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434 Powell Rd Davie County,NC • f Ta�c Parcel Report �a3� Tuesday, October 4,2016 r i11 ( \� .+ ' 1 r � � i r � i i i i i i ` � i i � � f� i i 43�l-{ r i i : , i y ti � , x 5 i 1 5 \ . ♦ 'ti x ♦ �`y \ 7 1 5 4 � 1 � I I � � I 5 ��l� -- --}�:-�------- j 4615j-------— ---- ----- --- WARNING: THIS IS NOT A SURVEY ;_ . _ -_ --. . : _ _ _ _. . , __ --- _ _ ._ - ---_ __ ._:_ .__ _--__.__ _ ___ Parcel Information Parcel Numbee 130000000403 , Township: Calahaln NCPIN Number: 5718693114 Municipality: Account Number: 82530777 Census Tract: 37059-801 l.tsted Owner 1: CAUDLE CAROLYN M Voting Precinct: NORTH CALAHALN Mailing Address 1: 434 POWELL 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: 2.951 AC TRACT 1 CAUDLE S/D Fire Response District: CENTER Assessed Acreage: 2.62 Elementary School Zone: WILLIAM R DAVIE Deed Date: 6/2007 Middle School Zone: NORTH DAVIE Deed Book/Page: 2007E0180 Soil Types: RnC,ChA Plat Book: 0009 Flood Zone: Plat Page: 044 Watershed Overlay: DAVIE COUNTY Building Value: 116760.00 Outbuilding&Extra 5500.00 Freatures Value: Land Value: 27610.00 Total Market Value: 149870.00 Total Assessed Value: 149870.00 9��A All dad is provfded as Is wRhout wamMy or guarantee of any Idnd eilher exprcssed or Implled induding but not IimRed to the Davie County� implled wamrdies ot merchaMability w fitneas tor a particular use.All users of Davie Cowrt�s GIS website shall hold bumless the Courrty M Daviq Nath Cardina,fta agmts,cons�dhMs,contraetors or employees from any and aq dalms or uuses of actton dus to �'p��,t� NC or arising out of the use or Inability to ux the GIS data provided by thfs websi[e. f -f 4:F_ � ' r:� � � .`_ . , . . ik�' "_:{ w � � �.�Y, �i,_,,} � - �'t,�(..w- � � y � �, ^� . r s.' - �"���0�, ��. � , y, . . .. . . . . . . . . .. �AUTHORIZAT�ON NO. .'� °��i (� DAVIE�COUNTY HEALTHDEPARTMENT � --�"{�` : Environmental Healfh Section PROPERTY INFORMATTON � Pernlittee'S'" ' ` , , ���1�. �� P.O.Box 848 . ' Name: ���� Mocksville,NC 27028 Subdivision Name: " � ` ' ` ` � "��"_ Phone#: 704-634=8760 ' r�t'� "7c;* " �Cwt�,il,_ Directions to property: � � , ;.. Section Lot: ` AUTHORIZATION FOR �,.�? , '�(�i��1G i. .�,`a !.:'11�'`I! Gh!��� WASTEWATER Ta�c Office PIN:#��l� _ n� , . . SYSTEM CONSTRUCTION � �- ���� , �, � . � �, , ; . ��b L ►G.t�h(,� '�� �t� ,�I�{j�;r Road Name: ' Zi ,'1�'��C P• ^� , . ,, .,. ,. **NOTE**This Authorization for Wastewater System Construction MUST BE ISSLTED 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 Inspecdons � O�ce when applying for Building Perrnits: ., (In compliance with Articl��l l of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) . �""`" !. 1. 1 tt ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION . '� ..��f . t ,c.�� "� ;, '7 . IS VALIDFOR A PERIOD OF FIVE YEARS.-: VfRO, -ACHEALTH SPE IAT�IST DA IS UED � . , _ _ ��a.�� - :�, •i .�9i . .�4w 4ri. , iw�F ' ...� � � _ -. x ^ ` .. . . .e . . . ; }� ni 4 �'!.1�/5�p.i ha •7• _i• r.' ^ j.