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214 Sugar Creek Rd Davie County,NC Tax Parcel Report � �� � Tuesday, October 4, 2016 � 4ti..__ �,.� �..`'�. i! ( _.Y.,.�,�._,..,�..�._...__,�,� ' �,,'` .� '�,,�� ,---._.___._„ � ``•�. �� ,``�",�.. �"r , �.�_......�...� ���`� � ----- ��`--"T- ����� �� ,r �, r� ��� :__�__._.�_�............_...._.._�IED� E'a��:�i�.l.�l......__. w , _.__._....___.- ---....� r, , r �_.,� -, ( � � �..._ .�._..,��,_....._�_......,.�.. `�•, .__-^. � �, v7 � � � � � � �� �, � .�_�____.,� --�(-f-------—--�------ -- — �-'_ �'��t�-�'�-�''"`�-----L-�—----- __ -----'.J ----- �__ WA1tNING: THIS IS NOT A SURVEY ,_ ,.., , . . . . . ,. . . .�.. ..., . ..... .� ,,, , ..;,, .. _.., � . - - _. � , Y , , ., ; ParcelInformation , : Parcel Number: E50000003202 Township: Farmington NCPIN Number: 5851181515 Municipality: Account Number: 82530226 Census Tract: 37059-802 Listed Owner 1: HORNER WILLIAM PAUL Voting Precinct: FARMINGTON Mailing Address 1: P O BOX 1871 Planning Jurisdiction: Davie County City: CLEMMONS Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27012-0000 Voluntary Ag.District: No Legal Description: 21.40 AC OFF GILBERT RD Fire Response District: FARMINGTON Assessed Acreage: 21.54 Elementary School Zone: PINEBROOK Deed Date: 10/2008 Middle School Zone: NORTH DAVIE Deed Book/Page: 007740489 Soil Types: ArA,Mr62,En6 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 148660.00 Outbuilding&Extra 5030.00 Freatures Value: Land Value: 112780.00 Total Market Value: 266470.00 Total Assessed Value: 266470.00 9�,v��, Atl data Is provided ae Ia without warrenty or guarantae of any kind either expressed or fmplied Including but not Iimfted to the Davie County� implied warranties ot merchantability orfttness for a particular use.All usen of Davle County'a GIS webslte ahall hold harmless the County of Davla,North Carolina,Its agenta,consulWnts,contractors or employees from any and all claims or causes of action due to �o�tlN,�i NC or arlsing out of the use or Inability to uee the GIS daW provided by this website. � .r:..�•. •:4,'.:' .i�:..:.', . . ;�,.��. ..... �y: _.��•.�.:'�.;�.'Y��w�si�4'�� r. . 7 . -� . :.,. . V1� �� ; . . .. h.�,.:4 .'�,. ...o #Yr�41;'y,r:tt M1't��w�„li� :}•t�� �a��.y��,� �� ,yy� ^�a +�ti�';y,,:- X� s �_cty�� �7t'R'T ye ,�� � 'f1 ��rL."3t ;��„ 4 � � � �� 9 ` t.x P� � L,'OD , �AU�' lJRIZATION NO: ° �. DAVIE COUNTY HEALTH DEPARTMENT. �� � � ,�':�� ��.� �; �� Environmental Health Section PROPERTY INFORMATION � Permi�tee.sJ y;��l r"� ' P.O:Box 848 , . Nafne: ���r� ��'���'"� Mocksville,NC 27028, Subdivision Name: ' -�' � � �f, � � Phone#:704-634-8760 'Directions to property: _� '� '` '`l� Section: r!c��'Gaty AUTHORIZATTON FOR �r,� �'f WASTEWATER Tax f6ce PIN:#'`-�"�.� �i� �"�,"��� : SYSTEM CONSTRUCTION ' 5 �f�� � iJ'!.� �? � . � u � � �e: �� Zi a�� -� p:. **NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED 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 Treatment and Disposal Sysfems) � ;��'�'^ /,+� ' �,/ 1� ***NOTICE***THIS AUTRORIZATTON FOR WASTEWATER CONSTRUCTION �r�'�J��".. oG�`Lf`,�'1�/� .