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147 Nebbs TrailDavie County, NC T� Parcel Report Wednesdav, October 12, 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: MOCKSVILLE State: WARNING: TH1S IS NOT A SURVEY Parcel Information G3060D0001 Township: 5729395639 Municipality: Mocksville 82527137 Census Tract: 37059-806 BRUCE HENRY M Voting Precinct: NORTH MOCKSVILLE COUNN 147 NEBBS TRAIL Planning Jurisdiction: Davie County Zoning Class: DAVIE COUNTY R-A NC Zoning Overlay: Zip Code: 2702&0000 Voluntary Ag. District: Legal Description: TRACT 1 BROOK COVE PHASE TWO Fire Response District: Assessed Acreage: 4.99 Elementary School Zone: Deed Date: Deed Book 1 Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 9"�'�' Davie County, �o� NC 10/2006 Middie School Zone: 006850715 Soil Types: 0007 Flood 2one: 007 Watershed Overlay: 167020.00 Outbuilding & Extra Freatures Value: 50440.00 Total Market Value: 227590.00 WILLIAM R. DAVIE WILLIAM R DAVIE NORTH DAVIE PcC2,CeB2 DAVIE COUNTY 10130.00 227590.00 No , . ,.. ,. . , . _ . �: ,w : y ,,;.; , _ . , - - ` r �%k0 � AUi'HOP'IZA'T�ON NO. �� DAVIE COUNTY HEALTH DEPARTMENT � �-;�-� `'"'' Environmental Health Section PROPERTY INFORMATION Permittee's �, �..� P.O. Box 848 Narrie: �"'�"��' 1�' �%C�►1:�. Mocksville, NC 27028 Subdivision Name: � j Phone #: 704-634-8760 Directions to property: /�t�i� .�-�'�r + N Section: Lot: h �' ' AUTHOWZATION FOR �4t-tt. � � , r•`t L.IC^µ �" , ��t�'G�.1 Y �� WASTEWATER Tax Office PIN:# � 72�i _ � � _ �(Dry�� SYSTEM CONSTRUCTTON f�t �`i ' n� `s �:.�CtJ��4� Road Name: Ft;.d.i:.r.1 k=�' Zi 7...� v2� P: �`. **NOTE** This Authorization for Wastewater System Construction MUST BE ISSLJED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Pernuts. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage TreaUnent and Disposal Systems) \�..� �'�� 1/� �) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION �t..��- /ti-� ! i�� IS VALID FOR A PERIOD OF FIVE YEARS. ENVI/R�ON�i E� A�. EALTH SPECIALIST DA E ISSUED It P.R�'n J� �.l?�^C �. S "�'% �"�� ., � ` � i • . .. _ � _ , F ,. � c•-=�:v ._ o .: r � �� ''� DAVIE COUNTY HEALTH DEP 4 � �� ,�- "�° � � ARTMENT �:. ,� .E�_-� -==;� � � JMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's ti,.� � , Name: E' ��`�" ''� �}'�i �� 4' � -'��-E��.� Subdivision Name: � � �. } -� Directions to property: `.� � � #� , �,. �=. ' �`� ^ _'`✓ Section: Lot: ' ,"? , , . � IMPROVEMENT l�t',.Et r�• i-C} }� �• ' „� _•�. � R•: _, -� �.". ar t i i f,� c i 15 i' PERMTI' Tax Office PIN:# � J=�,� .,' � �- �—�:-� _, .. - i 4 A :�� , t-::. !' :; .�L' €.; Road Name: �,± !_'__r 1 f-� Zip: � �%t '� pu **NOT'E** This Improvement Pernut DOFS NOT authorize the construction or installation of a septic tanlc system or any wastewater system. An ALTTHORIZATTON FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained fn�m this Department prior to the construction/installation of a system or the issuance of a building pemut. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) `�, r. `; h^� p ***NOTTCE*** THI.S PERNIIT IS SUBJECT TO REVOCATION IF SITE ,�%: r>.•� ,,, e.,�f'_s4t�.�` �d'";!i 2�� PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL{HEALTH SPECIALIST DA ISSUED SYSTEM CONTRACTOR MUST SEE TI�S PERMIT BEFORE � .:, 4 ,� •�y ; ; ,1 � •� ,� INSTALLING THE SYSTEM. 15 . ..�a t >. : ,.�� .'vi /a . .. • ,� RESIDENTIAL SPECIFICATION: BUILDING TYPE �-��/ri # BEDROOMS �� # BATHS ?.� # OCCUPANTS � GARBAGE DISPOSAL: Yes o N� COMMERCIAL SPECIFTCATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY --1-4-- DESIGN WASTEWATER FLOW (GPD) �%�L NEW SITE �� REpAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE �GAL. PUMP TANK GAL. TRENCH WIDTH ,�In�) ROCK DEPTH � Z�' LINEAR Ff. �� OTHER I�'CrJ�-FI Di��TN ?