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195 Reavis RdDavie County, NC T Tax Parcel Report 6�6b Thursday, October 6, 2016 I239 y w� rr 1� 195_.._..i 1�1 177, 'J Clarksville 37059-801 CLARKSVILLE Davie County DAVIE COUNTY R -A Legal Description: WARNING: THIS IS NOT A SURVEY Fire Response District: LONE HICKORY Parcel Information Parcel Number: B20000000405 Township: NCPIN Number: 5804606423 Municipality: Account Number: 51729370 Census Tract: Listed Owner 1: MOORE MARKS Voting Precinct: Mailing Address 1: 177 REAVIS ROAD Planning Jurisdiction: City: YADKINVILLE Zoning Class: State: NC Zoning Overlay: Zip Code: 27055-6378 Voluntary Ag. District: Clarksville 37059-801 CLARKSVILLE Davie County DAVIE COUNTY R -A Legal Description: 3.10 AC REAVIS RD Fire Response District: LONE HICKORY Assessed Acreage: 2.90 Elementary School Zone: WILLIAM R DAVIE Deed Date: 8/2012 Middle School Zone: NORTH DAVIE Deed Book / Page: 009000051 Soil Types: MnC2,MnB2,MdD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra 4500.00 Freatures Value: Land Value: 21490.00 Total Market Value: 25990.00 Total Assessed Value: 25990.00 MLO All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, 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 NC or arising out of the use or inability to use the GIS data provided by this website. AUTHORIZATION NO 0550 DAVIE COUNTY HEALTH DEPARTMENT ` jy.a Environmental Health Section PROPERTY INFORMATION Permittee's P.O. Box 848 Name: /21to� e Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property: ,oAl/f s /eG1 Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# � �� - E'A _ G q �3 SYSTEM CONSTRUCTION r� Road Name: v t S It —L Zip: 07 **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 FornVAuthorization 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 ,.P15 :� ,«'r;' �. % �� • l,%� IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTITSPECIALIST DATE ISSUED DAVIE COUNTY HEALTH DEPA4TMENT =' IMPROVEMENT AND OPERATION PERMITS -. PROPERTY INFORMATION ,Permittee s��y^ Nafne+- Y.y � f, '% -` 411- Directions 11 'r s' Directions to property: �4�04� �}W� c� Subdivision Name: Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# Road Name: +ti:. f Zip: **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) * f f ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE c:a.a y ` . - ;'` 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 & # BEDROOMS c2 # BATHS --), # OCCUPANTS ---? GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE -7 C- TYPE WATER SUPPLY ZU111 DESIGN WASTEWATER FLOW (GPD) NEW SITE—V REPAIR SITE �,,,� r SYSTEM SPECIFICATIONS: TANK SIZE / GAL. PUMP TANK GAL. TRENCH WIDTH . l ROCK DEPTH LINEAR FTc-�;-45(� j 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.Q 56C3 SYSTEM INSTALLED BY: R) �w /0 cj IV OPERATION PERMIT BY: DATE: I ` _ v\. ` 1 "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) A CJS � APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMI 1 �> Davie County Health Department L5 V 15 Environmental Health Section P. O. Box 848 OCT 1 8 1918 �caMocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billedffl i a12 Lh ► r LD0 y'e Contact Person arl//%11 I V `Qgre ` n Mailing Address ,p _, cf AeAu r , Home Phone Y22-176?2— City/State/Zip Vfi 1, f'1 1111 11 c A/C— CR r% d Ear-; Business Phone 9V—W"-3-6"13'1381 2. Name on Permit/ATC if Different than Above P , Mailing Address City/State/Zip 3. Application For: 'Q'*� Site Evaluation V Improvement Permit & ATC g'' Both 4. System to Serve: LJ House )ZMobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People Z # Bedrooms 2— # Bathrooms _ Dishwasher ❑ Garbage Disposal U"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: L1County/City V - Well 8. Do you anticipate additions or expansions of the facility this system is intended to serve? If yes, what type? ❑ Community ❑ Yes �No PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE 2 n SUBMITTED WITH THIS APPLICATION. Property Dimensions: o� /l i/►-�/ 1 WRITE DIRECTIONS (from _ 1 Mocksville) TO PROPERTY: Tax Office PIN: # 5 80 � - L � - � �a 3 i V Cob o Z4e-., Property Address: Road Name Cit /Zip 6 If in Subdivision provide information, as follows: 1 i 1 1 15 is 2,4 / Name: 1 UAdA ed -P )5t7i4.;1L Section: Lot #: 1 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"Da the Davie County Health Department to enter upon above described property located in Davie County and owned by Znlzy %V 2)+ �' T� (CL] /tie �� y y /—y6y e— to conduct all testing procedures as necessary to determine the site suitability. DATE / 0— r— SIG ATURE Revised DCHD (06-96) PROPERTY OF I �(r�INErt/ L. Foy-rj;R CERTIFY THAT rylARVIN .I, moo PC - THIS MAP WAS DRAWN UNDER MY SUPERVISION FROM AN _ r DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME — 2&ee ADDRESS PROPOSED FACIILTY ZX%/ Water Supply: On -Site Well L---- .