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270 Clearwater LnDavie County, NC Tax Parcel Report Tuesday, October 11, 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: 15E City: ADVANCE State: Zip Code: Legal Description: 2.00( Assessed Acreage: Deed Date: Deed Book I Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: °���'F Davie County, `'o i, x�c� PTC WARNING: THIS IS NOT A SURVEY Parcel Information 170000007802 Township: 5778381904 Municipality: 32838000 Census Tract: HARPER BILL Voting Precinct: � CLEARWATER LANE Planning Jurisdiction: Zoning Class: Zoning Overlay: 27006 Voluntary Ag. District: 1 AC OFF FORK BIXBY Fire Response District: 1.99 Elementary School Zone 1/2004 Middle School Zone: 005310135 Soil Types: Flood Zone: Watershed Overlay: 56300.00 Outbuilding & Extra Freatures Value: 20160.00 Total Market Value: 82290.00 _ Fulton 37059-804 FULTON Davie County DAVIE COUNTY R-A No FORK CORNATZER WILLIAM ELLIS Pc62,PcC2 DAVIE COUNTY 5830.00 82290.00 All data is provided as is without warranty ar guarantee of any kind either expressed or Implied Including but not Iimited to the implied warranties of inerchantability or fltness for a particular use. All usen of Davie Countys GIS we6site shall hotd harmlees the County of Davie, North Carolina, its agents, consuitants, contractors or employees from any and all claims or causes of aetion due to or arising out of the use or Inability to use the GIS data provlded by this website. : , , : . �� Io`��o AU�`HORI,ZATION NO: ��� . DAVIE COUNTY HEALTH DEPARTMENT " � Environmental Health Section PROPERTY INFORMATION ' Permittee; s„i, , ,� � P.O. Box 848 Name: ,�� .� ..��'x"'�'�` r�!`tn"' Mocksville, NC 27028 Subdivision Name: ' ; ; �� / Phone #: 704-634-8760 Directions to property: �%f`.,�r,��-.> �� 1,.r'/s, , Section: Lot: AUTHORIZATION FOR �c� _ ��� � WASTEWATER Tax Office PIN•# .� 11- � SYSTEM CONSTRUCTION ' Road Name:�•._.! C'_0.v�" b•� U�. "�' Zip����� ' **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section 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 Pemuts. �" (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) �' �� ,• � � ***NOTICE*** THIS AUTHORIZATTON FOR WASTEWATER CONSTRUCTION ��.;' //rr' -� r'% ;; a ;: ;�_ , � y ,�l;" �;-�—�;r„�'.-�, ��.�� / IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTI-r3PECIALIST DATE ISSUED _ � � �,. � � �� �,> � . �, � ' � ;�� '�'�Y �;.. - DAVIE COUNTY HEALTH DEPARTMENT ,, �` i�� TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Perm�ftee� s ,�``.��.;, , � � � A�..�� Na�e:' �" :��,'4 ��;t'�`t .��'J�':'�" Subdivision Name: .. . s� r, },;,,.; � , , }'Directions to property: �� ' • -:� ..�': ; Section: Lot: IlbIPROVEMENT .`'�- r� rj f,� �1`,�.G" PERMIT Tax Office PIN:# � r�- ..M� ,� - Cj ��.? � � Road Name',i i c� V, tr ��j •`i ����Zin:'��`r r,f'�i � 1; **NOTE** This Improvement Pernut DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An ALTTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from 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) ' - '�**NOTICE*** TI�S PERMIT IS SUBJECT TO REVOCATION IF SITE �; , t'�, -� �'•�� � i'� , r=;a , PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ,c. : r - , ` � � � ENVIRONMENTAL HEALTH`SPECIA�LIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TFIIS PERbIIT BEFORE INSTALLING Tf� SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE ��� # BEDROOMS ..� # BATHS �_ # OCCUPANTS �_ GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFTCATION: FACILTfY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WAS1'E: Yes or No .�-- LOT SIZE ��-� '7�' TYPE WATER SUPPLY i"�� � DESIGN WASTEWATER Fl.OW (GPD) -��=-�'�.