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480 Georgia RdDavie County, NC _ i Tax Parcel Report UO ad � I A Thursday, September 29, 2016 161 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 harmlessthe County of Davie, North Carolina, hs 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. Parcel Information Parcel Number: F200000025 Township: Clarksville NCPIN Number: 5811113679 Municipality: Account Number: 8408000 Census Tract: 37059-801 Listed Owner 1: BOLES HUBERT DONALD Voting Precinct: CLARKSVILLE Mailing Address 1: 480 GEORGIA ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-5803 Voluntary Ag. District: No Legal Description: 12.03 AC TALL TIMBERS DR Fire Response District: SHEFFIELD - CALAHALN Assessed Acreage: 12.06 Elementary School Zone: WILLIAM R DAVIE Deed Date: 2/1981 Middle School Zone: NORTH DAVIE Deed Book / Page: 001120774 Soil Types: MnC2,MnB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 133590.00 Outbuilding & Extra Freatures Value: 11120.00 Land Value: 82590.00 Total Market Value: 227300.00 Total Assessed Value: 227300.00 161 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 harmlessthe County of Davie, North Carolina, hs 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. Permittee's```y DAVIE COUNTY HEALTH DEPARTMENT he sf 0 Named • Environmental Health Section PROPERTY INFORMATION Pi 0 tj TD L -1b P.O. Box 848 � Directions to property: _ Mocksville, NC 27028 Subdivision Name: 03 n p Phone #: 336-751-8760� y; Section: Lot: �"!- u f AUTHORIZATION FOR WASTEWATER - _,. SYSTEM CONSTRUCTION Tax Office PIN:# - _ - AUTHORIZATION AUTHORIZATION NO: 0027 A '��,,�� Road Name:I/&) '.6 �r_ IA - �t Zlp: **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 whertapplying'for $fig Permits. (In compliance -wit ";i ill or G.S. Chapter 130A, astewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. iAL`�66CIAlISTDNVIRONMENTHDATE SSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE Fos # BEDROOMS # BATHS # OCCUPANTS — GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: YesorNo LOT SIZE r jq'" � �'I'YPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITEy t �+ e SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH lJ LINEAR FT. OTHER A& -C 2 O �a�l�Cx t 0J{�.1 �i (b f REQUIRED SITE MODIFICATIONS/CONDITIONS: �L(!K)A 1 06 ht),J VA( -1e, ` � 50'7:406, LJ eL t IMPROVEMENT PERMIT LAYOUT YI c cr AfP2,r,,e Z lj < 1 . i% . C.. FOR FINAL INSPECTION OF THIS SYSTEM PLEASELALL ETWEEN 8:3 9:30 . ONIA DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT w 8, -7 7 �� i Opt 4 S, c v a AUTHORIZATION NO. OPERATION PERMIT BY: DATE: r "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICA AT TH S E D XVE BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION.1900 "SEWAGE TREATMENT D DISPOSAL SEMS", BUT SHALL IN NOWAY BETAKEN ASA GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCtIDOZU2 (Revised) I�I?� 1191 7-TAIVO i cz # 5713 DAVIE COUNTY HEALTH DEPARTMENT f dvattile a;� Environmental Health Secti6n a I V, A PROPERTY INFORMATION Q� P.O. Box 848 T ' Lr��s Di7 rectfions to property: t Mocksville, NC 27028 Subdivision Name: Phone #: 336-751-8760 Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION // AUTHORIZATION NO:/ 0 0 2 7 19 A Road Name: 1.199 (-t is V471 � ?G2 **NOTE** This Authorization for Wastewater System Constniciion MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Fonn/Authorization Number should be presented to the Davie County Building Inspections Office when apply.ing,for Bdilai g Pennits:' (In compliance -with Artic1�' IG.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION P IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL`HEATt,SPECH IALIST L/ DATE SSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE 11CA)S6 # BEDROOMS # BATHS•`• . V # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE _ # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASft"Yes or No LOT SIZE PE WATER SUPPLY{, DESIGN WASTEWATER FLOW (GPD) O NEW SITE REPAIR SITE l� SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDT�i 3 V ROCK DEPTH LINEAR FT.rkn c OTHER�� lh� ,� J J r_ b ',.i� I 5L� L Q REQUIRED SITE MODIFICATIONS/CONDITIONS: ..�I At IJ � L t�� j. � IMPROVEMENT PERMIT LAYOUT r�VwX -t-. i FOR FINAL INSPECTION OF THIS SYSTEM PLEASE OPERATION PERMIT -�t-1 r 3 Lit r -f 11001,r-�14\Ni L *aj T,- rLt� 6/771.7 I� DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. '%-1 d> AUTHORIZATION NO.pA_ OPERATION PERMIT BY: DATE: / hWk "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICAT= ATTHXQIEEMJZDABOVE BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT A D DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. Dc110 02102 (Revised) Iq -!