661 Jack Booe Rd Davie County,NC - Tax Parcel Report Wednesday, February 8, 2017
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WARNING: THIS IS NOT A SURVEY
7777777
Parcel Information
Parcel Number: D200000033 Township: Clarksville
NCPIN Number: 5812461586 Municipality:
Account Number: 8302236 Census Tract: 37059-801
Listed Owner 1: BOOE HARRY V JR TRUSTEE Voting Precinct: CLARKSVILLE
Mailing Address 1: 721 JACK BOOE ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028 Voluntary Ag.District: No
Legal Description: 32.357 AC JACK BODE ROAD Fire Response District: WILLIAM R.DAVIE
Assessed Acreage: 32.38 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 5/2013 Middle School Zone: NORTH DAVIE
Deed Book/Page: 009260996 Soil Types: AaA,MnC2,MnB2,GrB,MdB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 0.00 Outbuilding&Extra 3870.00
Freatures Value:
Land Value: 215300.00 Total Market Value: 219170.00
Total Assessed Value: 58690.00
9[ IE 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 Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
C+OU N� NC or arising out of the use or Inability to use the GIS data provided by this website.
lef -/ti - la 105
` DAVIE COUNTY ENVIRONMENTAL HEALTH SERVICE REQ ST hO�ie
` APPLICATION IP/ATC OSWW REPAIR
Name 44hozP'-xo 6 Telephone Number
Address 5
Mailing Address (if different from above) A /Lo0e-
Email Address:
Subdivision Name Lot#
Directions l�f �- - all
S
Date System Installed Iq 16 Name System Installed Under
Type Facility c5wfil Number Bedrooms 3 Number People Served
Type Watt ro
ppl _ Specific Problem Occurring b lye s In t/
A10 Lie O lyskm
Date Requested y- /5— Ino Taken By
THIS IS TO CERTIFY THAT THE INFORMATION PROVIDED IS CORRECT TO THE BEST OF MY
KNOWLEDGE,AND THAT I UNDERSTAND THAT I AM RESPONSIBLE FOR ALL CHARGES INCURRED
FROM THIS APPLICATION.
Signature of owner or Authorized Agent
Initial Fee Date REHS
Revisit Charge Date Reason
Revised 2-2011
3F / q9��
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**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 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 pOe R-PROPERTY ADD &C/--, AS)M (L_•—� ` �a o DATE 3-2244,
LOCATION
SUBDIVISION LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE %.W=M# BEDROOMS 3 # BATHS ,� N OCCUPANTS —!I- GARBAGE DISPOSAL: Ye No
COMMERCIAL SPECIFICATION-"FACILITY TYPE;T # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL. WASTE: Yes/No
t
'� TYPE WATER SUPPLY ` _ 'DESIGN WASTEWATER FLOW {GRD) 360.," NEW SITE /
LOT SIZE 1 o�ss� i!,(TYPE , REPAIR SITE Y
SYSTEM SPECIFICATIONS. TANK SIZE0 'Gk. , PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH ���� LINEAR FT.� L)O
}.
OTHER
RERJIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS�OR THE INTENDED USE CHANGE. YOURUSTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THEf,S.,YSTEM.
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,IMPROVEMENT PERMIT BY
d'
**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 INSTALLEDI-BYa� �s�e�. �.13N4
------------
13 ,
5°
AUTHORIZATION NO. O OPERATION PERMIT BY \. DATE S
**THE.ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH
ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 'SEWAGE TREATMENT AND DISPOSAL SYSTEMS', BUT SHALL. IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 10/95
r =s Davie County Health Department
`
ENVIRONMEJt
NTAL /7Li —A
Mocksville, N.C. 27028
AUTHORIZATION FOR WASTMTER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
B.S.'Chaptec,±3W,.Wastewater.Syste®s)
***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 BuildingFInspections
Office when`applying,for Building Permits.***
NAME A oo e 3R, DATE J - 22. -9
NO
AUTHDRIZATIaN NUMBER
NATE ON,IMPROVEME�' PERMIT (Ifrdifferel than above)
SITE LOCATION Pc.�\ o
COMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
}**NOTICE*** THIS AUTFOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENVIRONMENTAL HEALTH SPECIALIST'. ry . ""` DATE
DCHD 10/95
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER IR O
i Davie County Health Department
Environmental Health Section MAR 1519%
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By. 4111,pl �
Mailing Address n Home Phone
Business Phone
2. Name on Permit if Different than Above ,,,�
3. Application for: ❑General Evaluation 3teptic Tank Installation Permit
4. System to Serve: ❑ House ►f Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home:Subdivision Section Lot #
i .
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms 3 04Lshing Machine
No. of Bathrooms ❑ Dishwasher
Dwelling Dimensions ❑ 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 Z Ac Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 0-Iqb-�
If yes, what type?
NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions toPro�p�e/rtt PROPERTY INFORMATION 1ZEQUZ El):.
i CICS( /l1c'/7' hGt Tax Office PIN: #S$Q'1}�0-Iq(-0
PROPERTY ADDRESS as follows:
;
,,����v �(7" � Road Name: _ _ _ Jack C3oo—(Za
CCC2c l `)a city:
y: c�o�Ks�.►I�.
SUBMIT A PLAT WITH THIS APPLICATION.
Revisions effective October 1 , 1995.
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.
/let
DATE IGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: 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 determine said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE SIGNATURE
DCHD"(1193)
iA
t`` K ' BOOE ROADJAC
itbs2�eo" >
TTrr
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seo ti+ f �4 33��F ,r-
27.5 1xCC
io
4
(.25Ac.) 43 �2 25 Ac. < �y1 gem, ` ; � +' 13O.90Ac a
co
7 M
1500 84 t` a� t<_
m ,
\ (9.75 Ac ) t <�•�`� '. ¢ ,� . . �4'
38.02 1.08 AG. 1664.5.
2 12 1 9 610 ; <+"°• ."`. F /.
9 633.6 2311.53
38.05 �.. , ,y. N� 2135.E
39 91.
33.6 Ac. 1320;` k° , , • _r . s2 N
cq
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. 38,ci6 I to
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
A Soil/Site Evaluation
NAME 1-I 4a�R-� V- 1 J a e �� DATE EVALUATED
ADDRESS .S A U\-a` PROPERTY SIZE
PROPOSED FACIILTY
'M. Tib fne- LOCATION OF SITE
Water Supply: On-Site Well _ Community Public
Evaluation By:��L. Auger Boring ✓ Pit Cut
FACTORS 1 2 3 4
Landscape position S
Sloe R 8-iS'0 /2-17
)
HORIZON I DEPTH " ° Zv
Texture group CL ;,-
Consistence
`Consistence V-4 FZ
Structure C 1 'R
Mineralogy
HORIZON I.I. DEPTH •Z" 1'' �.0
Texture group _
Consistence
Structure `3 asr
Mineralogy / • j j , ► l
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS S s S S S
RESTRICTIVE HORIZON —
SAPROLITE
CLASSIFICATION ,5
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: •5 • EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: t 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-Vn.-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
Mineralolty
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
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