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227 Feezor Rdr Davie County, NC Tax Parcel Report I O Wednesday, September 28, 2016 [i] l data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the Davie County, NCimplied 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. WARNING: THIS IS NOT A SURVEY Parcel Number: J4160A0004 Township: Mocksville NCPIN Number: 5727867685 Municipality: Account Number: 82528662 Census Tract: 37059-801 Listed Owner 1: VPAT LLC Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 3412 BEAVER DAM DRIVE Planning Jurisdiction: MOCKSVILLE City: MONROE Zoning Class: MOCKSVILLE OSR State: NC Zoning Overlay: Zip Code: 28110-0000 Voluntary Ag. District: No Legal Description: LOT 4 FAITIE BOWLES Fire Response District: MOCKSVILLE Assessed Acreage: 1.71 Elementary School Zone: MOCKSVILLE Deed Date: 9/2007 Middle School Zone: SOUTH DAVIE Deed Book / Page: 007290194 Soil Types: PcC2,RnD,ChA Plat Book: 0006 Flood Zone: x Plat Page: 054 Watershed Overlay: WS -IV -P Building Value: 81260.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 20780.00 Total Market Value: 102040.00 Total Assessed Value: 102040.00 [i] l data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the Davie County, NCimplied 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. 'AUTHOR ZATION NO: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee'sl � P.O. Box 848 Name:?1.�11i1.rn Mocksville, NC 27028 Subdivision Name: 17,?( r ,) Phone #: 704-634-8760 Directions to property:Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:#S� - SYSTEM CONSTRUCTION Road Name: :..: yA :• --!` "Zip: `.� .� G+ **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 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. IENTAL HEALTH SPECIA IST DATE ISSUED DAVIE COUNTY HEALTH DEPARTIVINT IMPROVEMENT AND OPERATION PERMITS Permittee's r Name: Directions to property: PROPERTY INFORMATION Subdivision Name F� Section: Lot: IMPROVEMENT ' PERMIT Tax Office PIN:#A Road Name ! t `,. " Zi ° 7' •; -' J� **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. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) r ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE f # BEDROOMS „? # BATHS _,V— # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE �f TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) O NEW SITE i"�'REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE a3 GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. REQUIRED SITE MODIFICATIONS/CONDITIONS: "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPA] BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INST. OPERATION PERMIT SYSTEM INST [�1 FOR FINAL INSPECTION OF THIS SYSTEM IN,,VLEPHONE # IS (704) 634-8760. Y: 110 o AUTHORIZATION NO. H 8 L OPERATION PERMIT BY: e�v 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 05/96 (Revised) -33 n �D Cop y .t, -, -r LI, � DAVIE COUNTY HEALTH DEPARTMENT x. IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION " Permittee's ,•� r.. . Name: r Directions to property: Subdivision Name. Section: Lot: a IMPROVEMENT PERMIT Tax Office PIN:#' Road Name i-, "`Zip: ' +` **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. (In compliance with Article 1 I 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. DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE & # BEDROOMS -- # BATHS _2 # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY J4�' DESIGN WASTEWATER FLOW (GPD),. ��•` NEW SITE EREPAIR SITE r SYSTEM SPECIFICATIONS: TANK SIZE '1-0 GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH _.. LINEAR FT. "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 INSTALLA QNJFLEPHONE # IS (704) 634-8760. I OPERATION PERMIT SYSTEM I D)1 10 A D AUTHORIZATION NO. OPERATION PERMIT BY: DATE: f "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 05/96 (Revised) ��,� t- 3 3 4� �'� • ��� APPLICATION FOR SITE EVALUATIONAMPROVEMENT PER F� ! Davie County Health Department Environmental Health Section U P. O. Box 848 JUN 2 2 1998 Mocksville NC 27028 ( (336)751-8760 El.Z7R0;!"'E11TAl.11EA 111 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCES E C011P1TY ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed