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1621 County Line RdDavie County, NC Tax Parcel Report ' �1 1 Tuesday, September 27, 2016 t2 5147 ��� '- 01 1651- 9 7299 j %" N+ ll �1648b} 495 w`� 4:w a v 1 sz1 z�'• 318 a __....._. 7949 1999 r1-11 607 + i i ill 1 r r N Parcel Number. F100000050 NCPIN Number: l' 4890967949 Account Number. 5982800 Listed Owner 1:, Census Tract: BECK NATHAN C JR I Mailing Address 1: 1607 COUNTY LINE ROAD City: Davie County HARMONY State: Zoning Overlay: NC Zip Code: No 28634-0000 Legal Description: 3.752 AC COUNTY LINE RD Assessed Acreage: 3.76 Deed Date: 9/2000 Deed Book/ Page: 003450053 Plat Book: Watershed Overlay: Plat Page: Building Value: 81270.00 Outbuilding & Extra 7420.00 Freatures Value: Land Value: 36250.00 Total Market Value: 124940.00 Total Assessed Value: 124940.00 WARNING: THIS IS NOT A SURVEY -.. arcelTnfomiatio Township: Calahaln Municipality: Census Tract: 37059-801 Voting Precinct: NORTH CALAHALN Planning Jurisdiction: Davie County Zoning Class: DAVIE COUNTY R -A Zoning Overlay: Voluntary Ag. District: No Fire Response District: SHEFFIELD - CALAHALN Elementary School Zone: WILLIAM R DAVIE Middle School Zone: NORTH DAVIE Soil Types: PaD,PcC2,CeB2 Flood Zone: X Watershed Overlay: WS -III -BW v .vre 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 °U es causes of action due to or arising out of the use or inability to use the GIS data provided by this website. t <a"+ -, %,•�:;a "' f„i°r�Y- Iw N.",r. t'k ,i -•r-., n Y +c.n-,s'fF 'iLs-' a t'NF - r+;+Ai • i Z1 � � f`wfr� � I :...� ,7.{ , s:k'4- •,� � ,,r , a, 5s'r ': t 7 • ti � �e • r . %e. AUTHORIZATION NO: 17 1.DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee' +G t++ P.O. Box 848: Name: ,r Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property: 14oLI Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:#� - - SYSTEM CONSTRUCTION.. • aRoad Name: y i 1p: **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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION TS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH S IALIST. DATE ISSUED ' �yyr � '.°) +'«'ti.✓" "d r 'a S ° 4 t''. �, '� �:-, 4 �� `+`y -`t! rp . �,. � r A' `J ,.,-' , e r5� r 1,171 DAVIE COUNTY HEALTH DEPARTMF To R IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Name Directions to property: Subdivision Name: Section: , Lot: IMPROVEMENT PERMIT Tax Office PIN:#"` - e4141 •r Road Name: p: **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 ,. ✓'j 7 l" ,'+ PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH S ECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS -1? # BATHS Z? # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No i LOT SIZE . TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) l/ NEW SITEREPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE ZOO GAL. PUMP TANK GAL. TRENCH WIDTH �G 'ROCK DEPTH LINEAR Fr. S40 / 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. OPERATION PERMIT \ _ A SYSTEM INSTALLED BY:— ISN `T4aJ�t DL�T-c 1- � I , M HoMt 0`4T y T iw x5�7" Z fQ, 100' K CT L 'I'Pl Td, Ai X1 5:C AUTHORIZATION NO. �_ OPERATION PERMIT BY: DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT TEM DESC&EVQbVE 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 05196 (Revised) - - • APPLICATION FOR SITE EVALUATIONAMPROVEME ' IT & ATC • Davie County Health Department [W [RO n2 v Environmental Health Section D V t5 P.O. Box 848 i DEC 3 U LV Mocksville, NC 27028 (704)634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLES THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed Zz 6C Z Contact Person Mailing Address Home Phone City/State/Zip /- v? Business Phone 2. Name on Permit/ATC if Different than Above 5:a/�2 -C- Mailing CMailing Address !,4)?e? r.