+` G��r���� ` IS VALm FOR A PERIOD OF FIVE YEARS: . ENVIRONMENTAL HEALTH SPECIALIST. : DATE ISSUED ' ` , . ,. , . - ,._, -. ;':. ,'� , , . .. . , , , . .. . . _� s �-� s W . 1Er - 1 .•4 �7 "..t�;�p, �. •v,. t :� 4�`ri� ..�;_' '_ _ 1�'r 1� .r. : . 1 "�� p `.�:. '���1�'� � �,=` 4� `rr.�:?�":�, 2.� �' .��. a �'J . ,: �! ., ,. . r �� !�A . ?\ . R � ��~4T . � ��i;��,��, A� DAVIE COUNTY HEALTH DEPA�T NT` ; , , � : ,.-�,�� �'��.�--�.Y , TMPROVEMENT AND OPERATION PE�I�1'S PROPERTY INFORMATION ° �.��'Peri��e�'� �,,�;;�^ ,; .l�ame.'�% ��.�t�.���r'",rd�lf'�'' : Subdivision Name: , ��:.,:• � . . , � L' � . . ' - . � � . . f,:... � T� � . . .. . �+ � . . . . . . . . . . . "� Directions to property:�...1,��',��-a�.�'�>•��,t a�'':>" Section: Lot• . IlVIPROVEMENT ��;'".��""�,�}. ""' .��� , PERMIT Tax Office PIN:�+��'' � { �.�r.� - r"'r.,>; __; l"�.r% it. ����e .J �1.�;'° .�.``��ip: �r � �'� **NOTE**This Improvement Pernut DOFS NOT authorize the construction or ins la6on of a septic tank system or any wastewater system.An ' AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained fram this Department prior to the construction/'mstalladon 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) Y���` �,,! ` ,,�r f c� r**NOTTCE***TI�S PERNIIT IS SUBJECT TO REVOCATION IF STTE d' .� t,s �,�;i.� !;�<::t���;���., !�>.�,��y.. ,'°-,�;'�' :{ PLANS OR Tf�INTENDED USE CHANGE.YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST ATET1 ISSUED SYSTEM CONTRACTOR MUST SEE THLS PERMIT BEFORE ' INSTALLING TI�SYSTEM. , , RESIDENTIAL SPECIFICAT'ION:BUILDING TYPE� #BEDROOMS �'l� #BATHS�#OCCUPANTS � GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE �f AC TypE WATER SUPPLY �r�/DESIGN WASTEWATER FLOW(GPD)� NEW SITE //'� REPAIR SITE ) �, SYSTEM SPECIFICATIONS: TANK SIZE .�pO1 GAL. PUMP TANK GAL. TRENCH WIDTH� ROCK DEPTH_,,1,7 ��LINEAR FT. �� lj�� � u ',�} OTHER wGll/ Y [� � �` +CJ'A G'X�l� . REQUIRED SITE MODIFICATIONS/CONDTTIONS: , ; IMPROVEMENT PERMIT LAYOUT , • ��� , A w` . • 1 � �a �SF�l`lvl�'r� . ' � � °P r � ,.._ . . , �,�_-"�-.� _,.►- � � ----�--��._.r. l�'1 � **CONTACT A REPRESENTATI COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM L_�_ BETWEEN 8:30-9:30 A.M.OR 1:00-�Y: P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(704)634-8760. OPERATION PERMIT �, _ / . � � SYSTEM INSTALLED BY: � ,� �_ � �,r �p � : �oo���� �.�-c : b � _ r AUTHORIZATION NO. v ' OPERATION PERMTT BY: . . '""'f /� �" � �' DATE: �✓ \ � : **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT TEIE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A ARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. -- . ._ S/96(Revised) _ ... _ ; __ \ ' : � ti / . �i/ ��� ��- � " � ` APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC ;t� � , , --� Davie County Health Department , � � Environmental Health Section ��` �� �P� �p P�' � P o. BoX s4g l� � � -- - :�� � Mocksville,NC 27028 � i�1/ ._ (704) 634-8760 (�;� � �`***IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. --- l / 1. Name to be Billed � � ((1.4; �`d �1��/� Contact Person �a.