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933 Danner Rd �avie County, NC , Tax Parcel Report a�3 Monday, October 3, 201 f '1 .� ,� ; •� �� , �� �y � ��s _ ��y--_�'� _.�_..__ �, �' � � � J- �-�^ -_y-_- � _ �_ .` � �� ���,y�� �_._.—-� �.-�-.�_ ��— �, ��.�--_�__.�4_ —��� ��'1 ���_.....�---�?�_,_........----~_ — i _ _ — r •....-- �_,-'-- ; r� '�� �Y,,,,,.-r~ �S55 �l� --�v 1 4 5 ti� 5. 1 .,1 __.—.--'� '"*. � � r � Q1 , y '� �� q3� �� 1 �� t�� ��'� �� '� ,,.....�-� ` r —`�. _-^'_ 's �7�?.:-�� �'���,�—='�~�~ �ti �.� '� �r ��� 2;16 '� ,: --.............................._.............................._...................................._........._...__.._.........._.._..........__......................_........_.._......................._���.......__�x.,:--."`...._..............._._...................._..................................._�._._..... - - ._....---- WARNING: THIS IS NOT A SURVEY �_., �,... � _ .��._ .____ �_ �s_ _,_ .,�, . .,��._. d _�n ..A=�._. �� . .,��_._ _r._ .�., �_.; _ ._ _.. _ _ _.. .. �__ _,_ �__9___.�..�___.�, Parcel Information Parcel Number: � F30000008201 Township: Clarksville NCPIN Number: 5820276359 Municipality: Account Number: 12664300 Census Tract: 37059-801 Listed Owner 1: CAMPBELL MARK T � Voting Precinct: CLARKSVILLE Mailing Address 1: 126 GREENE CT Planning Jurisdiction: Davie Counry City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,I-1-S State: NC Zoning Overlay: Zip Code: 27028-6167 Voluntary Ag.District: No Legal Description: 3.276 AC DANNER RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 2.74 Elementary School Zone: WILLIAM R DAVIE Deed Date: 10/2003 Middle Schooi Zone: NORTH DAVIE Deed Book/Page: 005180778 Soil Types: PcC2,Ce62 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 164140.00 Outbuilding&Extra 3000.00 Freatures Value: Land Value: 68500.00 Total Market Value: 235640.00 Total Assessed Value: 235640.00 ��t All data is provided as Is without warranty or guarantee of any kind elther expressed or Implled Including but not Ilmited to the �1RJ6� Davie County� Impiled warrantles of inerchantabllity or fltness for a particular use.All users oi Davie County's GIS website shall hold harmless the 1�T County of Davie,North Carotina,its agents,consultants,contractors or employees from any and all ctaims or causes ot action due to �o��N�� 1�C or arising out of the use or Inability to use the GIS data provided by this website. , . . Davie County Health Department q�;s�t� Environmental Health Section '�I,.��� , , ��.. � . ._�, , `'�, P.O.Box 848 , �. , � . .� � � ;5,�, 210 Hospital Street ���I� ' �U, ��. Courier# : 09-40-06 � �n�� . Mocksville, NC 27028 � r� Phone:(336)-753-6780 �' Fax:(336)-753-1680 ON-SITE WASTEWATER CER,�.I3'ICATION � � (Check One) Replacement Remodeling Reconnection - Name: �1/�/''-JC �'AmO�Ec �- PhoneNumber 3�6 � �d�' �6� �L� Mailing Address: /Zu G jLFE�� ��"" �3� ��Z -Z�� Z (Work) Y�--oG�,f✓���r �'C 2 �o `2-g Email Address: DetailedDirectionsToSite: �A��►nf��l< �'v.4TeN�s , � �'3 (7j9i✓,✓��2 /LQ � /�OGlcfc/�[-�C s"C `Z7G?-.�i , C�v�ivr�2 v� -t�i�i✓�c�' �2J /�."�D (��.� G'O/ Property Address: � 3 y ��n/n!G-� �OAQ Please Fill In The Following Information About The EXIST G Facili • � � � Z c� ""`v�lt1���/�Gt�� Name System Installed Under: /1'I �-,� T C'�� � Type Of Facility: /Nl� Date System Installed(Month/Date/Year): 2�QO? ��2 Number Of Bedrooms: .�"-'� Number OfPeople: 6 Is The Facility Currently Vacant? Yes � If Yes,For How Long? Any Known Problems? Yes � If Yes,Explain: Please Fill In The Following Information About The NEW F�cility: Type Of Facility: 1��h r���2 fTd(L.�-6� �'Y`��ber Of Bedrooms: � Number of People .