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1096 Liberty Church RdDavie-Cotlnty, NC . r ----- Tax Parcel Report 6 1 -�'3 —�l - Monday, October 3, 2016 p v� 9 ix,e F WARNING: THIS IS NOT A SURVEY All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the �pUr14� Parcel Information County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to Parcel Number: D200000042 Township: Clarksville NCPIN Number: 5812330845 Municipality: Account Number: 23166350 Census Tract: 37059-801 Listed Owner 1: EASLING WILLIAM K Voting Precinct: CLARKSVILLE Mailing Address 1: 1096 LIBERTY CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 3.3 AC LIBERTY CHURCH RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 2.83 Elementary School Zone: WILLIAM R DAVIE Deed Date: 5/1996 Middle School Zone: NORTH DAVIE Deed Book / Page: 001870413 Soil Types: AaA,MnB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 17680.00 Outbuilding & Extra Freatures Value: 0.00 Land Value: 25880.00 Total Market Value: 43560.00 Total Assessed Value: 43560.00 p v� 9 ix,e F Davie County, All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the �pUr14� NC 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. wXd DAVIE COUNTY HEALTH DEPARTMENT v' 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 /��'�/� i.�a� sG liS// it/� PRDPERTV ADDRESS ,L i be r�/�1 [' l -L� re h Ac�. •ate DATE LOCATION SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS ,I— # BATHS �_ # OCCUPANTS --a GARBAGE DISPOSAL: Yes/No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE 7�,4 TYPE WATER SUPPLY 6 DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE AW GAL. PUMP TAW GAL. TRENCH WIDTH � fL ROCK DEPTH ZI • LINEAR FT. ;:Z"• 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 F AUTHORIZATION NO. 4L"5SS2 OPERATION PERMIT BY Ae DATE '5"- AV -946 **THE ISSUANCE OF THIS ORATION 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 Dave County Health Department ! C. 3 6 a d �D ENVIRONMENTAL HEALTH 5ECTIDh� P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION f (Issued in compliance with Article 11 of r 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 NUMBER NAME I ' % S DATE NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION .!, COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM ***NOTICE*(* THIS AUTHORIZATION FO WASTEWATER SYSTEM CONSTRUCTIONISVALID FOR A PERIOD OF FIVE (5) YEARS. VIROMIEMAL HEALTH SPECIALIST DATE DCHD 10/95 V APP ICATION FOR SITE EVALUATION/IMPROVEMENTS PE • Sc i y �( d 1yv �/� Davie County Health Department Environmental Health Section APR 2 9 196 P. O. Box 665 6271,2-7 ocksville, NC 27028 1. Application/Permit Requested By ( III Arn Mailing Address sez0 03 C)4- /(e 9 Home Phone / 407- 191 L. AS -2X Coen /NG New goak, J*23D Business Phone 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation 4. System to Serve: X House ❑ Business ❑ Industry 5. If house, mobile home: Subdivision No. of People 7— No. of Bedrooms No. of Bathrooms d/vNE Dwelling Dimensions IN Septic Tank Installation Permit ❑ Mobile Home ❑ Place of Public Assembly ❑ Other 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply: 5� Public ( ❑ Private 8. Property Dimensions �r31�/S X31 R5d• V33 �A yv Sewage Disposal Contractor ❑ Unknown Section Lot # ❑ BasemenUPlumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? Yes ❑ No If yes, what type? &7� Ar, cnt ❑ Community *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 to Property: ��SC,e7� C11�►�f•. ��. 6 Wiles 'FrwtK 1;>—vZtt- yo /,YCIalk oa(,01 �11p� )ode 1014 kPROPERTY INFORMATION REQUIRED: Tax Office PIN: #,j8%Z-33"d9+5 PROPERTY ADDRESS, as follows: Road Name: Ck-A . Qr,AL City: Noc eco,/h 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. Orr DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. ®2. I 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 —r-7 -s fA le, -�, f' T6/Zi, /,-' to conduct all testing procedures as necessary to determine said site's suitability for a grou d absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (1193) I � (3.41A) 8130 (2. 