� `� � i.. U. ,��,-�", i f'. . } 2.cJ���,r y" ���'! ��' ���-� %DAVIE COUNTY HEALTH DEPAR'1'ME1�T� � y"'�,f`^4t�\.,,e . ' � �` ���',�'"'� F� ' '� ^" ` TMPR��EMENT AND OPERATION PERMITS PROPERTY INFORMATION ,�''� '+ ..."'.>Pe�ittee,s - �' ,�(� s r ��`Name: � ����� �`1�0���� Subdivision Name: ,,, Directions to property: �!��� '►�' �f����=��- Section: Lot: r � f IlVItPROVEMENT '� • � �:i�;1 { t�=+��"► !� L.r'1,�"'� r.;� ��� PERMIT Tax Office PIN:#`��%��` - ��"� - "��1"'"� ; ��l:i... � �c{,i �:�"' � �.�����,>t� Road Name: � �Zip: '�1;; %�C **NOTE**This Lnprovement Pernut DOFS NOT authorize the construction or installation of a septic tanlc system or any wastewater system.An. , AUTHORiZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained fmm this Department prior to the construction/installaUon of a system or the issuance of a building pernut. ;. (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) „-: t` •P� t , �- !� ,1 ***NOTICE***THIS PERNIIT IS SUBJECT TO REVOCAITON IF SITE � �-:r, �: ��.t� ° ""`''�'`� �`,� "t �� PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER ENVIROIVIv�ENTAL HEALTH SPECIALIST DA IS UED SYSTEM CONTRACfOR MUST SEE TI�S PER11'IIT BEFORE L,•2 INSTALLING Tf�SYSTEM. RESIDENTIAL SPECIFICAITON:BUILDING T'YPE�_ #BEDROOMS -� #BATHS Z #OCCUPANTS � GARBAGE DISPOSAL:Yes o 1�0 COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFf #SEATS INDUSTRIAL WASTE:Yes or No �5 �n / LOT SIZE�'�� TYPE WATER SUPPLY`�"'' DESIGN WASTEWATER FLOW(GPD)�� NEW SITE v REPAIR SITE ) �t i+ �/ � SYSTEM SPECIFICATIONS: TANK SIZE 1� GAL. PUMP TANK GAL. TRENCH WIDT� ROCK DEPTH �2 LINEAR FT. /� � ��ST���� � oTHER t...J �}C REQUIRED SITE MODIFICATIONS/CONDITIONS: �i+�'(Q1..1- (7� ��"Tp JQ IMPROVEMENT PERMIT LAYOUT - � � �. . . � .. l 1 M,� --_"`r— . . . . . � �, �— � /' � � � �(�r/1'ti°'� � ''jtl'. �� ��� x��� � a'" �(j p�'f �V � ��C� �����' — -- . � ��_j���' � ��� . y . ' . . !� . . � . . . i.�' � . .. , . . . -�---'^� . . ,r .... . . -1-�c,.���..t_ �'i� **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-930 A.M.OR 1:00-130 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(704)634-8760. � . OPERATION PERMTf 1,(t0 ,A l� ` ��/'� �`�� SYSTEM INSTALLED BY: 1~1W�1 lN � �.-�I(C � 1��aL ' � '�, 2 � 20 A�, . � �>. ��5 C .� �� M. ���� . �' FP�.a i a AUTHORIZATION NO. ��OPERATION PERMIT B DATE: I *"`THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DES 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 FUNCI'ION SATISFACTORILY FOR ANY GNEN PERIOD OF TIME. � DCHD OS/96(Revised) I �.�Qr _� APPLICATION FOR SITE EVALUATION/IMI'ROVEMENT PE T &ATC � ` � Davie Count Health De artment � � �� � �Q0.5Q" �G.l� � W�' Environmental Health Section �� � " � . � � W i ��: . ��2Q,� C� U ���'� P.O.Box 848 Mocksville,NC 27028 �� -�O�' �Q- � a.�v���o� �B 13 �g (704) 634-8760 � �.,... „: �. � . :.�P�f, � � ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCES k ' THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed V�1 O Contact Person 'v�o�.(' Mailing Address��T���Q� C� �1� Home Phone `� '� `�� City/State/Zipsl� iC�s}C'!(��Cc,,.�� NC- �� BusinessPhone �.