��■■�■■ ■��■■■��■■��■■��■ Ziiiiii�iiiiiiiiiEiiiiiiii�eiii ■■■■■■■■■�■��■��■�■■��■■■ ■■�■��■■■■■��i�■��■��■��■■ ■■■��■��■■■■■■ii■■■�■��■ ■��■■�■■■■■■■■■J�■��■■■ ■��■�■■■■��CCCC:iiiiiii ■��■■��■��■■■■�■��■��■ ■��■■■■■■■��■■■■�■■ ■��■ ■��■�■■■■■■■■��■��■■■■ ■�■��■■�■■��■��■�■�■ ■■■�■��■��■�■■■■■■■��■��■ ■��■■■■■■■■■��■��■■■■�■ ■■■��■■■■■■■■■■��■■ ■■��■�■��■��■■�■ ■■��■ ■■�■�■��■ ■■��■ ■��■ ■�■�■■■■■ ■■■�■��■ ■��■■■■■ ■�■■■��■ ■��■�■�■ ■��■■■■■■ ■��■�■■ ■��■��■■ ■■■��■■ ■��■■ ■■■�■ ■■■�■ ■�■�■ ■■■■■ ■�■■■ ■■■�■■■■ ■■■��■ ■�■■�■■■ ■■�■��■ ■��■��■ ■■■■��■■ ■��■��■ ■��■�■■■ ■��■■■■■ ■■��■ ■■■�■��■ ■■��■�■■ ■■■■■��■ ■■��■■ 1�■■■■■■ �1��■■■■ Irl��i�■ ■ ■ ■��■■■■ ■��■■■■ ■■■■■�■ ■��■�■ ■■■�■■■ ■�■�■�■ ■■■�■�■ ■��■■