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455 Frank Short Rdi�- Davie County. NC Tax Parcel Report Thursday, September 29, 2016 Parcel Information Parcel Number: K600000018 A Township: Jerusalem NCPIN Number: 5757650202 Municipality: Account Number: 57641500 Census Tract: 37059-807 Listed Owner 1: POPLIN EARL OTIS JR Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 455 FRANK SHORT ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-5225 Voluntary Ag. District: No Legal Description: 3.410 AC FRANK SHORT RD Fire Response District: JERUSALEM Assessed Acreage: 3.39 Elementary School Zone: CORNATZER Deed Date: 7/1992 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 001640408 Soil Types: GnC2,EnB,GaD,ChA,MsD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 28420.00 Outbuilding & Extra Freatures Value: 1010.00 Land Value: 22470.00 Total Market Value: 51900.00 Total Assessed Value: 51900.00 All data is providedas 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 Countys 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 NC or arising out of the use or Inability to use the GIs data provided by this website. i+ n ,'err -:. t n ,:� ,.r- Q ^`: f T:n . � ' s f . � + .q o sr,,..i;• a : y,�}: r ' � y.,e; .•.•v f ,..•,n, ac ,. --i. +w++ � AUTHORIZATION NO:' �� DAVIE COUNTY HEALTH'DEPARTMENT i 9 5 E � y; nvironmental Health Section t PROPERTY INFORMATION Permittee ti ` ,. % AILP.O. Box 848 ! Ss �f�.,�� S/..."tName;' /f .Mocksville, NC 27028 Subdivision Name: ,/ Phone # 336-751-8760 Directions to property` f�s� • r / c/ Section: Lot: �.. AUTHORIZATION FOR %a .'.Fs.^ r� WASTEWATER Tax Office PIN�- - SYSTEM CONSTRUCTION Road Name: fa.,. %. %� Zip:.. **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 FornVAuthorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. y i g atment and Disposal Systems) (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewa a Tre , ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPE( IA ST DA E ISSUE p ,� y � +� �yy .;v, � yi =.-a t� v ej., ..ar-.. e'�w'v . i i ��` *. 4- I (:., .... . t •Y .,. a �' -, ..: ,. ._ a J ,Y 110.9 5ADAVIE COUNTY HEALTH DEP RT ENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION r . Permittee'$ Name:' Subdivision Name: Directions to property: Section: Lot: I114PROVEMENT PERMIT Tax Office PIN:# � t.'. (.. Road Name �!' f J � t � 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/mstallation of a system or the issuance of a building permit. (In compliance with Article I 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 DALE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE - #BEDROOMS_ # BATHS _.Z_ # OCCUPANTS 5> GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE/ TYPE WATER SUPPLY GI/f L DESIGN WASTEWATER FLOW (GPD) NEW SITEy REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE�oGb GAL. PUMP TANK GAL. ` TRENCH WIDTH ,�W ROCK DEPTH LINEAR FT3760 OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: **CONTACr.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 (M4)1.63aS7MX (336)751-8760 OPERATION PERMIT SYSTEM INSTALLED BY: .3 �Un�� IDD; - o t /oo � �, .► ��'71,1a5.�c.�,l�s lao xS x/ Z E--" {YID Ft '25 AUTHORIZATION NO. r/I OPERATION PERMIT DATE: %G / **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THESYSTEM 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) ..—.J 0011 6owthft it rtJ(Mtl 1Q Davie County Health Department Environmental Kealfb SeWOR ,ri t4.o. Box 848/210 Hospital Street a t Mockaville, NC 27028 (336)751-8760 C J� o ***IIKPORTRNT*** THIS APPLICATION CAMM BE PROCESSED UNLESS AL INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. Nam to be Billed hM( "y��S('11n `1'1 we I 1 contact Person r1 P, L . P l Z 1V Nailing Address I,A1bWpUH-'oAst� Y+�(17eA ��- �% Boma phone c3r�/�0 - f77SI /S� i City/State/LIP I Vl OUA V I Ile, Lie- e- a7d � Q Business Phone a(y � ! 5-/ � 5-60 0 Nam on Permit/ATC ii! Different than Above he L . 2Q 1; N Nailing Address - lglb City/state/Lip {Y\� �,SV i I �. 97 c i5c, Application For: 6 Site Evaluation Q I�mprovement Permit/ATC .8'>3oth system to service: 0 House [9' Mobile Home 0 Business 0 Industry 0 Other If//Residence: # People r _ # Bedrooms # Bathrooms _ 'Aashing Machine a Basement/Plumbing 0 Basement/no Plumbing t�'Dishxasher q Garbage Disposal [a If Business/Industry/other: specify type # People # sinks # Commodes # showers # Urinals # Rater Coolers IF FOODSERVICE: ii Seats Estimated Nater Usage (gallons per day) 7. Type of water supply: 0 County/City I"Well 0 Community e. Do you anticipate additions or expansions of the facility this system U intended to serve! 0 Yes MO If yes, what type. ***IMPORTANT*** CLIENTSAlUSTCOAMLETETHE REQUtREDPROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PIAN MUSTBESUBA0ZTED by the client with THIS APPLICATION. Property Dimensions: �d� 2-� D ��� Jy ►t�QPS WRITE DIRECTIONS (from Tax Office PIN: # 40 owel vgSL) perty Address: ° Property Name ��an� mho 2+ Qci City/Zip Ands -M6, %%C,MV If in a Subdivision provide Information, as follows: Name: Section: Block: Lot: to PROPERTY: } ► l -�-o���ss''Fi�ahlL �- �0(4 c,. lo-- 1`S oh 2'( GI l a- 2 Dateroperty Flagg d:' This is to certify that the information provided is correct to the best of aty 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, undewand that 1 ani reVonsMfefor all c/hmges Incurred from this application. 1, hereby, give consent to the Authorized Representative of the Davie County Health D artm nt to enter upon above described property located in Davie County and owned by �1X � ► �i2 to conduct all testing procedures as necessary to determine the site suitability. DATE -A -� / SIGNATURE 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 locations).' Revised DCHD (07/98) Account Na SIA Invoice No. 0 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAMEJC��i! DATE EVALUATED _ XC o / PROPOSED FACILITY %%% Tom' PROPERTY SIZE -A C SUBDIVISION ROAD NAME T�/J a ;�i ��G6✓ Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position L L Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH. Texture group Consistence Structure /C / 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 SITE CLASSIFICATION: l LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01.90) EVALUATION BY: 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 CONSISTENCE 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 Mineralog 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 ■■■■■■■■■■■■■■e■■■■■■■■eeee■■■■■■■■■eee■■■■■■■e■■■■■■■e■■■■■■■e■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MENNENMEMNONiiiiiiMENNENiiiiiiiiiiiiMENNEN ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■e■■■■■■■■■■■ori■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■e■■■■■■■■■■■■■■■■■■■■■■■ ��■■■■■eee■■■e■■■■■■■■■■e■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ 1650 • "� � , �, 237.38 91.6 6 321.07 11039 4 � N i a m to cD LL O I� m o LO v Q. 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