1870 Angell Rd Davie County,NC f Tax Parcel Report Wednesday, October 12, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: E300000081 Township: Clarksville
NCPIN Number: 5821639527 Municipality:
Account Number: 71020800 Census Tract: 37059-801
Listed Owner 1: STEPHENSON GREGORY MARTIN Voting Precinct: CLARKSVILLE
Mailing Address 1: 1870 ANGELL ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay:
Zip Code: 27028-4604 Voluntary Ag.District: No
Legal Description: 30.76 AC ANGELL RD Fire Response District: WILLIAM R.DAVIE
Assessed Acreage: 30.78 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 4/1992 Middle School Zone: NORTH DAVIE
Deed Book/Page: 001630174 Soil Types: MrB2,PaD,PcC2,EnC,MdD,ChA,CeB2,MsD,WATER
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Outbuilding&Extra
Building Value: 'f 129240.00 Freatures Value: 1490.00
Land Value: 220060.00 Total Market Value: 350790.00
Total Assessed Value: 236860.00
161 All data Is provided as is without warranty or guarantee of any Idnd eithera:pressed or Implied Including but not limited to the
Davie County, Impliedwanardies of merchantability or fitness for a particular use.All users of Davie County's GIS websRe 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
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A0g10RIZATION NO: 17 4 d DAVIE.COUNTY HEALTH DEPARTMENT
' y Environmental Health Section PROPERTY INFORMATION
Permitie"k- 7 P.O.Box 848
Name: r ' i ��,..,4 Mocksville,NC 27028 Subdivision Name:
Phone#'336-751-8760
Directions to property: ,� Section: Lot:
AUTHORIZATION FOR
y'. / WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
Road Name: Zip:
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environinerital Health Section prior
to issuance of any Building'P.ermits.This Form/Authorization Number should be presented to the Davie County.Building Inspections
`Office when applying for Building Permits.
(in compliancewith Article l]'of G.S.Chapter 130A,Wastewater Systems,Section.]900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.'
EN RONMENTAL'HEALTH S MALIST, 'DATE ISSUED
� -•'4v:r- '.?'crF�-r^-v—.-rres --i _.�r_.:-�----..r-'--- - __ — - ... i • -T 4...:1,
174904PAVIE'COUNTY HEALTH DEPARTMENT
-�
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Termttfee' , `I
:.» ',Name.` f !:r ' / -: r 5,,,w Subdivision Name:
o Directions to property. Section: Lot:
IMPROVEMENT
PERMTT Tax Office PIN:# - -
Road Name: 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/installation oU system or the issuance of a building permit.
(In compliance with Article 1 I of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
Jew! PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS'--,'/—#BATHS_ #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT S TYPE WATER SUPPLY �r/i�/ DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE '
{,
SYSTEM SPECIFICATIONS: TANK SIZE 22116L. PUMP TANK GAL. ,TRENCH WIDTH ROCK DEPTH LINEAR FT.y l�
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
*APPROVED EFFLUE14T FILTER* *RISER(S) IF 611 BELOW FINISHED GRAI3,E�
}SIF'e-
**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.
xxxxxxxHx
`J 1—876i I PERMITS 4 S 3-
!00 C/S SYSTEM INSTALLED BY:
Sr
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AUTHORIZATION NO. OPERATION PERMIT B 1 DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSIEM DESCRI D OVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I I OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSA SYSTEMS",BUT SHALL IN NOWAY BETAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised)
s � � Q sib
22 M
t ' APPUCATION FOR SFFE EVALUATION/IMPROVEMENT PERMIT& I8 LK U
Davie County Health Department
Environmental Health Section A* 1 ( 2000
P.O. Boz 848/210 Hospital Street
Mocksville, NC 27028 ENVY ONh LTH
(336)751-8760 . 0
.J
***2MPORTA2M** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. � �(�
1. Name to be Billed �'�i� y��/ M6f V Contact Person 94C �(/�P /I 'I OA)
Mailing Address �/t/,J �Y�(- � Home Phone
City/State/ZIP (JC�JI-J(J«� v —Z'70 2-8 Business Phoney J
2. Name on Permit/ATC if Different /than Above
Mailing Address 9Q. City/state/Zip
3. Application For:- �Raluation ❑ Improvement Permit/ATC e0pBoth
4. system to Service: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
s. If Residence: ,# People _ # Bedrooms # Bathrooms
11 Dishxash r 11 Garbage Disposal t washing Machin 1 Basement/Plumb g 11 Basement/No Plumbing
6. If Business/Industry/Other: Specify type # People # Sinks
# Commodes # showers # Urinals # Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: ❑ County/City Well ❑ Community
9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes ANO
If yes,what type?
***IMPORTANT***CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or
SITE PLANMUSTBE SUBMITTED by the client with THIS APPLICATION.
Property Dimensions: w c�J 1 WRITE DIRECTIONS(from Mocksville)to PROPERTY:
PA
Tax Office PIN: # �9ZI-63 ` /`5z-2 /V �� � /191-J
Property Address: Road Name F- J�ftZW( � O/ / � C( A E,4j
City/Zip 96C41c/ 6 Z t1 OA)
If in a Subdivision provide information,as follows:
Name:
Section: Block: Lot: Date Property Flagged: / r/
This is to certify that the information provided Is correct to the best of my 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. 1,also,understand that I am responsible for all charges incurred from
this application. 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 0V
ability f
to conduct all testing procedures as necessary to determine the site su'
DATE SIGNATURE �#S
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Inc d all of the foil ng: Existing and proposed
property lines and dimensions, structures, setbac , and septic locations).
Site Revisit Charge
Date(s):
Client Notification Date:
EHS•
Account No. �J U
Revised DCHD(07/99) Invoice No. U
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 990001101 Tax PIN/EH#: 5821-63-9527
Billed To: Gregory Stephenson Subdivision Info:
Reference Name: Gregory Stephenson Location/Address: Angell Rd.-27028
Proposed Facility: Residence Property Size: 30 Acres Date Evaluated: 2-�
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
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
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: EVALUATION BY:
LONG-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 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-Finn 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-tern acceptance rate-gal/day/ft2
DCHD 05/99(Revised)