170 Duard Reavis RdDavie County, NC t Tax Parcel Report Thursday, September 29, 2016
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161 l data Is provided as Is without warranty or guarantee or any Idnd 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 webstie shall hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and ag claims or causes of action due to
NCor arising out of the use or inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
D200000013 A
Township:
Clarksville
NCPIN Number.
5802810584
Municipality:
Account Number.
65608000
Census Tract:
37059-801
Listed Owner 1:
SHOFFNER MARGARET J
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
785 BEAR CREEK CHURCH ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE
COUNTY R -AR -20
State:
NC
Zoning Overlay:
Zip Code:
27028-5624
Voluntary Ag. District:
No
Legal Description:
9.274 DUARD REAVIS RD
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
8.73
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
7/1999
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
001110422
Soil Types: MnC2,MnB2,MdE
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
0.00
Outbuilding & Extra
Freatures Value:
9000.00
Land Value:
71850.00
Total Market Value:
80850.00
Total Assessed Value:
80850.00
161 l data Is provided as Is without warranty or guarantee or any Idnd 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 webstie shall hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and ag claims or causes of action due to
NCor arising out of the use or inability to use the GIS data provided by this website.
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AUTHORI XT' IdN NO. d DAVIE COUNTY HEALTH DEPARTMENT
' Environmental Health Section PROPERTY INFORMATION
Permittee ti � // P.O. Box 848
Name: �'l'v!f f ' y�'��f f Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions topproperty Section: Lot:
AUTHORIZATION FOR
��.,, 'WASTEWATER Tax Office PIN:#a - y�// -y
SYSTEM CONSTRUCTION
Road Name: Z 74
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building-Pemtits. This Form7Authorization Number should be presented to the/bavie County Building Inspections
Office when applying for Building Permits:
(In compliance with Article 11 of G.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.
ENVIRONMENTAL HEALTH PECIALIST DATE ISSUED
Yi far
�+w 471'4 ! { �,. •'t ,:�.
` ''5 8 9A DAVIE COUNTY HEALTH DEPA,R . �NT
- a IMPROVEMENT AND OPERATION PENS
S. PROPERTY INFORMATION '
ermitteops x,
Subdivision Name:
—Directions to property: tYr') ; t_ l� � : Section: Lot:
�- - f,. IMPROVEMENT
,xl`_,r 7 ,. r " l'�: PERMIT Tax ,Office PIN:#
r
Road Name y? +. % Zip: Z
**NOTE** This Improvement Permit DOES NOT authorize the constriction or installation of a septic tank system or any wastewater systema An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this
Department 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
1::1 tt .✓ ,x`�1 d of ! f 7 _• ,/
141 PLANS OR TI&INTENDED USE CHANGE. YOUR WASTEWATER "
ENVIRONMENTAL HEALTH PECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE / # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE 0� # PEOPLE _ # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes o&
LOT SIZE TYPE WATER SUPPLY /// DESIGN WASTEWATER FLOW (GPD) NEW SITE - REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE �f%Qd GAL. PUMP TANK GAL. TRENCH WIDTH �C ROCK DEPTH_ LINEAR FT. SOD
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLUENT FILTER* *RISER(S) IF 6" BEL014 FINISHED GRADE*
"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 (?(Xt $34VWX
1336)751-8760
AUTHORIZATION NO. OPERATION PERMIT BY:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYS ESCRIBED ABOVE HAS BEEN INSTALLED JCOMPLIANCE
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)
. — __....,,...vjvlllvt1•IIUYtAENI PHIMII & AIC
Davie County Health Depatfinent
Environmental Kea/th Sertfon
P.O. Sox 848/210 Hospital Street
Mockaville, NC 27028
(336)751-8760
�T �om� p
ra, 11999
***nWCRTANT"** TH19 APPLICATION CANNOT BE PROCESSED UNLESS ALL THE
INFOR19TIOH IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
Name to be Billed /(fid. �N� �. �9 1RJC�otttaat person
"> Mining Address 4_0 R . �' o ��'n.ebN game Phone 3.3 to -,q %,P? -
city/state/zIp rn oaks ti ; ll P_ M C e? ,'Zo 2 d Business Phone 33 P
Name on persdt/ATC if Different than Above
Nailing Address City/state/Zip �,/
Application >; or : �te Evaluation 91 I provement Pe=it/ATC [7 Both
system to service: ❑ House 0 Mobile Home %-Wainess 0 Industry ❑ other
If Residence:
0 Dishwasher
# People # Bedrooms # Bathrooms
0 Garbage Disposal 0 Washing Machine 0/Basement/Plumbing 0 Basement/No Plumbing
If Business/Industry/other: specify type J4Qat. , n�9 �- 0,1D /, Al # People 122-_ # sinks
# Commodes �+ # showers * Urinals # Water Coolers
ITi i'OODSERVICB: I Seats Estimated Nater Usage (gallons per day)
7. Type of water supply: 0 County/City { ell 0 Community
s. Do you anticipate additions or expanslons of the facility this system Is intended to serve! 0 Yes t lQi<
If yes, what type!
t"IMPORTANT•" CLIENTS AfUST COffPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUSTBESUB 1f1ZTED by the client with THIS APPLICATION.
Y. ".2 '4a I - Cs
Property Dimensions: 2 ,� a: 0 S 19 7 i WRITE DIRECTIONS (from MockrAlle) to PROPERTY:
Tai Office PIN: # G't ^ T 4 5 8� g100(
7`
Property Address: Road Nance /' o Daa vd 9t?Av,S /
CityiZip Yh oGes L .11 e a 7dvkze
If In a Subdivision provide information, as follows:
Name:
Section: Block: Lot:
Cvpf/uoyA
;ZeFT oki ) b cA A-1
O
7 )e." 4 4
Date Property Flagged: Zt 9 g
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permll(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 respmrsiMe for all charges Incurred from
this application. 1, 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 A iX vt o I�CW e r
to conduct all testing procedures as necessary to determine the site suitability.
DATE 9'/ SIGNATURE 4_,2;"
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locationj). /
to cl
0 /,,0
Li RR
Account No.
to
Revised DCHD (07/99) Iq Invoice No. ��
1
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT.
Soil/Site Evaluation
)9112
APPLICANT'S NAME A 1°l
PROPOSED FACILITY
SUBDIVISION
DATE EVALUATED //j A 44
PROPERTY SIZE 1 XML'
ROAD NAME ��.GG>ir'� �Nd•-f
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH �•
Texture group
Consistence r
Structure Ile
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 3
SITE CLASSIFICATION: �S
LONG-TERM ACCEPTANCE RATE: i ,3
REMARKS:
DCHD (O1-90)
EVALUATION BY:�lsi /
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 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
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