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1048 Howell RdDav !016 All data 13 provided as 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 ty Counof Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to 101 NC or arising out of the use or Inability to use the GIs data provided by this website. WARNING: THIS IS NOT A SURVEY Information Parcel V ---77--,-- -7] Parcel Number: C40000000102 Township: Clarksville NCPIN Number: 5823836245 Municipality: Account Number: 21219540 Census Tract: 37059-802 Listed Owner 1: DIONNE JERRY EDWARD Voting Precinct: CLARKSVILLE Mailing Address 1: 1048 HOWELL ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-4819 Voluntary Ag. District: No Legal Description: 3.000 AC HOWELL RD Fire Response District: FARMINGTON Assessed Acreage: 3.01 Elementary School Zone: WILLIAM R DAVIE Deed Date: Middle School Zone: NORTH DAVIE Deed Book I Page: Soil Types: EnI3,MsC Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 127630.00 Outbuilding & Extra Freatures Value: 6670.00 Land Value: 22610.00 Total Market Value: 156910.00 Total Assessed Value: 156910.00 All data 13 provided as 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 ty Counof Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to 101 NC or arising out of the use or Inability to use the GIs data provided by this website. - DAVIE COUNTY Lim LT DEPA H RTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT'PERMIT **NbTE** 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) NAME e PROPERTY ADDRESS t I&)I �— . o'� �Dv�I A DATE LOCATION SUBDIVISION NAME: _ LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS` # BATHS I- # OCCUPANTS 'e—GARBAGE DISPOSAL: Yes/No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL. WASTE: Yes/No LOT SIZE .r1K TYPE WATER SUPPLY �Q_ DESIGN WASTEWATER FLOW (GPD) -1V0 NEW SITE Lam- REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIIE /DopnnGAL. PUMP TALI, GAL. TRENCH WIDTH -76 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 �a **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 Vv'11'. AUTHORIZATION NO. O \Q OPERATION PERMIT F Boll UA4oQ A B ` **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREAT) GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR AN' DCHD 10/95 DATE {- T)F 6 DESCR EDBOY HAS BEEN INSTALLED IN COMPLIANCE WITH DI 5 -, BUT SHALL IN NO WAY BE TAKEN AS A PERIL IM1J;: (Issued in compliance 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 NUlD3F:R NAME moi' ZJ1 f- �l_ / / DII%I Cp DATE --s �� 9� N2 0336 NAME ON IMPROVEMENT PEERRMIITT (If different than above) SITE LOCATIOMI COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM Davie County Health Departure ENVIRONMENTAL HEALTH SECTION P.O. Box 665 Mocksville, N.C. 27828 ` A. — AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance 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 NUlD3F:R NAME moi' ZJ1 f- �l_ / / DII%I Cp DATE --s �� 9� N2 0336 NAME ON IMPROVEMENT PEERRMIITT (If different than above) SITE LOCATIOMI COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERM Davie County Health Department APR 8 1993 Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By Mailing Address 107% 94d E r) Home Phone C12U A —_-Z 5 q Business Phone 76P G'— 2 (a3 i — 14S F'-- 2. Name on Permit if Different than Abov__e�94 3. Application for: ❑ General Evaluation Q<epticTank Installation Permit 4. System to Serve: a?"House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # No. of People No. of Bedrooms -� No. of Bathrooms Dwelling Dimensions Y, 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Sinks No. of Urinals No. of Water Coolers ❑Basement/Plumbing P BaBasement/No Plumbing "ashing Machine P-6ishwasher ❑ Garbage Disposal No. of Showers Water Usage Figures 7. Type of water supply: ft'I'rublic❑ Private ElCommunity 8. Property Dimensions 3 tN��'' Sewage Disposal Contractor11.,.� 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes "o If yes, what type? 'NOTE: Improvements Permits shall be vali from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective -October 1, 1989. Directions to Property: �� tL A2.0 s��'c'i✓D GST � �� x'F 1 Tax Office PIN: # EM:3- 93- 6;Z y ' PROPERTY AbbRESS, as follows: Road Name: City:62 ✓ SUBMIT A PLAT WITH THIS APPLICATION. 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. DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: P-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 det rmine said site's suitability for a ground absorption sewage treatment and disposal system. y DATE SIGNATURE DCHD (1193) x , o f .� -. 's"8 ?S a , � �` dna J►'.' � .{ �...�' J.a �K'4 �X �' � :Z - A3t .. n / _ • ;r . Y • � j / +# a, �+�� :a4.....�t'd�� _. - Isv fir. � . . .r 5 , .9 A q" y \ * ✓A yM T � r \ 257.24 �}q8.7- �— �. ro y t N aF - f f _ oMs �� ``jp O f ` .e x r. D _ e 2943.48 u , � i ilii � � O cn p OW 236,28 933 88 cn i< ': X703 X26 ,� ,, ,�2.6j4� .. � 2642 92.4 s N CO W 44'4.$-5 Pvt. co 03 x ^t X. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation % DATE EVALUATEDlf PROPERTY SIZE �/tC LOCATION OF SITE z, NAME r / 6n 4'e ADDRESS ��J PROPOSED FACIILTY 'Asa Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position L C. Sloe % HORIZON I DEPTH Texture group Consistence Structure MineralogX HORIZON II DEPTH Jim Texture group Consistence Structure /G 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: f.5 f 6 �9c EVALUATED BY: At,& LONG-TERM ACCEPTANCE RA REMARKS: DCHD(01-901 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- Vc.-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 Mineralo¢► 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 mummom■ ■■EMEM■ ■oommo■ ■MEMME■ ■