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640 Deadmon Rd (2)Davie County, NC Tax Parcel Report Wednesday, October 12, 2016 0 � t-� 11� t;� 'r. ��`�� � { . �'i�) f ' 7.. !�t �r f��;� 9 �i�u � � �' i , ., . gt ) �� . .^ir ��.. /r .+t �r9^ `..l� ... ..a��'J1 WARNING: THIS IS NOT A SURV�Y Parcel Information Parcel Number: K500000059 A Township: Jerusalem NCPIN Number: 5747725649 Municipality: Account Number: 30101000 Census Tract: 37059-807 Listed Owner 1: GRANT JOHN HENRY Voting Precinct: JERUSALEM Mailing Address 1: 640 DEADMON ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 16.81 AC DEADMON RD LIFE ESTATE Fire Response District: JERUSALEM Assessed Acreage: 17.30 Elementary School Zone: CORNATZER Deed Date: / Middle School Zone: WILLIAM ELLIS Deed Book I Page: Soil Types: PcC2,Ce62 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: Land Value: Total Assessed Value: °��°'F Davie County, �o�,N�� NC 91840.00 98880.00 195920.00 Outbuilding & Extra 5200.00 Freatures Value: Total Market Value: 195920.00 AII data (s provided as Is without warranty or guarantee of any kind either expressed or implied Inctuding but not Iimlted to the Implied warrenties of inerchantability or fitness for a paRicular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, eonsu�tants, contractors or employees from any and all claims or causes of action due to or arlsing out af the use or lnability to use the GIS data provided by this website. � Jy�ra ,,,,_...,� '�r •-'�:�•.::.•.: , _, :., _.. -, . : � �_; � � � . . . . . � . . . � ' � .. . . ; . .:. _ _, . . . . . � - � fi� , ,, . __ J o _ Y��r-1'�xiztiTiorr rro: O 5 3 5 DAVIE COUNTY HEALTH DEPARTMENT ��U � b� � Environmental Health Section PROPERTY INFORMATION Permittee's t� �{ P.O. Box 848 �iame: �o��� �.•� '�: �'� '� 4- i�Q51� �'4'+�;,i`��. Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property: ��U � � � �, � 1�` � AUTHORIZATION FOR „ �. �,�;�.-a.-ri �� - C� � �,,,�,�, WASTEWATER c SYSTEM CONSTRUCTION �,.�. ��� � .\\ �'� ��,�y ���, Section Lot: Tax Office PIN:#�� - � - � � � �T � � Road Name: ��' 4. �.�r�•.t�►� �:� ;Zip: 1 �.�G **NOTE** This Authozization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts. This Forn�/Authorization Number should be presented to the Davie County Building Inspections 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) ' C�� �� �;;� �..3 � ***NOTICE*** THIS AUTIIORIZATION FOR WASTEWATER CONSTRUCTION �. ��': -��'�'� � r��"�� 6 I��-� LS VALID FOR A PERIOD OF FIVE YEARS. '-�, ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED � � 1 .: . . � � � . � � `�,..iF�. a...�!'� � y ' . i � , ' . . . , .. . , .. , .. I., . ♦ . '._'.�� .. . r �.. u. ' . � a ..v...ir_. :.. . ... . '.. � `� W ; � , `"'"` , . . , , , �- . ` . , �; � __: ..�' � fi ` ' DAVIE COUNTY HEALTH DEPARTMENT � /� �>=-� , �`� L� _ ��',.. -', .. �:.-�:'�� �-- �;�r � �' ` IMPROVEMENT AND OPERATION PERMIT5 PROPERTY INFORMATION --Per�it�ee's � � —��tne: ; �.:��'� > � a 1= t-*�.�ti : � ,�'� i � `�ti � ; � r�, b'.. Subdivision Name: � . r D'uections to property: �•'��� � �� �, `"�� Section: Lot: � , -'^� `� _ i.,� IlNPROVEMENT r-. _ 3 ^, �" 1 �i i.. � , . �' � S > �}, �� . ' , . , PERMIT Tax Office PIN:#� ► ! � � _ � k, i + ��� ��� �. �«� L� °�>�,�`��, �',�,-.�s:� ,, � � :-; ss��� ��•� RoadName: � ` ,�' Zi , �. ; t�= � � .� p; r�} i.,Z.,� **NOTE** This Improyement Pemut DOFS NOT authorize the conswction 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/'mstallation 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) ; ;� :a��� ��—��—���� � w.51�. ti ...J� �.�� � ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR TI� IlVTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE . INSTALLING Ti� SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE �� # BEDROOMS 3 # BATHS �_ # OCCUPANTS � GARBAGE DISPOSAL: Yes o No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No osa�+ (� LOT SIZE 1g� TYPE WATER SUPPLY 1� DESIGN WASTEWATER FLOW (GPD) �, � a NEW SITE � REPAIR SITE u > � SYSTEM SPECIFICATIONS: TANK SIZE OU O GAL. PUMP TANK GAL. TRENCH WIDTH � ROCK DEPTH � LINEAR FT. � Q� OTHER � � REQUIRED SITE MODIFICATIONS/CONDITIONS: t "�i,� � IMPROVEMENT PERMIT LAYOUT \\ � .�* � �r ,;,. 