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136 Twin Cedars Dr Lot 6Davie Countv. NC Tax Parcel Report A9 09' Monday. October 10. 2016 WARNING: THIS 15 NOT A SURVEY Parcel Information Parcel Number: L502OA0023 Township: Jerusalem NCPIN Number: 5746270153 Municipality: Account Number: 9118000 Census Tract: 37059-807 Listed Owner 1: BOWLES LARRY IS Voting Precinct: JERUSALEM Mailing Address 1: 115 DONREE LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 6 TWIN CEDARS Fire Response District: JERUSALEM Assessed Acreage: 0.46 Elementary School Zone: COOLEEMEE Deed Date: 3/1997 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001930454 Soil Types: PaD,CeB2 Plat Book: 0004 Flood Zone: Plat Page: 094 Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra Freatures Value: 0.00 Land Value: 17600.00 Total Market Value: 17600.00 Total Assessed Value: 17600.00 Davie County, All data Is provided as Is without warranty or guarantee of any kind 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 NC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or inability to use the GIS data provided by this website. " iUTHORIZAT�ON NO. 0 9 0 2 DAVIE COUNTY HEALTH DEPARTMENT ` 1' " Environmental Health Section Permitted "s j ' P.O. Box 848. PROPERTY INAjO ATION Name: 4T Mocksville, NC 27028 Subdivision Name: �� tii�. Phone #: 704-634-8760 Directions to property: \ Section: Lot: AUTHORIZATION FOR WASTEWATER tjt�',! SYSTEM CONSTRUCTION Tax Office PIN:#' ' , 9 - Road Name: l 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 IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED a f DAVIE COUNTY HEALTH DEPARTMENT t - ' •� IMPROVEMENT AND OPERATION PERMITS Name: Directions to propehy: N . IS ,. PROPERTY INFORMATION Subdivision Name: S h Section: Lot: IMPROVEMENT PERMIT Tax Office Road Name 61111- 10 ell a, 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) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE • �" L; i 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 TYPI -I'J'J Q• # BEDROOMS # BATHS . i # OCCUPANTS GARBAGE DISPOSAL: Yes oRo COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No LS; r^w —N LOT SIZE • D TYPE WATER SUPPLY A • DESIGN WASTEWATER FLOW (GPD) ' NEW SITE REPAIR SITE _ SYSTEM SPECIFICATIONS: TANK SIZE O M GAL. PUMP TANK GAL. TRENCH WIDTH S ROCK DEPTH LINEAR FT.4�'°J OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMI LAYOUT 0 D�� i D "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 SYSTEM INSTALLED BY, AUTHORIZATION NO. `O1 OPERATION PERMIT BY: DATE: b - qa- 97 "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 & ATC Davie County Health Department /a / Environmental Health Section P. O. Box 848 W Mocksville, NC 27028 (704)634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. N 1. Name to be Billed [q . L cc -2 Ze S Contact Person YAV-- Mailing Address Dodre-e_ G, ,4,y e Home Phone ?2P V-4 3f- 39DAl, City/State/Zip Ro S U/ // /'. 2 70 • :LZ Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: 4. System to Serve: 5. If Residence: 3 Dishwasher 6. If Business/Other: # Commodes If Foodservice: Q Site Evaluation 9 House ❑ Mobile Home # People ❑ Garbage Disposal Specify type _ # Showers # Seats City/State/Zip 6-11-V P--rmprovement Permit & ATC ❑ Both ❑ Business ❑ Industry # Bedrooms ❑ Other # Bathrooms .a UY Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing # People # Sinks # Urinals Estimated Water Usage (gallons per day) # Water Coolers 7. Type of water supply: County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes M ---N 0 If yes, what type? PROPERTY IZFATION REQUIRED: ***IMPORTANT*** A PLAT OF THE PROPERTY MUST BE �3SUBMITTED WITH THIS APPLICATION. Property Dimensions: s" Arl S 1 WRITE DIRECTIONS (from S � 7 D d 2 ro 1 Mocksville) TO PROPERTY: Tax Office PIN: # ZY 4o �- n Property Address: Road Name //,c> lA/ �- d'J1441 i/0 ✓-e 1 tt)) City/Zip Do1>���� /K• C 1 1 If in Subdivision provide information, as follows: i C le (44V S Name: 1 ZY 1 1 Section: Lot #: 1 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 the Davie County Health Department to enter upon above described property located in Davie County and owned by as necessary to determine the site suitability. DATE 3& A2 % SIGNATURE _C' Revised DCHD (06-96) conduct all testing procedures JAMES EL. `ENgURv ` ✓ .saK' l � - \ \� \� M '+ t C-Sp8 0 J �y f �`i C Ztj1 Sj`�` tpl!