�11b� ?lr��-���7� 2. Name on PermidATC if Different than Above Mailing Address City/State/Zip 3. Application For: [�ite Evaluation [�]Improvement Permit&ATC [�]Both / �7od :id�av���� �Indus [ ] Other 4. System to Serve: [ ]House [ti,]'iVlobile Hom [ ]�Busmess try 5. If Residence: #People�_ #Bedrooms� #Bathrooms�_ Dishwasher[ ]Garbage Disposal � [v�Vashing 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: [✓J County/City [ ]Well [ ]Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve?[�s [ ]No If yes,what type? ��� Q- �+� EZTHER A PLtIT OR SZTE PLttN PROPERTY INFORMATION REQUIRED:***IMPORTANT***XA��1'�OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: l�• �� �ce5 �WRITE DIRECTIONS(from Mocksville)TO PROPERTY: Tax Office PIN: # J���� -�- 3) ?�-') � �-1 � , '�D Q[S�*1��l � . �0.5-4- Property Address: Road l�ame �1'�w�l� �U � �t" City/Zip ��aC�Sv�1��, ; � If in Subdivision provide informadon,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 aze y. : 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 tliis 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 O � nduct all testing pr cedures as necessary to determine the site suitability. DATE�,`7-�.._�-41� SIGNATURE ' Revised DCHD(06-96) ' THIS AREA ,�WJ $E USEb �'OR �ItrtWINC� JOUR SZTE PLttN: . LG �,0" G��L"� � � � � ; , � . I � ; � � , f ,_ ____ __ �- - - .�->- �_--. � r- � X T -�-. -� - - - - �: . � � _, - _ �-_ �,�"' _ ... 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"" _ ".- � �-,r- y��` co � 20 �, 3 ..,� ^�` �^e � �' <.. � � � Z�cr c� s.�".ti r`: f1 . i.� ,,� � �..QR�r�te�. #�.� 2 I ` . 5 .�`".. �' . ' �''�a�� � ��OA�)N _ \(IY IAc�'� - ,' - - -",�'. , . `':'' �.�F_.�-�'+ � ' . � • DAVIE COUNTY HEALTH DEPARTMENT . ` Environmental Health Section SECTION LOT SoiUSite Evaluation APPLICANT'S NAME ���� �� DATE EVALUATED 3�3�9� PROPOSED FACILITY M• �-ONIe PROPERTY SIZE (0.�7� "ICQ�S SUBDIVISION ROAD NAME F`t�u�Q.�L � Water Supply: On-Site Well Community Public `� Evaluation By: Auger Boring � Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca e osition R L Slo e% Z J� ''I o HORIZON I DEPTH D— Lp -2p p-- Texture rou G G Consistence —i 5 -' S Structure (�. Mineralo M��o I ; I I�1 HORIZON II DEPTH �Q- � Zp-3Z Texture rou C� C+ (�kSq Consistence ; j' : 5 • $ Structure P.�L k k Mineralo 1►'1 r � � ► HORIZON III DEPTH f 32+ Texture rou Consistence �; -Q ; Structure � 1.� $ Q �L Mineralo rY►+xs� �Y!i yt,.� ►�� HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATE �, SITE CLASSIFICATION: �S EVALUATION BY: � y�Y��vK7 LONG-TERM ACCEPTANCE RATE: O;� OTHER(S)PRESENT: D�►.9°� ��� � REMARKS: �1JY ��J Ca.AY .�+�/11�� j F/1i2 �'��V� 11n���it 7�'�' 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 day 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 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(01-90) ■■■�■��■■��■�■���������■����e�■■����■�■■���■■■��■■�■■■��■���■■�■■■ ■■■��������■■■������■��■■�■■������■■■����������■���■■■■■��■�■■�■■■ ■■�������■■�■s■■���■■o��t�■■■■���■■■s■���■■�■■■������■���■■��■■�■ ■���■■���■■�■��■���■■■■���■■■■�■ ■��■■��■■■�■■�����������■����■�■ ■��■■■��■■■�■���������■��■■■�����■■■�������������■■■��■����■■■�■�■ 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