�i` 'Pool Size: �' " Garage Size: ZO�� S� �_ Other: � Requested By: ��� i� C Date Requested: � � � S� — l� (Signature) For Environmental Health Office Use Only � prove Disapproved Comments: � Environmental Health Specialist Date: �s �— *The signing of this form by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee (extended or limited)that the on-site wastewater system will function properly for any given period of time. Payment: Cash Check Money Order # Amount:$ Date: Paid By: Received By: Account#: Invoice#: � �., � �.��- : , , _,�__ ... ti � -� . _,_�_� , .�-.-_ , , _ _,_�,_�..... , � ...__ . � __......_ .�. , __...�Y.. � - �_.. ti -_;_.----._�— �„ .. .. _-J-�--"" 3 • - ' "� � �-_" ; I R�� �, ... .� - - -- � �{t {� ...�..... 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'' .��` e, ,4 ° , � �: �., , �, ' 1 �k rl � �F e a ..R b� Y k �G �_�4'c...c..��.�.�'. .s+'<i ,k - a, b.w� ,S W w.... .5.��°�, >''w`�x.:'�.�h � i ��, 'O w,vio�tt` � 1 ..�..�• -� ���. - > E� r�'.�''.`''� ��� ��N� � � Printed:Nov 04, 2015 All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the implied warranties of inerchantability 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 causes of action due to or arising out of the use or � inability to use the GIS data provided by this website. , , , � .: , . DAVIE COUNTY HEALTH DEPARTMENT ����/�'G , � Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001193 Tax PIN/EH#: 5820-37-0250 Billed To: Ronnie Bamette Subdivision Info: Reference Name: Ronnie Bamette Location/Address: Danner Road-27028 Proposed Facility: Business Property Size: 18 Acres ►(�, �� � � ATC N p�b r: 2431 � `` **NOTE** �hls�mprovement/Operation Permit DOES NOT authorize the construction 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type r// i� �/lv "' #People .S #Bedrooms #Baths Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ BasementlNo Plumbing: ❑ Commercial Specification: Facility Type������#People �#People/Shift f #Seats Industrial Waste: � Lot Size Type Water Supply��// Design Wastewater Flow(GPD) / �� Site: NewU Repair❑ . System Specifications: Tank Size�GAL. Pump Tank GAL. Trench Width���Rock Depth� Linear Ftp�J Other: Required Site Modifications/Conditions: IA'IPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISER(S)IF 6 u BELOW FINISHED GRADE. ****NOTICE: Contact a representative ofthe Davie County Health Department for final inspection ofthis system between 8:30 a.m.to 9:30 a.m. or 1:00 p.m.to 1:30 p.m.on the day of installation. Telephone#is(336)751-87G0.**** S�� �,�8� ,��ll Sl�� � �e1� Environmental Health Specialist's Signature: Date:_�$' —��(� ` DCHD OS/99(Revised) � : 4 . � f / DAVIE COUNTY HEALTH DEPARTMENT Environmental Heaith Section P.O.Boa 848/210 Hospital Street Mceksville,NC 27028 (33G)751-8760 Account #: 990001193 Tax PIN/EH#: 5820-37-0250 Billed To: Ronnie Bamette Subdivision Info: Reference Name: Ronnie Bamette Location/Address: Danner Road-27028 Proposed Facility: Business Property Size: 18 Acres ATC Number: 2431 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). T'his Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s)(in compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATE ONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: �� Date: ,�;��'�� CERTIFICATE OF COMPLETION **NOTE** The issuance ofthis Certificate of Completion shall indicate the system described on ImprovemendOperation Permit 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. � r v� �vo Septic System Installed By: ����i'[�Ci2iI21�q't_�.�i"n' Environmental Health Specialist's Signature: /� Date: � --,/5/CO� DCHD OS/99(Revised) . . •- ' � lJ Cr 4�'�� �fl i�1 �, ' �. � ��/ C� C� C� � M � ,' D -- APPLJCATION FOR SifE EVALUATION/IMPROVEMENT PERMIT&ATC . Davie County Health Department � � 9 2000 Environmenta/Hea/tfi Se�clion P.O. Box 848/210 Hospital Street Mocksville, NC 27028 Et�VIROhtAENTAI HEALTH (336)751-8760 DAVIE COUNTY ***I1�ORTANT*** THIS APPLICATION CANNOT HE PROC�SSED UNLESS ALI� THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed /ttJ��� Contact Peraon��,ifi/fil� �/K���% Mailing Addreae � � Home Phone 3 ��� 7�'%�`//�/ City/State/2IP /p!