<.Br S0. CIM- -• E Nltd.ir 1! sa.FL B SCT � Hill n IRON STAKE ip< "� IfSr , FOWD JK PLACE ' SO f I II v t' o f � .0051.<8 10/1 p \ t O r./t SC fT. � CK UNC ��y� (yo �SEr�� � p v LINE �-� 1 /0.32 t •\ o\ so. — 1 _y ItS. OB rSi S�[ a u its. T9 O- ``,�,, yof 's t- sit IS DR/VE l,�//N CEDAR M O � •' ' � u lit r4s.00 CAy �pL CGRNER t` 2 ' — a • N is/•r v 14.100YON4YENT NG. rT! 3 st.4S u /26 T6 SETBACK CONTROL CORNER AIONUZZ659 P6 so rr YE�rr4 BLOCK A t t vtz w S OO , ^1 t 4 I�•w� I= O y zzs46 al _ L .. 1834! /B SO. FT. Z6978.10 SO Fr 23193.45 SO FT � - O t1, SfT BACK L/ME 8•Dr BAC= UNf \ t4, /48.11 rd/Sri /-LT r tt F. TW#. CEDARS NORTH CAPCoL) A* D,kPzbul or rAr twat taww /, AWAWW G aae*am, cmmy 71W .RW MWW i mtz=r csmw my 201mo&"m&"W my or &"m Iiw/ d.' AMC.�C. am pa tr .mar w rr Ate.• a11� acv' B*IMw rr Aar is •«61w�irr.76h Tlrt:....r � A71fi. RLL' or 2, ow /1► ]��.�r..sA `++r + W-. <:fO ��i iM' Pisiplln►+w 4+wOtw�lri. r�A��"`. e_- Qw. TD[.1f3.I�f► OF rJllar � «K 40- mom 401m /w mrd lug .. .iii' aai• _ DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME \AV, `n . PROPOSED FACILITY o v SUBDIVISION Water Supply: On -Site Well Community Evaluation By.� Al-- Auger Boring Pit DATE EVALUATED 3" 13 - 1 7 PROPERTY SIZE ROAD NAME Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % - ►S a -\ HORIZON I DEPTH a �" Texture groupL L. Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC Consistence F'S Structure 116 If, Mineralogy\' 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 4 SITE CLASSIFICATION: �• .� LONG-TERM ACCEPTANCE RATE: A REMARKS:�� \�� ` c(z DCHD (01-90) EVALUATION BY: (� OTHER(S) PRESENT: '\N) b %I a- 01 � Q 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 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 ■■■E■■ ■EMEM■ ■ENNE■ ■■■ME■ ■EME■■ ■EME■■ ■N■■■■ ■■■N■■ ■■E■■■ ■■N■■■ ■■■■N■ ■■N■E■ ■■NMN■ MEMO ■■■■ SEEM ■■■■ ■■E■ mono ■■■■ ■■n■ ■ENNE■ ■E■M■■ ■EN■E■ ■E■M■■ ■EM■E■ ■EN■E■ ■E■■■■ ■EMNO■ ■EN■E■ ■E■■■■ ■EN■E■ ■EN■E■ ■E■■■■ ■E■EM■ ■EM■E■ ■ENNE■ ■E■■■■ ■ENNE■ ■E■■■■ ■ENNE■ ■EM■EM ■ENNE■ NEEM■■ ■M■■E■ ■EN■E■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■ ■MME■■■■E■ENN■■MM■■■■■■■MMM■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MMEME iMEMMENEMEMEMMENNEN� ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■E■■■■■■M■■■■■■E■■N■■ENE■■■■ ■■■■■■■MMEM■■ ■■■N■■E■■■■■■■■ ■■■■■■■IEE■■■■Yi■■■■■■■■■■■■■■ ■■■■■■E■■&E■■ E■■■■■■■E■■MM■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■E■■■■ ■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■E■■ ■■ENE■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■N■■■■■■■■■ENE■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■N■■■■■■ ■■N■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Davie County Health Department and Come Health .Agency Environs entafHealth Section P.O. Box 648 / 210 HosarrnL STREET COURIER #09-4-06 MOCKSVILLE, N.C. 27028 PHONE: (704) 634-8760 March 17, 1997 Larry G. Bowles 115 Donree Lane Mocksville, NC 27028 Re: 2 Site Evaluations Twin Cedars Drive/Lots 23 & 24 PIN: #5746-27-0153 PIN: #5746-27-0026 Dear Mr. Bowles: As requested, a representative from this office visited the aforementioned sites on March 13 and 14, 1997. Based upon the information provided on the application(s) for site evaluation(s) and after the evaluations were comp"eted, the sites were found to be provisionally suitable for the installation of c,., on—site sewage disposal system on each site. Before any permit(s) can be issued the appropriate application(s) must be filled out and the house/mobile home location(s) staked off. If you have any questions, please feel free to contact this office. Sincerely, Charles E. Little, R.S. Environmental Health Section CL/wd Enclosure(s)