�� ��'( G t�/�� � MailingAddress ����� (' 1�nG� s�� HomePhon � ���a�� `City/State/Zip�u(�A� Na/�� /UC �7��� Business Phon /� 7� ���d �rt a`t� 2. Name on PermidATC if Different than Above .'�trne MailingAddress,s��"'`� City/State/Zip 3. Application For: [tJrSite Evaluation [ ]Improvement Permit&ATC [ ]Both 4. System to Serve: [�House [ ]Mobile Home [ ]Business [ ]Industry [ J Other 5. If Residence: #People� #Bedrooms #Bathrooms [�ishwasher[Jj Gazbage Disposal [v�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 [v�Well [ ]Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve?[ ]Yes [ ]No ' If yes,what type? � ,' ' E I THER �t PL.tLT OR S I TE PLAN . PROPERTY INFORMATION REQUIItED:***IMPORTANT**'�1�`�OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: �I A C31St1� �WRITE DIRECTIONS(from Mocksville)TO PROPERTY: E 5"eo� a�o 3 2o Z, ; s�c ,r,.�r e�a...- ... Tax Office PIN: # - - , Property Address: Road N�me S� ��'lS�Su �C)V�Xi t ' City/Zip �otKs�i`GF �'; 4 ZI.�f°-q� �IJ' SR l4�_S" If in Subdivision provide information,as follows: � 5����'19/S/� J,�G-z� � Name: � � � Section: Lot#• � � � This is to certify that the information provided is conect to the best of my knowledge. I understand that any permit(s) issued hereafter aze 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 chazges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie Count Health Department to enter upon above described property located in Davie County and owned � by �Gt.�) ��3��� rn�Y to co ct all testing procedures as necessary to determine the site suitability. DATE /"'I I—�T� SIGNATURE Revised DCHD(06-96) wa�t ���D THIS tIREA MtIJ LiE USEb �OR DRAWINC JOUfi SITE PLAN: Z),f< ��S -: ��r�c�s�s• (�— f � . 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EARLE M�LAt1FINE � I jn � _ � � ` - ; i � ^ � ` ; � I � �r, � I i �o ' s� .�� i a i `� i I I � Q' I � I � I ( �� I I � ! I i � j I , �I 1 .,, �ron DiaGed � .�� ron fo�nd ( 5.2' west) l — ! 2� } ��n �„__.�,. � 240.04 �— " � 1,124-93 i4 Ot"-27� 48�� E o'�°. :� N 00°- 56�_��.W � I � ' • I 'I J . • ` � � DAVIE COUNTY HEALTH DEPARTMENT . _ 1 � Environmental Health Section sECTioN LOT SoiUSite Evaluation APPLICANT'S NAME /70/'l�� DATE EVALUATED �(�'—�"'� PROPOSED FACILITY PROPERTY SIZE ���� SUBDIVISION ROAD NAME �G�.�'Q����✓� Water Supply: On-Site Well f Community Public Evaluation By: Auger Boring (,� Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca e osition Slo e% HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH DZ �- '' Texture rou ' C Consistence Structure /c Mineralo ,'/ HORIZON III DEPTH Texture rou Consistence Structure Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE � SITE CLASSIFICATION: ���L!� 7`O'/YCi EVALUATION BY: LONG-TERM ACCEPTANCE RATE:�� OTHER(S)PRESENT: REMARKS: LEGEND Landsca�e 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 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 Mineraloav 1:1,2:1,Mixed otes 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) 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