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242 Greenhill RdDavie County, NC Tax Parcel Report O a p' Wednesday, September 28, 2016 PBO3 G105 1 - V 242 3706 5 N Y39 7715 `A7 3508 �, z56 i - -- - ---- - ------ - - - - I 4595 y1 A _ WARNING: THIS IS NOT A SURVEY Parcel Number: 1300000039 Township: Calahaln NCPIN Number. 5728263706 Municipality: Account Number: 79271000 Census Tract: 37059-801 Listed Owner 1: WILLIAMS DORIS C Voting Precinct: NORTH CALAHALN Mailing Address 1: 242 GREENHILL ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27028-4201 Voluntary Ag. District: No Legal Description: 3 AC GREEN HILL RD Fire Response District: CENTER Assessed Acreage: 2.93 Elementary School Zone: MOCKSVILLE Deed Date: 10/1961 Middle School Zone: SOUTH DAVIE Deed Book f Page: 000640261 Soil Types: GnB2 Plat Book: Flood Zone: X Plat Page: Watershed Overlay: -,WS-ill-BW Building Value: 100650.00 Outbuilding S Extra 4950.00 Freatures Value: Land Value: 33920.00 Total Market Value: 139520.00 Total Assessed Value: 139520.00 [w] All 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. Ail 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. Pecmittee's, "y" , ASE COUNTY HEALTH DEPARTMENT f Name: �.-- �i Environmental Health Section PROPERTY INFORMATION --M ��., P.O. Box 848 Directions to property: �" Mocksville NC 27028 Subdivision Name: Phone #: 336-751-8760 Section:_ AUTHORIZATION FOR A4 I WASTEWATFR Lot: Office - - - SYSTEM CONSTRUCTION Tax PIN:#J AUTHORIZATION NO: 002688 A Road Name: r q 61R" ! �ipl.. **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 wl[h�Article 11 of G.S.' apt&CI30A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) 7- V:E ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRON EN4,TXI?#F _ TH PCIEAId- DATE I RESIDENTIAL SPECIFICATION: BUILDING TYPE I % # BEDROOMS # BATHS -,7 _# OCCUPANTS - GARBAGE DISPOSAL: Yes or No COMMERCIAL SP�ECIIFFI-CATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/or No LOT SIZE�� -f `�X WATER SUPPLY DESIGN WASTEWATER FLOW (GPD}= -f NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH N LINEAR FT. OTHERi6lJ�/O/�I�k/i REOUIRED SITE MODIFICATIONS/CONDITIONS IMPROVEMENT PERMIT LAYOUT *M4X 7A�rk�- DMi '3t. Id or-q)CDk 0 F -/LN' r� 14 1 tjF- 00Tc-.7 ` IEEE- /^J -TANk_ N FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 1 OPERATION PERMIT ,r Q PO AUTHORIZATION NO. "THE ISSUANCE OF THIS OPERAT WITH ARTICLE 11 OF G.S. CHAPTE: GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 02/02 (Revised) LLx----Z DATE: 21a] VSTALLED IN COMPLIANCE LL IN NO WAY BE TAKEN AS A �1ala�'1 c *M4X 7A�rk�- DMi '3t. Id or-q)CDk 0 F -/LN' r� 14 1 tjF- 00Tc-.7 ` IEEE- /^J -TANk_ N FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 1 OPERATION PERMIT ,r Q PO AUTHORIZATION NO. "THE ISSUANCE OF THIS OPERAT WITH ARTICLE 11 OF G.S. CHAPTE: GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 02/02 (Revised) LLx----Z DATE: 21a] VSTALLED IN COMPLIANCE LL IN NO WAY BE TAKEN AS A �.. **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. a (In compliance with Article l l of G.S: CFiapt'er 130A, Wasteater Systems, Section .1900 Sewage Treatment and Disposal Systems) if a.._VE ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION _— ✓� f- r ^ , IS VALH) FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL. EA�Q H SPECIAgI .T DATE•ISS RESIDENTIAL SPECIFICATION: BUILDING TYPEhO BEDROOMS # BATHS 7_,# OCCUPANTS .. GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No ��-� 4.. . LOT SIZE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)._c Ma NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL, PUMP TANK GAL. TRENCH WIDTH �� ROCK DEPTH LINEAR FT. �Z ! OTHER ' f ���1 / e 1Ji %�nI�� ',l %1 %� r- L7 �G/1 K ,T�O�T�.J'✓Z. „REQUIRED SITE MODIFICATIONS/CONDITIONS: ��� `'"��`''�✓T + IMPROVEMENT PERMIT LAYOUT a its4L t `�►J / N �1. I 11 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE# IS (336) 751-8760. u OPERATION PERMIT W - �111COUNTY HEALTH DEPARTMENTi, Environmental Health Section INFORMATIONµ ame:� �_h= J jR1PERTY -" .,D1 ctipns_Jo property.' C' ... P.O. Box 848 Mocksville, NC 27028 Subdivision Name: Phone #: 336-751-8760 Section: Lot: f' j✓'� (, ,.j� l AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:# - - i:= AUTHORIZATION NO: 0102688 A Road Name: r `l-- �.. **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. a (In compliance with Article l l of G.S: CFiapt'er 130A, Wasteater Systems, Section .1900 Sewage Treatment and Disposal Systems) if a.._VE ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION _— ✓� f- r ^ , IS VALH) FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL. EA�Q H SPECIAgI .T DATE•ISS RESIDENTIAL SPECIFICATION: BUILDING TYPEhO BEDROOMS # BATHS 7_,# OCCUPANTS .. GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No ��-� 4.. . LOT SIZE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)._c Ma NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL, PUMP TANK GAL. TRENCH WIDTH �� ROCK DEPTH LINEAR FT. �Z ! OTHER ' f ���1 / e 1Ji %�nI�� ',l %1 %� r- L7 �G/1 K ,T�O�T�.J'✓Z. „REQUIRED SITE MODIFICATIONS/CONDITIONS: ��� `'"��`''�✓T + IMPROVEMENT PERMIT LAYOUT a its4L t `�►J / N �1. I 11 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE# IS (336) 751-8760. u OPERATION PERMIT W � J AUTHORIZATION NO. **THE ISSUANCE OF THIS OPERAT WrMARTICLEIIOFG.S.CHAPTEI.___._,_______._____ GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. 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C ■ .■..........C.......... ■rrr■■r■r■■■■■■o■■■r■■r■■■■rCrrC■r�C mama■■ ■■■■■ ■■■■■■■■errr■■e■■■e■■■■■■■■■■■■s■■■■rr■■■■■■ s NAME ■■■■e■■■■/■■■■r■e■■■■■ ■ ■■e■C■■■■■■■r■■C■errr■■■■■r■■■■I�i■■■■■e■■■■�e■■■rererrer9rCCC ■■reee■■■eerrrs ■reeeeee■eeeeeeeeeeeeee■e■ ■■rrrrrr■■■■ ■ ■eee■■■■■■■■rr■■■ ■■r■roam■■■e■■■■■s■er■■■■■■er■■■eee■■ee■ .................C■r■r■■e■ee■■eeeeeeeee■■■rrrrr■■r■rsr�■■■■ ■ C ..............................■...................... .■■. ........................................................... . .■ ....rrrrrrrr■rr■r■■■■r■■■■■■■■■....■■■■r■rrere■r■ee■■■■■■■■CC■ .. g .............■................. ■ �................■..■■.CCC■■■ ■.. ■■e■e■■■ee■e■eee■■■■■■■■■■■■■■■ ■t■■■■■■■■■■■rrr■■■■■■ ■■ ...........■.......................■................... g .■■ ■■re■■■■■eeeeeeeeeeeeeeeeeeeeeee■■■r■et■■■e■e■rr■r■e■■e■■■ ■■ ........................................................... CCC ..................................................... . .. ■■■■r■■■■r■■■■■■■■■■■■■■■■■■■■■r�IrCr■r■■eeeeeereee■eC■CC3 CCCiiisiiiiCCCCCCCCCC�CCCCCCCCCCC""""""""""C"" Cr ■■eeeeeeeeeeeeee■ee■ mama DAVIE COUNTY HEALTII DEPARTMENT Environmental Health Section Soil/Site Evaluation, APPLICANT INFORMATION -7;W 5 int -SVkLI-_ f29 PROPER'T'Y INFORMATION q S f Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH d Texture group Consistence Structure Mineralogy HORIZON II DEPTH — Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group G F Consistence Structure Mineralo i HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE rA_ rr r L/A. Jt l C I.LHJJirII,H ► ivty: LONG-TERM ACCEPTANCE RATE: REMARKS: L�ALVAIIVI�Ll.y /I -'A-+ - 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 is 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(unsuitablc) LTAR - Long-term acceptance rate - gal/day/ft2 DCI ID 05/99 (Revised) ADDR DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) L/3I Ll, I A M,S PHONE NUMBER SPI Z�1 DIRECTIONS TO SITE 41 W D , "A -'0C-<5> SUBDIVISION NAME LOT # DATE SYSTEM INSTALLED s NAME SYSTEM INSTALLED UNDER TYPE FACILITY t/00,V NUMBER BEDROOMS 3Z NUMBER PEOPLE SERVED TYPE WATER SUPPLY �'� � SPECIFY PROBLEM OCCURRING � IC•Kl"I 0 DATE REQUESTED 2i '° INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge, and that 1 understand I am responsible fo for all charges incurted from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT d'V Rev. 1/93 y 33 � zAt V y k' '�a r M. l g 1L 1` .t