_ ; r�, �S�%Si Gn1 ,n1�7/_'i t. trr.D carl C�,�JTocJ� .�i�e�'� �..r�.,�c.�S 5:-.(s E�AI.t..Y �-'1� .�`>- i>t�� REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT it{ � Nou:�, :; . rb ' F�d� ► � �' So' Iu' �� Gt �' cG �_._____..____..___.._ _.___.____.-----___ i � ( � t"�. �.t' �'a ! �» �.��. �"-�'� **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 830 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. I OPERATION PERMIT SYSTEM INSTALLED BY: _ �� ( �= � A��-Y � �1�5,� ,�. � �T �- , ,� '�"� ��o��J i A�J1L 'pte�'ls �/u— Z-�— AUTHORIZATION NO. (�� OPERATION PERMIT BY: DATE: �` ZG 7 7 *"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED OVE 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 OS/96 (Revised) _ • � - APPLICATION FOR SITE EVALUATION/IMPROVEMENT �:. Davie County Health Department , Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 � � �.n � � � � � SEP - 4 1997 �:, .�, -fi•. 4_ �; , �.. Er�vi�o,� ;1.� � ,�� ; Q � ._ �.� __ � =�'�'��IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed t=' Mailing Address � City/State/Zip ' � 2. Name on Permit/ATC if Different than Above Contact Person �c.. �tJ?Jul Home Phone ' Business Phone / �4-'��7' ��''b�rC� Mailing Address City/State/Zip 3. Application For: [ Site Evaluation [] Improvement Permit & ATC [] Both 4. System to Serve: [�ouse [] Mobile Home [] Business [] Industry [] Other 5. If Residence: # People� # Bedrooms � # Bathrooms�_ [V]'�ishwasher [] Garbage Disposal E ashing 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 [�11 [] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes [� If yes, what type? EZTHER A PLfIT OR SZTE PLtIN PROPERTY INFORMATION REQUIItED: *** IMPORTANT **yK�T OF THE PROPERTY MUST BE � SUBMITTED WITH THIS APPLICATION. Property Dimensions:�r Ac, � WRITE DIRECTIONS (from Mocksville) TO PROPERTI': Tax Office PIN: #��. -.� C -.� 7Q� ;�-�Lrl �QC% � c�r�'�, /� C is T�l �Yt.<<-/% Property Address: Road �ame �- �� etn.� ��[�_ ��p.1_'� �� r%i1L�- I� �i� �,�, u�►"l✓ City/Zip �LL�,.,i � �' � � G � /o �-� ; � I � If in Subdivision provide informadon, as follows: � �- —� `;� , � Name: � d � ti � Section: Lot #: ! This is to cer[ify 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 Repr entative of the by � DATE ^ � Revised DCHD (06-96) Health Department to enter upon above described property located in Davie County and owned to cs�nduct all THIS tIREA MAJ $E USL-b �'01Z b1tr1WINC JOUR SZTE 1'LAN: , 1 v` 1 � — " as neqessary to determine the site suitability. ��"N�,�.., , (0 �..�� N � � l�v,� e �w � � I�i��w� � is � I� �, c,� � � 1, � ��.� Fi�s s DAVIE COUNTY HEALTH DEPARTMENT � Environmental Health Section SECTION LOT SoiUSite Evaluation APPLICANT' S NAME L� E-�`L�'-�t �C ,`�'�� U� PROPOSED FACILITY ��5�= SUBDIVISION Water Supply: Evaluation By: FACTORS Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture eroup Structure HORIZON III DEPTH Texture group Consistence HORIZON IV DEPTH Texture group Consistence Structure On-Site Well � Community Auger Boring Pit 1 2 r� -- ^7 n - !� � —��' r� �� 0� �� E+�"��: �� —�� - r I l: SOIL WETNESS ^ RESTRICTIVE HORIZON _ — SAPROLITE -- - CLASSIFICATION `_ LONG-TERM ACCEPTANCE RATE d, 5 F�- SITE CLASSIFICATION: 1'S LONG-TERM ACCEPTANCE RATE: d �� DATE EVALUATED ` � � �1 PROPERTY SIZE ROAD NAME �U.,v� �J O � e EVALUATION BY: �� 4�n� OTHER(S) PRESENT: S« ��g 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 - Firm VFI - Very frm EFI - Extremely frm 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 MineraloEv 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 - gaUday/ft2 DCHD (O1-90)