•�'1 NEW SITE J�''� REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE �%�' � GAL. PUMP TANK GAL. TRENCH WIDTH p'� ROCK DEPTH ,���� LINEAR FT. •�f �/� � REQUIRED SITE MODIFICATIONS/CONDITIONS: I IMPROVEMENT PERMIT LAYOUT '**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. I OPERATION PERMIT �a�� ��:� �'I SYSTEM INSTALLED BY: 1 � C�C�C�s�. ��� e..� � N ��� a m � i' n9� � �� AUTHORIZATION NO.I �� OPERATION PERMIT BY: C�C-i�� DATE: _�`� �r 1� "*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, 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 OSN6 (Revised) _� � APPLICATI N FOR SITE EVALUATION/IMPROVEMENT I�� !� Davie County Health Department '� Environmental Health Section 1n a� P.O. Box 848 S .0 ` Mocksville, NC 27028 (704)634-8760 p c;t-al;l�4.�t� AUG I 5 1997 , M ! � L DAVIE COJNTY "�`� '�'�**IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Bill� t s_.i. �? ��� Contact Person 'hAT � L"- � A i. t� �. 4 Mailing Address,�1 S �� � - C � �-5 M . � 17 Home Phone 19 g ' � � � � City/State/ZipC,��t�s'��s15 �, C. Z�7f�� Z Business Phone 2. Name on PermidATC if Different than Above Mailing Address City/State/Zip 3. Application For: Site Evaluation [] Improvement Permit & ATC oth V� �- a�' g� 4. System to Serve: [] House [ �Iobile Home [] Business [] Industry [] Other 5. If Residence: # People � # 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: [] County/City [�ell [] Community � 8. Do you anticipate addirions or expansions of the facility this system is intended to serve? [] Yes [�� If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT **'�'�Lh�YI' OF THE PROPERTY MUST BE t SUBMITTED WIT�T�IIS APPLICATION. Property Dimensions: �� f �� a-��'n'J � WRITE DIRECTION5 (fro Mocksville) TO PROPERTY: Tax Office PIN: # ���d - � - ���/ ; � � - , Property Address: Road Name �Cl�Gts1-LC�J'L �`i�. ���- C��-� C%�R�t���� T City/Zip � %Q��D ; �� If in Subdivision provide information, as follows: � �Q � � 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 . ��r7t�Ts'.�f� . / �• � _ _ to conduct all testing procedures as necessary to determine the site suitability. .�� �� Revised DCHD (06-96) THIS ARE�t AiflJ $E USEb �01Z blZftIVINC� JOUIt SZTE YLttN: ��s' "� t� di .� � i�y�X ��;k 'e ��, f�-; �n,�� � � �4.< ��2 '�Ji �� � -:s � <�: t�'i� o ,. � � ,*v� �,.„`� � +f^'ja�,� t�" . t� � � R i; i r'r'* � u'F , � y d..l i� .� i i ,�'s a b� '� ,� . R r�r. �'.�i�; v,� � i�, g y °`� 4 t�'a`` ,� -1 �. . ° f rt ry� �f ,�; ?.�> ^r � " � . K A 'a'� ,; 5 '�'°w_ i '� ,���ht t , �... '� � r � nt , ' � �e 3a - � � �� z+ � *�;_ ' ���s k'��� � h,'� ,�� , ;�� M �» i1, p x r . �_}; :� r t ar t, a a vs _ � . `�s}�p �".,� i� a � d;£s � 4�in 9 s .� ' �° r :� �� ' ,t # � _ � - �E . �' ' r�. ! 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' r� . , . �^�� Q '���'' �'' i ; 3 0 �` re�v ,����� � `t� ��`_ � ; � ,�,� . � °;��;�„�`. �y,�.,� �. � ,��`�� �' � ` ' •w-._ � � � ro�,`' ���. �i�,` �R � , � , �- -� �; . �,.� _ � ��° , .. d � �:�� ' . , „�::��, o� ��,F�,��. _ . b � ' � �,, ., �.�.".�.,._.. _ � _ 7 . y . � . • DAVIE COUNTY HEALTH DEPARTMENT ` , Environmental Health Section SECTION i.oT , SoiUSite Evaluation APPLICANT'S NAME ,l`1�',D�� DATE EVALUATED��/'-�.i����_ PROPOSED FACILITY y,�,� PROPERTY SIZE � f� e� SUBDIVISION ROAD NAME C~�r'X1�� , �/' � Water Supply: Evaluation By: FACTORS Landscape position Slope % 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 group Consistence Structure On-Site Well r� Community Auger Boring � Pit SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: �� LONG-TERM ACCEPTANCE RATE: � REMARKS: DCHD (01-90) Public Cut 4 5 6 7 a EVALUATION BY: � i'L� ,� � 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 Mineralogv 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 - 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