— Evaluation Evaluation By: Auger Boring I/ DATE EVALUATED/LG PROPERTY SIZE�%C LOCATION OF SITE 44,4 rf /Z Community Public Pit Cut FACTORS 1 2 3 4 Landscape position 4_ -L Sloe R HORIZON I DEPTH Texture group Consistence Structure Mineralo HORIZON II DEPTH 4� Texture group Q C. Consistence ,- Structure ii S k Mineralogy ell Ilk � 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 SITE CLASSIFICATION: EVALUATED BY:� LONG-TERM ACCEPTANCE RATE: - OTHER(S) PRESENT: 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 :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 Mineralo¢y 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 ■��■■��■■��■ ■■��■�■■■ ■��■ ■��■��■��N��n�� ■��\■ ��■�■��■ ■��■ ��■��r��■��■■ ■��\��■��■�� ■��■■■ ■ ■��■��■��■��■ ■��■�■�■��■��■��■��■��■��■ ■��■■��■■��■��■■��■�■��■��■ ■��■■■■��\■■��■��■��■��■ .....�.....................................�........ ............. .......................................... ........ ............. ....................................■.....■........_ .■........... ■��N��■�■�� ■■��■ ■��■■��■��■ ��■��■��■ ■��■■■��■��■��■��■■■��■■�■S■�� ■��■�■��■ ■�■��■��■�� ■��■�■ ■■�■ �� ■��■�� ■�■�■��■�■■��■��■■��■ ■��H ��■��■�■ iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii�i■�iii=�i��=iii�?iiiiin�iii ■�■��■��■■�■�■��■■��■��■�■�■��■ ■��■��■��■��■��■�■��■��■ ■��■■■��■��■■ ■■��N�■��■��■��■ ■■��■��■��■��■�■�■��■��N■��■ ■��■■��■��■��■�� ■��■■�� ■��■�■��■■��■��■��\��■��■�■��■�� ■��■�� ■��■■�/��■��■��■�� ■■�■■■ ��■��■ ��■�� ■■■■■■��■��■ ■��■� �� ■ ■■�� ■■ �� .......................................■....._...■�.C........5=.■C ■��■■A��■■��■h��■■�� NV ■ ��Mu��■�� ■��■��■��■��■��■��■��N�� ■�■�■�� ■��■�■��N��■■��■/��l�� ■��■�� ...............................................■■ ■.._...�......�� ■■■��N�■u��■■��■��■��■��■�r.�� ■�� a■��■ ....■■........■.........■..............■■■..�;�.■_ ��.._■...■.■■■C ��N��\��u��I�� ■�� ■�■��■�■��■��u��■��■\��u�■��■��■■ ■�N��■��■��■�� ■��H��■ /�■�� ■�� .C::�:::::::C:::::::::C:C�::::::::::":::C:'.��:"':=:�5:::::C� ................................. . .... . . ...C......._ ::CC:::::::::::::C::CC='::::::::��: . :�� . �::' _::::' ■�■■��■�■�■■��_�� _■__�� n■� ��'i'�■��_ ��i iii�iiiiiii�iiiiiii��-�•■ u�� ■■■ _��.�'i�� ■ ��■��■�� ■��■��■��■■��■u�� ■��■��■t ��■ ■�� ■��u��■��H�11��\�■� �N ■ ■��■�� ■��u��■■��11��■�■� ■� ��■�� ■��■��■■��■�H��1�■■�� N�� ■��v�■■��■��■� �■ ::�:::C::::C:::�:::��:::�.::' . � :CC=:::::�� ...........................��.... ...... . ... :::::::::"::�::�::�::�_::: .. ...� u.��.� �� u��...��r��■� N �� n��■■� ■��i��■��■�■■■�� ■ i1J ■■�■�� ■��■��■��N��■�� ■ r/ �v��■■ ■��v�N�■vH�■■��\� ■ �■��v� ■��■�■�■��q�� u��■��N� ■��■■u� �� ■�■■�� ■ ��■�■� ��_:-- � ■ �� ::::::: �':C�::::_':�::::::.'.:: � ..C•��a: ..........C...��i........�......�..�. . ... ..... ■��!��I,11��1��1��ii��IN �� ■� ■��■��t+i/�1�1�"lf�'lJ��1� ■ ■��N� ��u��u�Liv�� ■ ■ ��N��u■�� ■ ■■ ■��■��u� ��■■��■ ��►�� u��N�u� .._......�C�iii.........._�==____�:+■ . ..u�.....u� �� ■ ��N:��.:.�� ■ ��n■�� ..... ....�:::�:'C:::�:C:::::C: .: ..: :. ::�_::::C:C:: ..:::: ::�.......C........... . ..:'�......:�. .�.............................. ................. i�............ ................ ...................................... ......:�::................ ......................................�.......................... .................................................................. .................................................................. ........................... ............ ......................... .... ................................. _....................... . �,...............................�....:5........................_. 11:C:C:'::�:::C:C::C::C:::::CC:..CC:C':'C=::�:CC:C::C:C::C:C:::