116 Duard Reavis RdDavie County, NC
Tax Parcel Report I Fj�JN
Thursday, October 6, 2016
01,v /�, C NAll data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, 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 causes of action due to
c+o r� Nay C or arising out of the use or Inabilityto use the GIS data provided by this website.
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7612WARNING:
THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
D20000001303
Township:
Clarksville
NCPIN Number:
5802718307
Municipality:
Account Number:
82523074
Census Tract:
37059-801
Listed Owner 1:
TRUDGEON TIMOTHY C
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
116 DUARD REAVIS ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE
COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-5734
Voluntary Ag. District:
No
Legal Description:
1.446 AC DUARD REAVIS RD
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
1.10
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
7/2004
Middle School Zone:
NORTH DAVIE
Deed Book/ Page:
005610688
Soil Types:
Mn62
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
155350.00
Outbuilding & Extra
Freatures Value:
830.00
Land Value:
19160.00
Total Market Value:
175340.00
Total Assessed Value:
175340.00
01,v /�, C NAll data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, 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 causes of action due to
c+o r� Nay C or arising out of the use or Inabilityto use the GIS data provided by this website.
AUTHORIZATION NO. 3 9A DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O. Box 848
Dame: j� , l E M
�jtJe- ! IL 7c.��? Mocksville, NC 27028 Subdivision Name:
J e Phone # 336-751-8760
Directions to property: L4'2U//V
AUTHORIZATION FOR
�l1li;�, 71/L,1 �,'�✓ jA ��tZ/G WASTEWATER
SYSTEM CONSTRUCTION
Section:
Lot:
Tax Office PIN:#�''�
/l!p :9
Road Name:=�� Zip:U�
**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 o�.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
' ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
EALTH SP4(JALIST DATF41SSUED
DAVIE COUNTY HEALTH D PARTMENT
�. IMPROVEMENT AND OPERATION PEITS PROPERTY INFORMATION
,V,l � f -
Subdivision Name:
Directions to property: /eZ//
IMPROVEMENT r
PERMIT
Section: Lot:
Tax Office PIN:#
//4hfi•)e i r LLYS
Road Name.' f r7. i ' 14L. /S Zi
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
h 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
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DA SSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE -
1 INSTALLING THE SYSTEM.
I
RESIDENTIAL SPECIFICATION: BUILDING TYPE ,# BEDROOMS y # BATHS �# OCCUPANTS —//—GARBAGE DISPOS es r No
COMMERCIAL SPECIFICATION: FACILITY TYPE
� ,� # PEOPLE # PEOPLE/SHIFT / # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE/ ' -jt YPE WATER SUPPLY + DESIGN WASTEWATER FLOW (GPD) �`� NEW SITE REPAIR SITE
11 ► Z/'/ I
SYSTEM SPECIFICATIONS: TANK SIZE'" GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH 2 LINEAR FT. �Io
OTHER -`� ISI-'-� i%T�4>'', 7a
REQUIRED SITE MODIFICATIONS/CONDITIONS: W514 Q 1-1- 0n) C fi�a,; f l` + ' 13= 4/01,65 -
IMPROVEMENT PERMIT LAYOUTrAppraVED EFFLU IT FILTErI$ snIEEP(S1
If G" Cl: -LG:! I'I11IS.itai C:3 n,*
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"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
I OPERATION PERMIT
SYSTEM INSTALLED BY / >•
AUTHORIZATION NOI OPERATION PERMIT BY: / DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM D C D 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 05/96 (Revised)
APPLI(MION FOR SITE EVAU MION/IMPROVEMENT PERMIT & ATC
J Davie County Health Department
EnWronmenfal Health Section P I
P.O. Box 848/210 Hospital Street Nv APR '2
Mocksville, NC 27028 L
(336) 751-8760
***ZWORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE. IRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. name to be Billed a n,, Ar- k n�ZZ&,-6 Contact Person
Nailing Address , Y -S Q - :/ ( /��v. C Some Phone�cl�lo �� 7j !� -.al 7F
�7
City/State/LIP ��frS 111 (l %l _ l% Business Phone (,3c * ) �Cp�` U /
2. name on Permit/ATC It Different than Above �•- -^ �� L=' A
Nailing Address// City/State/Zip
3. Application For: Osite Evaluation 013nprovement Permit/ATC 11 Both
4. Sgstema to sP.evice: Vneue:R 11 mcb- l s R = Zee.—ritzy u Griner
a. If Residence: # People # Bedrooms # Bathrooms ala
H/Dishwasher uarbage Disposal 941;hing Machine 0 Basement/Plumbing 0 Basement/No Plumbing
6. If Business/Industry/Other: Specify type # People # Sinks
# Ccamodes # Shovers # urinals # Nater Coolers
Ir FOODSERVICE: # Seats _ Estimated stater Usage (gallons per day)
7. Type of water supply: 9,-County/City 0 Well G Coaeausity
s. Do you anticipate additions or expansions of the facility this system is intended to serve! 0 Yes "o
If yes, what type! P0551w& Y ADL
*"IMPORTANT'*" CLIENTS MUST COMPLEfETHE REQUIRED PROPERTY INFORMATION REQUZ:MrED
BELOW. Either a PLAT or SITE PLAN MUST BESUB/MIITED by the client with THIS APPLICATION.
ProDimensions: I R c r e' �' %Z A !� -V O
perty WRITE DIRECTIONS (from Mocksville) to PROPERTY:
Tow nme_ o*M:Azv
R,5 -"Da --,9 I a0l Ili +P Li 6uilV Ckuiel kQ O
Property Address: Road Name
City/Zip
If in a Subdivision provide information, as follows:
Name:
Section: Block: Lot:
le'1 Q oh 8eg,- 0 ree[L CG.. 20
/S or\ rOroer o -P
Becir Cr C% %ZCQ t /bua-KK kearil 0
Date Property Flagged:
This is to certify that the information provided Is correct to the best of my knowledge. I understand that any permit(s)
Issued hereafter aro 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 responsiblefor all charges Incurred fivm
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 procedures as necessa determine the site suitability. �c
DATE `Y "g " �l SIGNATRE/x/A J &&Ad �e�
0"4,3(01 v
THIS AREA MAY BE USED FOR DRAWIN YOUR SITE PLAN (Include all of the following: Existing and roposed
property-Hues_md-dimensions, structu hac andsept ocat Qns). I
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Invoice No.
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation �1
NAME �i'C�►y�, l I 1 �y> DATE EVALUATED U/
l
PROPERTY SIZE
ADDRESS
PROPOSED FACIILTY LOCATION OF SITE_2)1�
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring f� Pit Cut
FACTORS
1
2 3 4
Landscape position
Sloe Z
HORIZON I DEPTH
-
C�-/2 10
Texture group(�
G�
Consistence
19
Structure
1�-
Mineralogy
HORIZON II DEPTH
-
Texture groupG
C
Consistence
.5
Structure
Mineralogy
HORIZON III DEPTH
1
- -
Texture group
e d S. 0L
Consistence
S
T
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
. 3
SITE CLASSIFICATION: Cs EVALUATED 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 ':lay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR- Vo.ry 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
3C -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 watef 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
DCHD(01-901
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