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429 No Creek Rd (2)Davie Countv. NC Tax Parcel Report b (.,d.—Wednesday, October 5, 2016 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: 170000001801A Township: NCPIN Number: 5768331404 Municipality: Account Number: 71024285 Census Tract: Listed Owner 1: STEVENS HARMON W Voting Precinct: Mailing Address 1: 429 NO CREEK ROAD Planning Jurisdiction: City: MOCKSVILLE State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: Fulton 37059-804 FULTON Davie County DAVIE COUNTY R-20 No FORK CORNATZER WILLIAM ELLIS GnB2,GnC2,GaD DAVIE COUNTY 13390.00 196100.00 l v� �p6N•�� Zoning Class: NC Zoning Overlay: 27028-7343 Voluntary Ag. District: 10 AC NO CREEK RD Fire Response District: 9.57 Elementary School Zone: 1/1993 Middle School Zone: 001660751 Soil Types: Flood Zone: Watershed Overlay: 86760.00 Outbuilding & Extra Freatures Value: 95950.00 Total Market Value: 196100.00 Fulton 37059-804 FULTON Davie County DAVIE COUNTY R-20 No FORK CORNATZER WILLIAM ELLIS GnB2,GnC2,GaD DAVIE COUNTY 13390.00 196100.00 l v� �p6N•�� Davie County, NC All data Is provided as Is without warranty or guarantee of any Idnd 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 cialms or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. AUTHORIZATION NO. 0608 DAVIE COUNTY HEALTH DEPARTMENT �i ��� 1: N • Environmental Health Section PROPERTY INFORMATION A -/ 0 -qj PermJttee's. �, P.O. Box 848 8 0 Name:' �" �f yJ%t^h f�".l6—f Mocksville, NC 27028 Subdivision Name: n P -N Phone #: 704-634-8760 7 �7 Directions to property: Section: Lot: / AU WORIZWATER OR �Sn/"1��_ SYSTEM CONSTRUCTION Tax Office PI�fN Road Name/rte .Zip:,-, **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) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION �+�r f,IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALL -I SPECIALIST DATE ISSUED - ... DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION PerQ Name'.f� Directions to property: Subdivision Name:IMPROVEMENT f - Section: Lot: PERMIT Tax Office PIN•#5o— Road Named" zip:,;,-' i **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 DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE - f /7� # BEDROOMS S # BATHS ; 2- # OCCUPANTS -2- GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No 5, LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) . /) NEW SITE `--' REPAIR SITE I %I M� SYSTEM SPECIFICATIONS: TANK SIZE L o D O GAL. PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH LINEAR FT. REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT "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. 0 C 0 8 ��,� SYSTEM INSTALLED BY: �l r - OPERATION PERMIT BY: DATE: —7- 92 "THE 7 - "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) APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT Davie County Health DepartmentFp� Environmental Health Section P. O. Box 848 OV 2 6 i� ;j Mocksville, NC 27028 I (704)634-8760 IU t! ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed W'ltiYdN � L` U F S Contact Person llefr& b N �- V S Mailing Address �� /1! o �/ L��Y� /Fcf Home Phone 9-7 "' 5C7c 3 6 City/State/Zip �I bC /SSU / � /C/C oZZQ -FS' Business Phone 1�4� 2. Name on Permit/ATC if Different than Above Mailing Address _ 3. Application For: 4. System to Serve: 5. If Residence: C'Dishwasher 6. If Business/Other: # Commodes If Foodservice: 7. Type of water supply: @ar-Site Evaluation ❑ House O—Mobile Home # People _ - 2- City/State/Zip ❑ Improvement Permit & ATC ❑ Business ❑ Industry # Bedrooms Both ❑ Other # Bathrooms ❑ Garbage Disposal ®'Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing Specify type # Showers # Seats U-County/City # People # Sinks # Urinals Estimated Water Usage (gallons per day) ❑ Well # Water Coolers 8. Do you anticipate additions or expansions of the facility this system is intended to serve? If yes, what type? ❑ Community ❑ Yes a—No PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: Tax Office PIN: # Property Address: Road Name City/Zip If in Subdivision provide information, as follows: Name: Section: Lot #: WRITE DIRECTIONS (from Mocksville) TO PROPERTY: �/,j!5 /-o lVo d ra?� � aAI No G re-= k X'ci , G 6- mile -0/u x 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 bye %ai�'�- �5 to conduct all testing procedures as necessary to determine the site suitability. DATE ��- �'� SIGNATURE �� �P.�tA— Revised DCHD (06-96) _ tY �.:. . . � _ . � � � �11 '. �.. ; � , � t . •P!/ ` �ryr��': ��y��-- � �, o - 79 � 781�� ��� v�= ,_ �^s� ,' �Y� ��1��m ' �e . t'� . , � � � �� � � �� � � �� �� �� � �,�. y��x , , * Q�y r p�,i# � �. , �'�E�r��"4 � � ,..� "� } r ,- ��a �.� a r � ' �. ' 1�%kP..Rn*�a.r'y'r.""'"��r4 S�t::V� N r� 1� '@. �' 1�i� ya �� �s�>�a,�f4 .. . , �. 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"a�.. _ ..�_.s�z� . .. . �+�' &;a'�o.,.n. _ K� , � •DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT'S NAME :5�iP!/�,€' PROPOSED FACILITY SUBDIVISION Water Supply: On -Site Well Community Evaluation By: Auger Boring /% Pit SECTION LOT, DATE EVALUATED PROPERTY SIZE ROAD NAME ✓�✓t l ��/� �� Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position 4 .G Sloe % y HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH « S �� 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 T7�v S LONG-TERM ACCEPTANCE RATE I I SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: Ll REMARKS: DCHD (01-90) LEGEND Landscape Position EVALUATION BY: 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 ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■M■ ■■E■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■ ■■■NEEM ■■■■ME■ ■■■■■■■ ■■■■■■■ ■ENNE■■ ■ENEM= NEEM■■■ ■MEMEM■ ■E■■EM■ ■ENNEE■ ■■■■■■■ ■■■■■■■ ■EME■■■ ■■N■■■■ ■