-. City/State/Zip r�h'I v-- 3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC �th 4. System to Serve: [ ] House NMobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People--/ # Bedrooms # Bathrooms [ ishwasher [ ] Garbage Disposal PNGhing 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: Y/rIcounty/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes If yes, what type? [ ] No EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***.)&ELAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: S 4 1111-c Y 'WRITE DIRECTIONS (from Moc(ksviLlle) TO/PROPERTY- Tax Office PIN: # 26 ��/l� Property Address: Road I ame lllLl i� ; l v�'`�, 6 tZA-1 �d-/���/ City/Zip ,� /'r�OtGf��� �t16 31; �� , �`� 'd' r,& If in Subdivision provide information, as follows: 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 to conduct all testing DATE � '7? SIGNATURE z/& Revised DCHD (06i 96) THIS A :A MAY BE USEb FOR DRAWING YOUR SITE PLAN: �.5 ov, as necessary to determine the site suitability. I i� �'�i� 8 4 4/ . .8 UJ 463.38 s r QO r r 4.5Lt M ti 16.70A c:" ti m 37.0 9 ." � ' ` a 15. 12 l t; tK 7. 70 AI 671 c. AC. �F 1.98 Ac wr c 146 N X31 382 �` +� M'« \ fig 1.92 Ac. o I . AC. �ti a 0' 14.0'S�0 �n 2, I I 450, /��+ <v a �e0 o A 'AC. 78 v is; " 39 F0 3 264.37 I'Te A c..� 46- ��° 23� 4 4 P° oo 14.0 I m 2�ti M N 'V O N /9 0�• 12' o a �g2 305 g2 47.39Ac;' ry s •49 t Y � ar .�00 ,},'� - F P� 1671 r Cv 'ti" i� �Q ro 50 0 E; 495 i - 1221 , ; CD t t It 6.7 M,+ as E k ( sv ywG' CD ua. 511 01 8- �;i �N 0,'AC. <t� P''^ 4 16 3 A c .s530.64 �g6 366.3 cD r`n 66 .675 ,2 530 .64 «,• �r t T- 541.2 � r - :. �p�g .i i. '..� y q M r..l �+"Ru �F pfRx+ P 7��YtS�Y4k r, V� �'� S. .y .. t „ C,�. �1 7. •i�S `1N.'.�''�' - j ;p iq .� �u1; r t r Y.,.. r M _. G r ' '.: .t �� �''! z �t �1:"3 i' ,}•: 1 ,�'�"� N / � � t s4g�v P L t 4 _ � '�y, - 'b",' X• � 7 Q.. ,%4� •r, r a, �, Y'� pK�.a, 1� .� . T4 F _ NORTH DAV I E- GOIJN_I DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT, Soil/Site Evaluation APPLICANT'S NAME Anxi- PROPOSED FACILITY 2 ! SUBDIVISION Water Supply: On -Site Well Community Evaluation By: Auger Boring Lltn� _ Pit DATE EVALUATED PROPERTY SIZE ROAD NAME Public l/ Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence I' Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: ' REMARKS: DCHD (01.90) 1 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 SICL - Silty clay loam SIL - Silty loam CL -Clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE �! Moist SI - Silt SCL - Sandy clay loam 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 Mineralogy 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 - gal/day/ft2 ■ ■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■e■■e■e■ee■■■ee■■■■■■e■ee■ MENEM iMENNENMENNENMENEM ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■MMEN■EMEM■■■ ■■ENOMM■M■■M■■ ■MEMEM■MMEME■■ ■MMM■MMMM■MNM■ ■■M■ENEENE■■E■ ■■ NONE NONE NONE ■■■■ OMEN ■■■■ ■EM■ NONE ■■■■ ■■■IIe■■e■■■■■■■■■■■■■■eee■■ ■t■��■■■■■■N■■■■■■■■■Nee■■■■ NOON■■■Nee■■■■■■■■■e■■■N■■■ ■■■■■■■■■■■■■■■■■■■Nee■Nee■ ■■e■■■■■■N■■■■■■■■■■N■■Nee■ ■■■■■■■■■■■■■■■■■■■Nee■■e■■ ■■■■■■■■■■■Nee■e■■■■■■eee■s ■ENN■■ ■E■NE■ ■O■■ ■■■■ ■■M■ ■M■■ NEON ■E■■ ■■N■ MEMO ■O■■ NONE ME ME ■ ■