_/quo i 0 e-. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION L PROPERTY INFORMATION Water Supply: On -Site Well '�- Evaluation By: Auger Boring Community Pit Public Cut FACTORS 1 2 3 4 5 6 ;' 7 Landscape position C Slope % HORIZON I DEPTH E.>_ 14 e - 20 Texture group V Consistence Structure Mineralogy HORIZON H DEPTH - -VD Texture group1. G Consistence Structure /I Mineralogy HORIZON III DEPTH - Texture groupG t Consistence ; Structure Mineralogy HORIZON IV DEPTH Texture group. Consistence Structure Mineralogy SOIL WETNESS _ .. __ _ _... ___ :. F. 12 L) - RESTRICTIVE HORIZON 1 SAPROLITE -- '— CLASSIFICATION S LONG-TERM ACCEPTANCE RATE D i" SITE CLASSIFICATION: EVALUATION BY. cryc LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT- REMARKS:-5\.J. RESENT:REMARKS•-•SW• ,Ct,`� �►L( ,Sw�. d7S ?O' 3" i 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 VFR - Very friable FR-! Friable FI - Firm VFI - Very firm EFI - Extremely firm 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 lYQtr� 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 05105 (Revised) ■■■■■■■■■■■■■■■■■■■■■■■■i,■■i\■■■■■■■■■■■■■■■rine■■■■■■■■i�■■��■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■�i■■��■■■■■■■■c■■■■�►�.e��■■■et■■■■■est■■■■■ ■■■■■■■■■■■■e■■■■■■■■■■■e■■■■■■■■■■t►,■t®►��i.rir�enwew■■■ee��■■■■■■�re■t■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■.eta►■■■■■■■ose■■■■■■i■■■■■■■■■■■■■■■ ■■■■■■s■■■■■■e■e■■■■■■■■■■■■e■■■�■■■■■■e.:s:anwose�t■■■e■■e■■■■ee■■ ■■■■■■■t■■■■■■■e■■■■■■■tete■■■■■■■■■■■■■■e-:�iueee■■■e■■■■■■■■■■■ ■■■■■■■■■■e■■■■■■■■■■■■■■■■■■■■et�■■■ewe■■■■■■■■■■■■■■■■■■■e■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■tit■■a■e■■■u■■■■■■■■■■e■■■e■e■■■■■t■■ ■■■■■■ ■■■■■■■■■■■■t■■■■■ ■■■■■■nommom ■■■■%i■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■i■■■■■■■■■■■■■■■!■■■■e■■■mss■■s■■■■■■e■ ■■■e■■■■■■■■■e■■■■■■■■■■■■■■■■■■■eee■■■■■■■■■ee■■■■e■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■e■■■■■■■■■�■�i■■■■eee■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) ��/� / , / HONE NUMBER 4OZ- 2-7w DIRECTIONS /TOSITE 60 W�T (-,/ rAA UBDIVISION NAME LOT # 4ou ► -f�6� i de hem v N6jSUl2c- ffow Dl�� DATE S INSTALLED NAME SYSTEM INSTALLED UNDER Ar o4w y TYPE FACILITY NUMBER BEDROOMS Q3 NUMBER PEOPLE SERVED TYPE WATER SUPPLY we'll SPECIFY PROBLEM OCCURRING uukr cSllrr1x)f1w r DATE REQUESTED /a -O'ZO'0& INFORMATION TAKEN This is to certify tha4 the information provided is correct to the best of my SIGNATURE OF OWNER OR AUTHORIZED AGE Rev. 1193 that 1 understand I am responsible for all charges incurred from this application. V "1 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'NOTE: Issued in Compliance with GS. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number Name a?r r.tr.►.' 1 41 L s Date - % ' � 3544 Location fro ! rJ To L lUu°T� Ui. ?� 29F1H C1Zx . 614. gac� Subdivision Name Lot Size Lot No. Sec. or Block No House -�� Mobile Home _ Business Speculation No. Bedrooms No. Baths No. in Family _ Garbage Disposal YES ❑ NO ❑ Specifications for System: PE 1112 Auto Dish Washer YES ❑ NO ❑ ,• , ,, Auto Wash Machine YES [:]NO ❑ /SO X 3 �` 1�' STziN L Type Water Supply "This permit Void if sewage system described -below -is -not -installed within 36 months from date of issue. r / Improvements permit by "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 day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: m Installed by&_�_ ( 1LL41W 110 Certificate of Completion �'� Date "The signing of this certificate shall indicate that the system describe above has been installed in compliance with the standards set forth in the above regulation; but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. N DAVIE COUNTY HEALTH DEPARTMENT F IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number bater..:3a�t TName,.. �544 Location N -1-0 Lli cg -r-/ cd. .77) ZEAR crx,G►J. EiCfck - -vt ftj5' Subdivision Name Lot No. Sec. or Block No. Lot Size House -�''Mobile Home — Business Speculation No. Bedrooms — No. Baths Garbage Disposal YES ❑ NO ❑ Auto Dish Washer YES ❑ NO ❑ Auto Wash Machine YES ❑ NO ,❑ Type Water Supply *This permit Void if sewage No. in Family_ _ Specifications for System:�� S� � 3 /h I � ,• � / uN I within 36 months from date of issue. r J % ` ! sImprovements permit by *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 day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by 0 i J Certificate of Completion��"� Date *The signing of this certificate shall indicate that the system des cribed above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time.