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117 Daniel Boone Trail Davie County,NC _ Tax Parcel Report Monday, January 30, 2017 ' I 3434 3427 i I I r 2294 3 41377 ` I 'Iti "146 l 3401f J rl 13 3' '— W F` 601 11 t m 114--, f 52340 '. 2292 _ W 1 i' © I 1 2404 �r (vEL�. RD2286 2355 I. 2429 ........................................._..F.�:" ....':. ~�......1........._ ..----------........... _ WARNING: THIS IS NOT A SURVEY Parcel Number: E300000069 Township: Clarksville NCPIN Number: 5821057196 Municipality: Account Number: 82514794 Census Tract: 37059-801 Listed Owner 1: WAGNER SANDRA LYNN Voting Precinct: CLARKSVILLE Mailing Address 1: 5828 RENA ROAD Planning Jurisdiction: Davie County City: HAMPTONVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27020-0000 Voluntary Ag.District: No Legal Description: 3.52 AC ANGELL RD Fire Response District: WILLIAM R.DAVIE Assessed Acreage: 3.41 Elementary School Zone: WILLIAM R DAVIE Deed Date: 5/2000 Middle School Zone: NORTH DAVIE Deed Book/Page: 003340381 Soil Types: MnC2,MnB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: Q tuMl� 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, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the County of Davis,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to 000N C NC or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT . ' IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE'Issued in Compliance With Article 11 of G.S.Chapter 130a Sanitary Sewage Systems 'Perm-it Number Name— PV �J(D /� ' : - p�,.1 Date �L� N2 175 6 17 Location /1Il— f'-2a — le e.— _ Subdivision Name Lot No. Sec. or Block No. Lot Size 7 �" House Mobile Home _ Business __ Industry No. Bedrooms r1 No. Baths No. in Family `-� — Public Assembly Other Garbage Disposal YES ❑ NO p-' Specifications for System: Auto Dish Washer YES NO ❑ ; Auto Wash Ma^hine YES NO ❑ ,y Type Water. Supply 1{/e� 'This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. W� 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., 1:00-1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Number:704-634-5985. Final Installation Diagram: System Installed by �'Jxm�/ S lJ • loll Certificate of Completion =--' R Date '2— 90 *The signing of this certificate shall indicate that the system described 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. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation , NAME �7f'!hJ/i�r/ DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY �y�Is`P rX�s//S✓/1 LOCATION OF SITEL����/ Water Supply: On-Site Well Community Public Evaluation By: Auger Boring f Pit Cut FACTORS 1 2 3 4 Landscape position 14- Sloe 7. -- HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH f Texture groupGy Consistence Structure /l b/ Mineralogy -i HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION 717 - 713, LONG-TERM ACCEPTANCE RATE , SITE CLASSIFICATION: EVALUATED BY: A)0 LANG-TERM ACCEPTANCE RATE: 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 :lay 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 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 ■■.....N......■.........■./■■..�....■....�.........■.....■.. ..■ ■■.■■.■..■■/"_'!.Illi/■...■..■■.■■.■!!!�,(.�t■■.�..■...■■.■■..■■.■■■■■■...■■■ .........■..N..............■....,I..w.u■ ....... t...■.■■ ■■...■.■ ■.■....■■.■.■■.■■....■■■■....■■.■w■■w■.■.�i■■■■■■■ .1M■■.■■■■■■■■■.■ ■...■.■■■.■.11■■■■■.■■IIH■■■.■I■t/i.�6�■■■■■■tti��■r■� ■■■■■■■ ■■.■■■�� ■.■,..■■.■■■■�I.ltrl■■....r�■■■.■■.i■,:�.■ ■■■a:an.■. ■■■■■■■■■■...■■ MME....■.....i11�,...■..:�A............•,� NUMMMEME :E■■.■I■ .M■■■1■1■ H:�:C■i0■■■..... ■..i.■■.■'r�i[!.■.■■...�....■■......il� H ■■■■.■.■.■■■ ■.■.■ue'.■■■■■■■■.■.■■■■.■■■■.i..■■�■■■■ ■. ■.■■■■■■■.N■■.NOMINEE MEMMUMEMEMEN ONE ■■ ::::::11■■■ ........�..........�......■■ ■.■. ■ .. u.■.■■■■■■wommum �.■ ROME ... �.■.■'L'ON M 0 on..■. .■. ■■■■■■ ..11■.................I./.■......1/.....//...��..........■M■..� mom ..It■.■..■.■..■.■.■■..!.■■■...■■11. ■■■■■.■�■.■■■■■■u..■.■Non.I■■■■ .■■..■■.....■.■..■..■■.. ■.■ ..■. ......... ......■. ■i....................■..., ...i.ii■.■■.....■■..MUNI■■■.■■■.■■.■■..■ ■/■■ //..■■N/...//.../././■■/.. ..■.....■.........■.......N..■■ �MMMMMMMMMMMMMMMM��MEMEMMEM■M���..MEMEMiEMEMEMON EMMENMEMMMEMME APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department - Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By AZ Mailing Address c Home Phone Business Phone 2. Name on Permit if Different than Above -/a5l�- 3. Application for: ❑General Evaluation QbrSoeptic Tank Installation Permit 4. System to Serve: louse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # ❑ Basement/Plumbing No. of People 3 ❑ Basement/No Plumbing No. of Bedrooms ❑ Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions �� 0�8 ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: ❑ Public ❑ Private ❑ Community 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? pies ❑ No If yes, what type? '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: ,7Z w 117L; OrJ cr�cth �& r � L ! Ale I'll/ �/, f � p(riUew� �o ��f fdh Al' �� 9aro�e� � Ge 7�f v7" Wl,,,!tt , This is to certify that the information provided is correct to th est of my knowledge and I understand I am responsible for all charges incurred from this application. - /3- �� DATE URE CONSENT FOR SITE EVALUATION TO BE DONE ON 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 SIGNATURE DCHD(1/93)