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250 Dutchmanview Ln3avie Countv, NC Tax Parcel Report 6 X) 9 Thursdav, September 29, 201 E I v rpCN WARNING: THIS IS NOT A SURVEY 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 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 or arising out of the use or Inability to use the GIS data provided by this website. �ParcelInformation�� Parcel Number: C30000010802 Township: Clarksville NCPIN Number:: 5813503360 Municipality: Account Number: 82522635 Census Tract: 37059-801 Listed Owner 1: SMITH BENNIE D Voting Precinct: CLARKSVILLE Mailing Address 1: 250 DUTCHMANVIEW LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-4834 Voluntary Ag. District: No Legal Description: 23.956 AC JACK BOOE RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 21.98 Elementary School Zone: WILLIAM R DAVIE Deed Date: - 3/2006 Middle School Zone: NORTH DAVIE Deed Book / Page: 006540442 Soil Types: MnC2,MnB2,MdB,ChA,WATER,MdE Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 75340.00 Outbuilding & Extra Freatures Value: 12380.00 Land Value: 120600.00 Total Market Value: 208320.00 Total Assessed Value: 208320.00 I v rpCN Davie County, NC 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 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 or arising out of the use or Inability to use the GIS data provided by this website. Y;v, •+-'i rr .:.r . �, w;w� :,'r` ` r,•K. y � *.,�,x. .k + i,�., _ vc:.3-,, r jg :f DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT **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. (Incompliance with Article 11 of B.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) PROPERTY ADDRESS / d crib DATEP� LOCATIONC SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS �,T # BATHS # OCCUPANTS - / GARBAGE DISPOSAL.: Ye� COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS T INDUSTRIAL WASTE: Yes/No LOT SIZE TYPE WATER SUPPLY &e,&.,. DESIGN WASTEWATER FLOW (GPD) -'?60 NEW SITE "IR SITE SYSTEM SPECIFICATIONS: TANK SIZE ,Z& GAL. PUMP TANK GAL. TRENCH WIDTH -�lN ROCK DEPTH , LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR -MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. IMPROVEMENT PERMIT BY 14 **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 SYSTEM INSTALLED BY AUTHORIZATION NO. 0 ?iss OPERATION PERMIT BY DCHD 10/95 DATE _i' q .t „w ,✓ -KrW tt;+WYJ.,wt,rlw,:.x:`x+.'+:-^'-,:'N 8>n.. -sr i;,,vat -x ..� .. `.t � - r G ,w ar i r, i°. .".. .-- ...... r F�" '_." ; Davie County Health Department ENVIRONMENTFL HEALTH 5ECTION P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTWATER SYSTEM CONSTRUCTION Ussued-# cyrpliance+with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***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.*** AUTHORIZATION MLMBER - NAME AL./ c' /—Z DATE sRO&?g �� Na 3 NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM • " APPLICATION FOR SITE EVALUATION/IMPROVEMEN11 TS Davie County Health Department v Environmental Health Section D P. O. Box 665 MAR . 2 6 1996 Mocksville, NC 27028 1. Application/Permit AAA!!!ggquested By C5 1'n c -Jt 1� , I r v Mailing Address , % Home Phone U y A �- ce Business Phone 91q 2. Name on Permit if Different than Above i 3. Application for: ❑ General Evaluation UMeptic Tank Installation Permit 4. System to Serve: ouse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business" ❑ Industry, �— ❑�/O,thheer ❑ Unknown 5. If house, mobile home: Subdivision J ' '� (�'�^-�+ 1�1 < Section 3 Lot # ❑ Basement/Plumbing No. of People �❑ BaasementlNo Plumbing No. of Bedrooms E?14shing Machine No. of Bathrooms ishwasher Dwelling Dimensions Od ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Sinks No. of Urinals No. of Lavatories No. of Water Coolers. No. of Showers Water Usage Figures. 7. Type of water supply: ff Pub 'c ❑ Private 8. Property Dimensions Sewage, Disposal Contractoi 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Yes e-Ao ' ❑ Community 'NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: nb PROPERTY INFORMATION REQUIM: Tax Office PIN: # PROPERTY AbbRES , as of ows: Road Name: City: SUBMIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. This is to certify that the information provided is correct to the of my incurred from this application D E I understand I am responsible for all charges NATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: 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 necessary to determin sai site's sui ' i y or round absorption sewage treatment and disposal system. DATE SIGNATURE DCHD"(1/93) 10 )+ APPLICATION FOR SITE EVALUATION/IMPROVEMENTS 7 (� U' l Davie County Health Department �-�► Environmental Health Section Nov Z 9 P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Re uested By J Mailing Address o y �,, / Home Phone �i w 7� Business Phone 52n O -2. Name on Permit if Different than Above 3; Application for: ®'General Evaluation a Septic Tank Installation Permit 4.., System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly, ❑ Indust❑Otp)f Unknown Business 5. If house, mobile home: Subdivision ! �`- e r� -�' Section 3 Lot # /d Q—Basement/Plumbing ` No. of People B4asement/No Plumbing No. of Bedrooms 21 ashing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions 6. If business, industry, place of public assembly, other: No. of People Served No. of Commodes Specify type No. of Sinks No. of Urinals ❑ Garbage Disposal No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7 Type of water supply: Public ❑ Private ❑ Community 8. Property Dimensions �-u- 41610 Sewage Disposal Contractor f: 9 Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes o F. If yes, what type? i t 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. PROPERTY INFORNIWEION REQUIRED: �3 AE:, / � rr6� j -p This is to certify that the information provided is correct to incurred from this application. DATE Tax Office PIN /# Road ria e-.. Cocro -Q- Box # (if available) cityC/ v/'</-2 6a/ I understand I am responsible for all charges I SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1. I OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by;the owner: 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 necessary to deter ' e said site' suitability for a ground absorption sewage treatment and disposal system. G . DATE SIGNATURE DCHD (1193) i S.�]Os " 6,yCD :t a ..;: '`�.��• •��:• �` � - -�� �� .. •►. •� ��'h. •�`y,.. 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S ? jP "S +* �. { '�.`"� `►y.`� � i.• t't C\, - r '" s-''�•`r'iT� - '� 30.70 't ��•:"'.; ,;,.Y ' ! • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME fi / DATE EVALUATED ADDRESS PROPERTY SIZE �� C PROPOSED FACIILTY l� �i'/t�OU/7✓ LOCATION OF SITE�%���4_1 Water Supply: On -Site Well - Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 1 2 3 4 Landscape position Sloe Z -� HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH` TI Texture groupC Consistence Structure Ilk/( - Mineralogy ,` ` HORIZON III DEPTH - Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION IT LONG-TERM ACCEPTANCE RATE 1 SITE CLASSIFICATION: - EVALUATED BY: LONG-TERM ACCEPTANCE RATE: y 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- Ve.-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 3C -Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky SBK-Subangular blocky PL -Platy PR -Prismatic Mineraloey 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 - 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Box 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634-5985 December- 12, 1995 Roy Potts P. D. Pox 11 Advance, IVC 27006 Re: 2 Site Evaluations Jack Booe Road Dear Mr. Potts: As requested, a representative from this office visited the aforementioned sites on December 6, 1995. Rased upon the information provided on the application(s) for site evaluation(s) and after the evaluations were completed, the sites were found to be provisionally suitable for the installation of an on—site sewage disposal system on each lot. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R. S. Environmental Health Section RH/wd Enclosure(s)