04� ;.. **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 INSTALLAT'ION. TELEPHONE # IS (704) 634-8760. � OPERATION PERMIT `�v� SYSTEM INSTALLED BY: � � � �ti �Q�a --,, � ---�- i AUTHORIZATION NO. G�� � OPERATION PERMIT BY: �� DATE: ��� **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 OS/96 (Revised) APPLICATION FOR SITE EVALUATION/IMPROVEMENT Davie County Health Department Environmental Health Section P. O. Box 848 Mocksville, NC 27028 (704)634-8760 �:'� � � ���o�� �CT - 2 I996 � ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed �v ��� � V a%1 � � Contact Person _�� /l/l ��7� Mailing Address �-� �� 2 � / j����L�Q�. Home Phone ��n �' � ��q� City/State/Zip /�ie-�C �!�'. ����_ �`� %f �" Business Phone �— 2. Name on PermidATC if Different than Above �U� ��- ( GL �"7`�/- �d /7� � 2 s7 � Mailing Address � 'WJ ��'�/IYJd� �[�_ City/State/Zip ��_.�56' � ,vi� - ��� /� � _ 3. Application For: ❑ Site Evaluation Gd� Improvement Permit & ATC C�i Both 4. System to Serve: 5. If Residence: ❑ Dishwasher 6. If Business/Other: # Commodes _ If Foodservice: ❑ House d Mobile Home ❑ Business ❑ Industry ❑ Other # People �_ ❑ Garbage Disposal Specify type _ _ # Showers # Seats # Bedrooms _� # Bathrooms �_ p Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing # People # Sinks # Urinals Estimated Water Usage (gallons per day) # Water Coolers 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? 0 Yes 0� No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: �� �S/9G � WRITE DIRECTIONS (from �/ � Mocksville) TO PROPERTY: Tax O�ce PIN: # �/ ��% - � - � �,/ � � � l So� �h �Q .� r�� Property Address: Road Name !�� O/i .0 (/• � ,� , ,ed , Qas� G�,`/ City/Zip �,c,�5��//� . �����' � ' ,C��o� e. �a�� � If in Subdivision provide information, as follows: ; � L /i � rwJ 1' � / Name: � 1 Section: Lot #: � 1 I 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 as necessary to determine the site suitability. 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' � O »� � �� � �� .QI ; � �� � _�� � � t a 7�� � �� i � rs. � '� �• � � � � � G� `�' �' O g � _ � ,,,����� , � ��� ���`� �_2Ac.G.�` °' `i �" /��'�¢'s� 68.(JI ��?S ��� o ��7 , �, P , � � � � � �. 8 - � � � _ . � � _ _ . _ � � � � - �` �� ��. � ;� _ .. � � , �. � � , DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section Soil/Site Evaluation NAME u �` t�`tJ �o �.'�ZJ \ DATE EVALUATED I � � `� � r � ADDRESS � �'�s PROPERTY SIZE I� �� ��� PROPOSED FACIILTY `'` � \, `� �'Q LOCATION OF SITE �'� W��t�.0 �� ,`c�"�� Water Supply: On-Site Well _ Community Public V Evaluation By��J— AugerBoring Pit Cut FACTORS 1 2 3 4 Landsca e osition S Slo e 7. 4S- � HORIZON I DEPTH '' lo' Texture rou C L CL Consistence ""�. Structure Mineralo ', '� 1 HORIZON II DEPTH �� '' Texture rou C- Consistence -'Z. � � Structure 'd� � �. Mineralo :) HORIZON III DEPTH Texture rou Consis tence r'•�' Structure Mineralostv Texture gro Consistence Structure MineraloQy ETNESS $�5 S CTIVE HORIZON -- ITE � -- FICATION ERM ACCEPTANCE RATE .,%�- ,4 SITE CLASSIFICATION: v'S' EVALUATED BY: LDNG-TERM ACCEPTANCE RATE: '� OTHER(S) PRESENT: �'�� ��� REMARKS: Ro,a C�P�/ I'�I '_ -G@e ��o'��'�RQ �r �'�' R��.•\'v �� LEGEND Landscape Position R-Ridge 5-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 -:lay loam SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR- Vc.-y 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 ,iC--Sin�le grain M-Massive CR-Crumb GR-Cranular ABK-MQular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mi neralo�ty 1:1, 2:1, Mixed Notes fiorizon 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 wate►` 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/ftz DCHD(O1-9o� ■�������������������■��u��nu����n��■ . ���u■���� ■ �■�■��������■ ■����������■■����������N�■■����■■�����������n��n��■��■��■�■ �t ����������n�� iiiiiiiiiiiiiiir�iii�iiiiiiiiiiiiiiiiiiiiiiiiiiii■ii�iiiii��i=�i�i��ii=iiii�iiiiiiiiii �...............C.................................._.....5.. . .�. ..�..■.... .. ::::::�::::::::::'::::::::::::::::::::"::::::_....._...�.. _. . . ._.........■�.. ..... . . . . . .........■.■... .................5............_.....��.........'...__.�. .._ . ..�..._........ .................... .......... ..... ...... .... ... .. ... .... ... ..■..... 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