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177 Clark RdDavie County, NC Tax Parcel Report 11001 v l Tuesday, September 27, 2016 ti UDPG ;1 Q Cn 1 _. X750 406 3579 ' IQs 9545 1 144 t v LQ3457._ 176 M 4339 :% ' S5 �. 0309 173 .7, 154 -� \� -"ti66.1sa 1-,343 i ,f / �' "I -. 128 1$O .-' 2 161 :\ . 2�. 2205- \L0 205 oAv�� All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the Davie County, NC implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or °o n causes of action due to or arising out of the use or inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY - ParceiThformation � , ; Parcel Number: M4130A0030 Township: Jerusalem NCPIN Number. 5735660309 Municipality: Account Number: 58724000 Census Tract: 37059-807 Listed Owner 1: PRICE MARY HEIRS Voting Precinct: COOLEEMEE Mailing Address 1: % JOHN L IJAMES Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAME COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 1.16 AC CLARK RD Fire Response District: COOLEEMEE Assessed Acreage: 1.14 Elementary School Zone: COOLEEMEE Deed Date: 1211940 Middle School Zone: SOUTH DAVIE Deed Book / Page: 000380518 Soil Types: GnB2,GnC2,ChA Plat Book: Flood Zone: X Plat Page: Watershed Overlay: WS -IV -P Building Value: 0.00 Outbuilding & Extra 4500.00 Freatures Value: Land Value: 16250.00 Total Market Value: 20750.00 Total Assessed Value: 20750.00 oAv�� All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the Davie County, NC implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or °o n causes of action due to or arising out of the use or inability to use the GIS data provided by this website. rUTH IZAT14D No: 1084 DAVIE COUNTY HEALTH DEPARTMENT • " '- y Environmental Health Section PROPERTY INFORMATION Perlhtee's•---*-� P.O. Box 848 Name. " 1 - Mocksville, NC 27028 Subdivision Name: Phone #:704-634-8760 Directions to property: Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# - Q� i -W PA SYSTEM CONSTRUCTION Road Name• Zip: -2— r-4 NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED 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 Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) `` ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ' r% IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH °PECIALIST DATE ISSUED j, ,. DAVIE COUNTY HEALTH DEPAR klg IMPROVEMENT AND OPERATION PERMITSi1 PROPERTY INFORMATION Perlifatee Name: Subdivision Name: Directions to property: t �."r`r Section: Lot: IMPROVEMENT r PERMIT Tax Office PIN: r i` f+ Road Name: Zip: �F`^ { -U*NOTE_ ** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. (In compliance with Article 11 of G.S. Chapter 130A; Wastewater Systems; Section .1900 Sewage Treatment and Disposal Systems) ' ***NOTICE*** THIS PERMIT IS SUBJECT•TO REVOCATION IF SITE s PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HBALTH`SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS --S GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS ' INDUSTRIAL WASTE: Yes or No LOT SIZE "/y TYPE WATER SUPPLY t7 DESIGN WASTEWATER FLOW (GPD) NEW SITE �/� REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE %!PGAL. PUMP TANK GAL. TRENCH WIDTH � ROCK DEPTH LINEAR Fr.. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: **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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. DCHD 05/96 (Revised) ••APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie County Health Department Environmental Health Section �Q V P.O. Box 848 Mocksville, NC 27028 D p 2 6 \g9� (704) 634-8760 SE ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSE S ALLY i THE REQUIRED INFORMATION IS PROVIDE . 1. Name to be Billed ILAA-eContact Persons • �L -�e,� ane . �? Mailing Address n &y/aq�Q Home Phone City/State/Zip -LV' (• 4 `%Q/ Business Phone 2. Name on Permit/ATC if Different than Above A'0 . y�.emF Mailing Address © • da�6 City/State/Zip &o _ aw,4- � 3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC Both 4. System to Serve: [ ] House [7d -Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People_,_L # Bedrooms # Bathrooms_ [ ] Dishwasher [ ] Garbage Disposal [,Washing Machine [ ] Basement/Plumbing [ ] 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: K County/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes A No If yes, what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***NIPM OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions:. /�oC xy?'92 WRITE DIRECTIONS (from Mo/ck/sville) TO PROPERTY. Tax Office PIN: # ! - l 6 - Q 9 ; t2a l /i1� �: n/� r� o� Property Address: Road lame/y �ek i� City/Zip C el IMOW, - /y(/J ; 444n VA A6tL6.0 If in Subdivision provide information, as follows: i Name: A 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 Revised DCHD (06-96) to conduct all testing procedures as necessary to determine the site suitability. THIS AREA MAY $E USED FOR DRAIVINC7 YOUR SITE PLAN: . ty��' S Jw �( .a ��.' 1' !.�,'�;i` +,� �,, t� , V �? ., ��T°•' �� �.M � !��"��j,f�.�` � +,���,'y t �� . ' � �� �y�,���. 5 r. Q f � ...1 '�`c�.,�, "'V?�. VG'': .i' � �a.�Y i .�1� �:Q� rij�,��ti � -R� �� Y t.. 7-�, L �� �.1 � 1 � ��/ �' �'� `�� � ` - `'�y, Mr� �N� � � ,, 7� i 4'��. 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DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section sECTTON LOT. SoiUSite Evaluation � ,-. � - APPLICANT'S NAME �'s PROPOSED FACILITY �� SUBDIVISION Water Supply: On-Site Well Community_ Evaluation By: Auger Boring Pit FACTORS 1 Landscape position e Slo e % HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH Texture rou Consistence Structure Mineralo HORIZON III DEPTH Texture rou Consistence Structure Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE , SITE CLASSIFICATION: � LONG-TERM ACCEPTANCE RATE: / REMARKS: DCHD (O1-90) 2 L p� r 3 DATE EVALUATED �� � �/�% PROPERTY SIZE ��/��' ROAD NAME / : !�'�i� � Public �� � Cut 4 I 5 I 6 I 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- 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 CONSISTENCE Mois 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 truct re 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 otes 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 ■■�■�■��■��■�i��■■■■■�■■■��■�■■O�■■���o��■■��■�■■■�■ ■�■���■�■��■����■■�■■�■����■�■■��■■�����■■�����■■■�■ ■����■■���■����■■�■��■���■�����■���■�O■■��■������■■ ■■■��■����■����■���■�����������■ ■■��■������������■ ■��������������■�����/���0�����������0�������������■ ■■�■■■�■■��■■■��■■�■��■■■�0���■�����■�v��■■��■�����■ ■������e■�os�■��■����■■���■��■�����������■�■�������■ ■�■��■■■��■�■������■■����■■����■■■��■������■■��■��■■ ■■■■�■■���■■■��■���■■���■■■���■■�■��■■�■��■■�■■���■■ ■■■■�■�■■���s■���■������■�����■���■���■������■��■�■■ ■�������������������������������������������������■ ■�■■�■�■■�■■■■��■��■■■■��o■■�■�■ ■���������■����■a■ ■�■�e�■���■■�������■■����■■����■■���■�o�■��■�������■ ■■�■��■�����■■��■■������■■����■■■�■■a�■■��■■�sa■��■■ ■■■■■■��■��■■■��■■�■■��■■�����■���■������■���■��■■�■ ■�����������������������■������e�■■���������■■e■■��■ ■�����■■■�■�■■���o�■■■■��■■�a���■■��■��■■■�■■��■■��■ ■�■����■��■����■■����■���■■���������■������■■�����■■ ■���������■�■���■■�������■■���������■■���■■�■�����■ ■■�■■■��■��■■����■�■■���■■��■■■■ ■■��■■■■���■��■�■■ ■■�■�■■�■��■■■��■■■■■���■■���■■■��■■��■��■���■��■�■■ ■�������������������������������������������������o■ ■�����■■■�■■■■��■■��■■■���■■�■��■■■�����■■�■■■■■���■ ■�■���■���■■■������■■�■��■■���������s��■■��■■�■����■ ■■e■■■����■■�v���■■■����■■��■��■�t�■■■■■���■s■���■■■ ■■■■■■��■������■■■���■�■�s��■■�■�■■�■�■��■■��■��■��■ ■■�■�■�■■��■�■��■■��■�■�■��■��■��■������■��■■�■���■ ■������■■�■■�■�����■■■■��■■��■�■ ■�■o�■■�i�■■�����■■ ■�■�■�■���■����■����n■■��■■����■����■�����►�9�se��ses■ ■�■■■■�����■��■■�����i■���■����■■���■������a��■��■■�■ ■■■■■■�■■�e■■■■■■■�■�a;�s�■�■■��■��■■������■�r�■■�■■��■ ■s���■■e���■■■��■■�■�s�����■s■���■■���������■��■■�o■ ■����������������■��������������������■������������■ ■�■��e■■��■�■�����■■����■■■��■■■��■■��■■��■■������e■ ■■■�������o���■��■■■■���■■����■■�■■��■■�■■�e■��■■�■ ■■�■■■■�■��■■■���■�■■���■����■■■ ■������������■■�■■ ■�■■■■■�■��■���■■■���■■���■■�■�..._��.��■■��■■���■�■ ■�■■■■��■�■����■����■■■����:i���■������u■��■■�����■■ ■������e������as����■���e�i��������o�����������������■ ■■■■��������■■■��e■■■��■■�i��■�■■�■■■■���i�■■��■�■■■�■ ■■��■■�����■■���■■���■■■��i■■����■■����������■������■■ ■���o�■���■■■���■����■����i■����■���■■■■�i■��■����■��■ �iiiiii�iiiiiiii�iiiiiii�iiiiiii '�iiiiii���iiiiiii�iii ■■■■■��■■��■■■���■■■��■��L=====�::i����■r�■��■�■���■■ ■■■■■■�■■����■�■���■■����■���■�������i■■������■���■■ ■�■����■■������■��■■�����■���■��r's�■��■���■��■��■■�■ ■����■■■��■��v��■■■����■■■��■■■■���■■■�■a�■��■■�■■■�■ ■■■���■�■��■����u■■�����■■��■������■ ■■��■���■��■���■■���■����■���■��■��■ ■■�■■���■�■■�■�■��■�■�■�■��■���■■��■ ■�������■�■����■��������■■����■■��■■ ■■��■���■�■■��■■����■�■■■��■����■�■■ ■■■■■���■��■■■��■■��■�■���■■�■��■��■ ■�■■��■■���■■�oo■���■■���■■�■��■��■ ■�■���■■����■����■■�■■��■■�■�■■■ ■■ ■■��■���■�■o�■���■■���■���■■������■■ ■■�■■���■��■■■��■■����■���■■����■��■ ■■�■■��■■���■■�������■■�■■■��■■���■■ ■���■������������������������■�����■ ■��������■��■���■■��■���■����■�����■ ■■��■���■■�■■■��■■��■■■��■■��■�■■��■ ■��■���■■���■�������■���■■■�■■�■H�■ ■ ��� ■��■���■ ■������■ ■■���■■■ ■■■■ ■�■■ ii ■■ o��■ ■v■■ ■■■■ ■■■■ ■���■��■■ ■���■���e ■���o■��■ ■o���■ee■ ■������■■ ■■e���■o■ ��■���e� ■����■ ■���■��o■ ■���■■�■■ ■e��■���s ■��■■�s■■ ■■■e�■■�■ ■����o��■ ■■■�■■��■ ■■■�■■��■ ■■�����■■ ■�■�e�■�■ ■■■�����■ ■■■■�■��■ ■■�■o�■■■ ■��■■�■�■ ■��■e■�■■ ■■��■�e■■ ■■�■■■■■■■■■■�■ ■�■����������■■ ■���■��■■��■��■ ■���■��■■��■��■ ■�■�����■�����■ ■■■��■s�■���■�■ ■�������■���■�■ ■�■���■■■■����■ ■■■■■■�■a����■■ ■�������������■ ■���■��■������■ ■e■■��■��■����■ ■�■■��������■�■ ■�����������■�■ ■���■�■■■■�■��■ ■/■�����������■