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200 Main Church RdDavie Countv. NC Tax Parcel Report n � Va- Friday. September 30. 2016 WAlC1V11V1i: 1414 IS 1VU1' A SURVEY Parcel Information Parcel Number: G50000002602 Township: Mocksville NCPIN Number: 5749197170 Municipality: Account Number: 78068000 Census Tract: 37059-806 Listed Owner 1: WHITAKER KENNETH RAY Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 2117 US HIGHWAY 158 Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-4365 Voluntary Ag. District: No Legal Description: 9.73 AC MAIN CHURCH RD Fire Response District: MOCKSVILLE Assessed Acreage: 9.48 Elementary School Zone: MOCKSVILLE Deed Date: 6/1989 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001490093 Soil Types: WeB,PcC2,CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra 4500.00 Freatures Value: Land Value: 107120.00 Total Market Value: 111620.00 Total Assessed Value: 29880.00 161 Davie County, NC 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 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. AiYfHORIZArioN NO: 0 812 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee' P.O. Box 848 / b n . D k Name;;.` A.' — Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property: I R -b ` - 1--,\ c:% - Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:#�qt SYSTEM CONSTRUCTION Road Name- \�fl.-Zip: 1� **NOTE** 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. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) •._ �a _, ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED r r'41; - DAVIE COUNTY HEALTH DEPARTMENT ) J IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION PdiT Subdivision Name: Directions to property: Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# - -_ cr Road Name�'l�l,C_�.►r��a Cis Zip:r ii ora **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) „ ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST M DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE r# BEDROOMS -'�)— # BATHS # OCCUPANTS L GARBAGE DISPOSAL: Yes o No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT# SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE • � --�, ±, TYPE WATER SUPPLY r DESIGN WASTEWATER FLOW (GPD) 1J) NEW SITE ` REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE �GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH J LINEAR FT- REQUIRED T REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT B "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 AUTHORIZATION NO.O%\e%)- SYSTEM INSTALLED BY: fA 'JFN vF N OPERATION PERMIT BY: DATE: "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 05/96 (Revised) T ' ' APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie County Health Department Environmental Health Section 4//// P.O. Box 848 Mocksville, NC 27028 M (704) 634-8760 1 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed V V M� Contact Person , At Mailing Addresso,2�/! �^��h L✓�.I 1 Si , Home Phone � City/State/Zip ,// l D c�kc -s ✓ d ll e N• G , -.70 2 0a Business Phone 2. Name on Permit/ATC if Different than Above Ke4,ie y -L 2, w t --,i 40.,/. e, Mailing Address _,so w..--t--P�e-- City/state/Zip 3. Application For ite EvalZMons [ ] Improvement Permit.87- ATC oth 4. System to Serve: [ ouseobileHome s Ind 5. [ ]Other 5. If Residence: # People # Bedrooms #Bathrooms !/� [ ] Dishwasher [ ] Garbage Disposal [ ] Washing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing 6. If Business/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 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [ ] No If yes, what type? / V D :L 50A.4- A ✓ �i5 �� EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** AM'VOF THE PROPERTY MUST BE I SUBMITTED WITH ItS APPLICATION. Property Dimensions: 11 / 73 '96 WRITE DIRECTIONS (fromocksville) TO PROPERTY: Tax Office PIN: # %� _ _ 7/?o �� $ /-Z> �oy? l � A001 Property Address: Road Name AA. 7n- G,4 . 