Contact Person Mailing Address S5�/% �` _� I Home Phone City/State/Zip � Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: Site Evaluation 3KImprovement Permit & ATC ❑ Both 4. System to Serve: ®' House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms_ # Bathrooms ,-:2— lr Dishwasher ❑ Garbage Disposal B Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type # Commodes If Foodservice 7. Type of water supply: # Showers # Seats County/City # People # Sinks # Urinals Estimated Water Usage (gallons per day) ❑ Well # Water Coolers 8. Do you anticipate additions or expansions of the facility this system is intended to serve? If yes, what type? ❑ Community ❑ Yes EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** AKA THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. r Property Dimensions: 136r)< 6-F10 kl3U X 52r� Tax Office PIN: # 'S,_ '72 !7_ - j �� - 6 Property Address: Road Name City/Zip If in Subdivision provide information, as follows: Name: Section: Lot #: WRITE DIRECTIONS (from Mooc�ksville) TO PROPERTY - 1/1 -0 � -Te 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 Representativ f the D vie County H Department ,nte • pon ve described property located in Davie County and owned by t to conduct all testing procedures as necessary to determine the site suitability. DATE 2 SIGNATURE Revised DCHD'06-96) YOU MA i� J USE THE $ACK OF THIS FORM FOR DRAWING YOUR SITE PLAN. AP A 9 .5 3 p O.'PAPPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT l�S i n�d�,, ••1l�� Davie County Health Department / 1I' Environmental Health Section y3 P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address Home Phone Business Phone 2. Name on Permit If Different than Above 3. Application/Permit for: Er-G--eneral Evaluation ❑ Septic Tank Installation 4. System to Serve: 12- use ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry pp ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision �� i�u'r �S% Section Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms _ No. of Bathrooms _ Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers 7. Type of water supply: ❑ Public 8. Property Dimensions No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures (Private Sewage Disposal Contractor ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No If yes, what type? ❑ Community *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. Directions to Property: This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. ��,a //(("[��• ./// DATE �0"/JSIG NATURE CONSENT FOR SITE EVALUATION !-Q aE DONE -Q-N 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 determine said site's suitability for a ground absorption sewage treatment and disposal system. DATE DCHD (12.90) SIGNATURE DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation DATE EVALUATED 1-51—Z7 1,19 NAME ADDRESS PROPOSED FACIILTY PROPERTY SIZE LOCATION OF SITEf7�.� Water Supply: On -Site Well_/ Communi-ty/ Public Evaluation By: Auger Boring Pit t/ Cut FACTORS 1 2 3 4 Landscape position L .0 Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH y Texture group(f: Consistence Structure r� Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: !rs EVALUATED BY: �4 // LONG-TERM ACCEPTANCE RATE: �Z 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 -Finn 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 DCHD(01-901 ■■■■■■■■■■■■/■■.■■■!■■■■■■/■■!.■�■..■■■■■■■■■■■■■■■■■.■■■.■■/NOON ■■■.■/■■.■■■/■■...■■.■■.■■■./■■■■■■■■■■■■■■■■■■....■.■■.■..■■.NONE ■...■.....................■.■.......■.■....■..�■■...■■.�.■■■■■■■■■ ■■■■■■■■■.■■■■■■■■N■■■■■■■■■■■■ ■■■■■.■■■■■■■■■■■■■■/■..■tit■■■■ ■■■■■.■■..■■.......■■■..■..■■.■..■ ...■........N....■.■..■.■■.N■� ■.■■■■■■■■■■■■■■a.a.■NOON■■N■■/■■E■■■/■■■.■■N■.■u■■. ■EE.■■■■■ ■N■ ����■���■■�iiiiiii■■���\■��■iii�i■■��■iiii�iiiNuiii■ii.iiii ONE ■■O.■■■■■■■■■■■/.■■■■■!.■■■..l.■■.■■!■■..■■■■■N■■■■■■ NOON.■■■N■ .................................................. ............... .......................................................... ....... ................................ ................................ .NOON■ NOON■■ NOON■. ..■■.. 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