84A) -` 0845 (5.90 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section j� Soil/Site Evaluation C NAME Igr //1 DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY ' "©-� LOCATION OF SITE Water Supply: On -Site Well ✓ _ Community Public Evaluation By: Auger Boring L_� Pit Cut FACTORS 1 2 3 4 Landscape position L G Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 7Z I(� l Texture group ("', Consistence i Structure sb Sb-, 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 L - SITE CLASSIFICATION: � EVALUATED BY: LONG-TERM ACCEPTANCE RATE: Z7 OTHER(S) PRESENT: REMARKS: LEGEND Landscaoe 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- V+ ---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 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 ■�■■■���■���■���������■����������������■ ■������_����■�■■ ■�■�e■■ ■������■����_����■����u��������������■ ■������■ �����■����■����■ ■■������■��� ■■����������������■ ■���������������■���■����������■ ■■����■����������■������■���■��■�i������ ■ ���a��������������■�■ ........................................s=C■C..................... .......................................■.......■.................. .................................................................. ........................................... ... .... ............. ..........................................C...�■■.. ...■......... ..........................................■........_ ............. ■�����������■��������■�����������N������������■�� ��������■��■�■ ■�■��■�■■�������■����������■��■■ ����■.■�����■�■������■���■�■�■■■ ■�■�■�������■\�■������■���■ ■�������■�� ■������ ■ ■ ���� ��■����■ ■��■���■��■■��■��■�������■���■����■�■���������� ��■�������■������■ ■������■�������■�■■�����������■������■�����■�� ����� N ��������� �������������������■■■■����■���������������������������■�����■■ ■■���■��■�■_������������� ��� ■ � ��� ��■■��n �� ■����■�■�����■��■����■�■■■ ■������■�����■�������� ����������■■��■■ ■����■��■�■��������■■������■���■�������■����■�■������■���u���■�■ ■�������������■■■��■�■���■����� ■�■■���N��■■��� � ■�■����i■���■ ■����■�■��■��■■�■��■�������������■��■■■��■■N■� ■ ����H������■ ■�����■���■��������■�■�■���■��■■�\■■�■���■���■� � ■������■����■■ ■��■������■����■������������■������■ �H■�� ������ �■��� ����■��� ■�����������������■��■■����■■����■ ��■■��■��� �� ��■����■ ����■ � ......................■..........._..■..■....C...=■.�..■..C..=.■C■ .................................................... ........ .... ■■■����■�■�����■���■\��h����■■��■��■�Hv��■N�u���������� ��� ■����■�������������������������� ■�■�N�� ■ N■��■��■�■�■�■��� ■��■������������■���■■���■�■■������■�■��������� ���� ���������■ ...............................................■ .._...�......�� ■�������N■���■���������■�������■�����������N��� ���� ■����� ..........o...................................■�_ ..S■........0 :::::�::::::�:::::::::::::::::::::::�:�:::::_:.::�:�:C=::�':: .................................�.�... ._..... ■�N���■���■���■r��■��■��������� �1/I�l1,, /�I ���� ��N���� ���■■��� ��� �������N■������������■�/1��'/'/►i�t��t�N�����H■M �����■■■ ■�����������■����■������■■�■�■■�L'�:�■� �N����� ■ ��� �����■� ■�����■������������������■������ ■ ���■ ■ ■ ■����■■■��� �����������������������Nh�������� ■ ������ ����������� ■�■������������������������■����■■� �� N� �� �..■������ �������������������������■������ ��.■ ��� �■�■�� . ■���������N����■■��■■u��=ii!���ii�►. � =�ii�iiiiii� ■������������u�■■�■��■■H��►1�■������� �N��■ ����■��� ■������■■�■��■��■�■���■���■�i�������u� �� ■������■ ■�■��■�������n�������������1�������� 1 � �� �������� ■��■■�■����vni������■�����I u :::::::C:::::::::::::��:::�■��' .� =CC=:::::�� ............................�.... ...... . ... :::::::::"::C:.'::�.::�:::_::: .. 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