201 C'�.r L �rD t.c� 7-n R.; kL City/Zip ?!fl e5 4S ua��1 P 2-207,6", l/jp If in Subdivision provide information, as follows: Name: ; Section: Lot #: 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. I, 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 owned by Ae� � 1 Y+✓o "�lC�_�- to conduct all testing rocedure��s��a �� ne essary to determine the site suitability. DATE 't-11— 9? SIGNATURE �� Xk Revised DCHD (06-96) THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN: �> 8.6 AC. 3.8 ° 113 �G (2Aa 38 6 Ac ' b 1.22Av. 1 I. IAc 6%. 64a, h >0 37 zo, `o61 365 . 64 330 13 323 v j ~ 2' �4ti 8 3 M 1 17 j \' Q �'(4QC.)3 0`0 7.63 A c. N k 16.2Ac.IC. Q �' SAC.\ �'�g�"� >c m � � �IIB ms'µ` I 1 o 34 / °°� 7.55 AC.)_ r o u� m 00 14 co 25.1 A c. t; 18 z/o ��- A a 19 i c0 91 32 _ s2> o z6 14A C. S 2/ �78Ac ro 0 ti :53 1 20 3 9 w 54 2T.s °1 4 0a 3,1 A c . v, �, 4.3 A� p. n1 0 e 200 12 � �'� �� � 3 1 � 21� Ac. �� \��. 31 3 2 s 149 5 4_ (1) (5 Ack IA '� to , igO 14� °mv cvIAGN N 3.06Ac. CO3.6 AC. 163Ac X23 125 5� 223.0 3 406.64 . ti b ; . 4 5.44 AG � 1�5 ro I`DO 2p0.85 �. sa (i.59Ac! { 07,�.52(3.75Ac) gSgN 629 19 17 � m �, - 3� 0 r �8 8.? ? i3.o ro 128 � I c. R ??S '� q4c c cv _ ! 13 A a4 1 �f 200 m 3.02 N 16 s ,0 /So 26.02 �S`, co 50c ° I c 5 o a 29 O 132- co _ 0) 4.4Ac c 12701 1.47Ac N ti * 9.73 A^ 26 l4 J n 5 A c. N 200' 0Lo CA� 1.26AC�".. 16 SSO SO 400 3:640, G A4� o �o� ��4r�' 6.. 5 Ac . Tn U-) ''� �` 6 (7A :) 75 1:62 ,'�' _----- j 13 _ 0 3 (D 1772 .2 5 0 4 p ti 25 r co 140 7.56 277.88 96.93 ivy 1051 -i .6 .5 7AS AC. 133. 4 (3) `n N 9,58Ac 200 31 s.5 681.5 iso 1.09Ac8.33Ac . o _ 23 s e 3, 147 °' 148 'so 59.60 1 a 0 5.07 Ac \is)� 7.58 Ac 24 ti I3_ 3,0 13 3 f 1 4 1 1 25Ac. a z i /SOS 12 Ac . ob �" 8:48 Ac 9,3SAc. X4.01 N 13813 ^) 1 �, DoT 14 ( 21) ski/ (2 0) ca (2) O. 2 594. 1.13.06 5 0 m 165 150(22 /n3 - „�'C`� R a� 15 133.01 297- � � - 133.02 ��• f \ 13 � :. 6 137 175 151 156- 13 56 13 3.03 �-� 4.16 Ac (2 3) k Y DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTIONS LOT-- Soil/Site Evaluation APPLICANT'S NAME `w\ C� ,1��� DATE EVALUATED D-� C - PROPOSED FACILITY �� - '��`� tira.Q PROPERTY SIZE ! . 3 a SUBDIVISION ------ ROAD NAME�� Water Supply: Evaluation By: C4_L- On-Site Well Auger Boring Community L11, Pit Public LI Cut FACTORS 1 2 3 4 5 6 7 Landscape position 11 L__ Slope % HORIZON I DEPTH Texture group L_ Consistence - Structure C Mineralogy HORIZON II DEPTH Lk Y" Texture group Consistence 1 �� Structure �. Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE — CLASSIFICATION 5. ,5 LONG-TERM ACCEPTANCE RATE a Lj SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) LEGEND Landscaae Position EVALUATION BY: C\�?- OTHER(S) PRESENT: 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 - 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 ■ ■EE■■ ■■■■■ ■■ME■ ■EM■■ ■EM■■ ■OM■■ ■E■■■ ■E■E■ ■M■■■ ■EMM■ ■EM■■ ■■■E■ ■E■■■ ■■M■■ ■EE■■ ■E■■■ ■E■E■ ■E■■■ ■E■E■ ■E■E■ ■E■E■ ■■■■■ ■E■E■ ■E■E■ ■■■■■ ■E■E■ ■■■E■ ■E■■■ ■E■E■ ■■■■■ ■E■E■ ■E■E■ MEMO ■E■■ ■E■ MEE ■■■ ■E■ MEN MEN ■■■■■ ■E■E■ ■E■■■ ■EM■■ ■EMM■ ■■E■■ ■■■■■ MEMOS ■EMM■ ■E■E■ ■■■E■ ■■■■■ ■■■■■ ■■■E■ ■■MM■ ■E■E■ ■■M■■ MESON ■E■E■ ■■M■■ ■■MM■ ■■■E■ ■E■E■ ■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■M■E■■EE■MOMM■ ■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■o■■11 ■MEME11 moss■11 ■■E■MIN ■EMO■'I ■E■■EN ■E■■E■ ■■■■■■ ■E■■O■ ■E■■ ■■■■ ■O■■ ■AICH ■O■■ SEEM mrogro ■ME■ ■EM■ ■■■■ ■