/J�j�l' ,�.�1� /�'�v�� Businesa Phoae ��(�-'y"/��l'/� 2. Name on Permit/ATC if Different than Above Mailinq 1lddreea City/State/Zip 3. Appiication For: ❑ Site Evaluation ❑ Improvement Permit/ATC �] Both a. syat� to se�ice: ❑ House ❑ Mobile Home �Business ❑ Industry ❑ Other s. �f Ftesidence: � People t Bedrooms � Bathrooms ❑ Dishvasher ❑ Ga=bage Diapoeal ❑ waehinq Machine ❑ Basement/Plvmbinq ❑ Basement/No Pltambiag 6. If Suainesa/Induatry/Other: Specify type /j�RG�Gl�/(' .��1�0 � People N 3inka �_ # Co�odes � i Shoxera # Vrinals �k Water Coolera IF FOODSERVICE: # S�StB Estimated Water US8c,�@ (gallone per day) �. Type of water suppiy: � ❑ County/City E�Tell ❑ Community s. Do you anticipate additions or eapansions of the facility this system is intended to serve? ❑Yes ❑No If yes,w6at type? ***IMPORTANT***CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Eit6er a PLAT or SITE PLAN MUST BESUBMI7TED by the client with THIS APPLICATION. Property Dimensions: !-r� ,.�Gh,�S WRITE DIRECI70NS(from Mocksville)to PROPERTY: Taa Office PIN: # ����� 3����� 7�0 /��i'�'<'v O�— (r���, E'�� Property Address: Road Name�� d�`�l� f.3�-/'� ���iPi�i'�'0/b' �.�c�''—����('.G�% City/Zip //�?l.�'"...1i�'��L� �____=���� ?�t3 .�9�.0 �Q�% /�jE'. ��,L�dy�.e'� ' / If in a Subdivision provide information,as follows: /'.,� � �-�l��,� [ �J� �9✓.'�PI�� Name: Section: Block: Lot: Date Property Flagged: ��l�, ��-e�� This is to certify t6at the iaformation provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revacation,if the site plaus or intended use change,or if the information submitted in this application is falsified or changed. I,also,understand that I am responsible jor all charges incurred jrom this appl}cation. I,hereby,give consent to the Authorized Representative of t6e Davie County Health Department to euter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the site suitability. DATE SIGNATURE -�''��� THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the foltowing: Eaisting and proposed property lines and dimensions, structures, setbacks, and septic locations). �;�5,_�� � Site Revisit C6arge I � � � ����y Date(s): � C �� � � Client Notification Date: � h � '1� �, �� �, o � Q � � EHS: � ��`� �+ � � � � � .�� ' "` � � � o � W � Account No. � ��-.p��--.�:�y� � � � • � Q Revis DCHlll�07/99)� Q � � ��� Invoice No. / � � � l� � . � �� � � � �� �. / � � . � � �. � � �� � �, . .� � , ' ,� ~. � DAVIE COUNTY HEALTH DEPARTMENT Environmentol Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990001193 Tax PIN/EH#: 5820-37-0250 Billed To: Ronnie Bamette Subdivision Info: Reference Name: Ronnie Qarnette Location/Address: Danner Road-27028 Proposed Facility: Business Property Size: 18 Acres Date Evaluated: �-r2 -2 �� Water Supply: On-Site Well ✓ Community Public Evaluation By: Auger Boring (,� Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca e osition Slo e% HORIZON I DEPTH Texture rou Consistence Swcture Mineralo HORIZON II DEPTH " � Texture rou Consistence / l Structure i 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: ,y� EVALUATION BY: . LONG-TERM ACCEPTANCE RATE: � ' OTHER(S)PRESENT: REMARKS: 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 CONSISTENCE Moist 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-Angulaz blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralo�v 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 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