217 Vanzant RdDavie Countv. NC Tax Parcel Report Friday. October 7. 201 E
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WARNING: THIS IS NOTA SURVEY
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
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Parcel Information
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Parcel Number:
H2O0000044
Township:
Calahaln
NCPIN Number:
5719019996
Municipality:
Account Number:
8302663
Census Tract:
37059-801
Listed Owner 1:
GIBIETIS NICKOLAS
Voting Precinct:
NORTH CALAHALN
Mailing Address 1:
217 VANZANT RD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-A,R-20,H-B-S
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
Legal Description:
13.413 AC VANZANT RD
Fire Response District:
CENTER
Assessed Acreage:
13.54
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
10/2013
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
009401009
Soil Types: PaD,ApB,PcC2,ChA,CeB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
311500.00
Outbuilding 8r Extra
4040.00
Freatures Value:
Land Value:
91660.00
Total Market Value:
407200.00
Total Assessed Value:
407200.00
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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
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County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
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or arising out of the use or Inability to use the GIS data provided by this website.
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Account #: 989900079
Billed To: Ronald Jones
Reference Name: Well Permit
Proposed Facility: Residence Well
Davie County Environmental Health
P.O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)753-6780 / Fax (336)753-1680
WELL PERMIT
Tax PIN%FH #: H2-000-00-044
Subdivision Info:
LocationlAddress: 217 Vanzant Road -27028
Property Size: 13.54 Ac
ATC Number: 0123
Actions of the employees of the Davie County EH Section shall in no way be taken as a guarantee that this
well will produce water of any particular quantity or quality or for any amount of time. This permit is valid
for a period of 5 years from the date of issuance. This permit may be revoked if it is determined that there
has been a material change in any fact/circumstances upon which this permit was issued.
Permit Type: New M Repair F1 Abandonment F-1
Proposed Well Location Diagram
Certificate of Completion Diagram
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Comments:
Driller
Certification #:
Grout Inspected:
Well Head Inspected:
GPS Coordinates:
EHS: Date:
EHS: Date:
W.P. 7-08
APPLICATION FOR PRIVATE WDLL PERMIT l
Q� Davie County Environmental Health
P.O. Box 848/210 Hospital Street
9 V�b Mocksville, NC 27028
so r1 (336)753,-6780 / Fax (336)753-1680
***IMPORTANT***
THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED.
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APPLICANT INFORMATION
Name 6n%ke-, Contact Person U ,Lte
Address Home Phone 33y" �Y 'I DIP
City/State/ZIP ,C 9-700(0 Business Phone 3316 - %Orf
Name on Permit if Different than Above
Mailing Address City/State/Zip
PROPERTY INFORMATION *Date House/Facility Corners Flagged
NOTE: A survey plat/or site Ian must accompany this application. Included: ❑ Site Plan ❑Plat (to scale)
Owner's Name l V Phone Number 70V'- WA - q/88
Owner's Address aO S$ City/State/Zip ( / e. w a
Property Address City /1i� t?i waw
Lot Size L3. Sy &,C y,4 0 Tax PIN# 3 7 t 9 9 i&R t- 006 - bQ_ O
Subdivision Name(if applicable) Section/Lot# T'i
Directions To Site: J4u w- i� V IjAeot
INAVAItte)9llski s)RUh1110101
Permit Type: New Well _ V_/Well Repair Well Abandonment Other (specify)
Facility Type: Residential V Food Service Church Copnercial Other
Are There Any Septic Systems Currently On The Site? YES NO V
Do You Intend To Install A New Septic System On This Site? YES NO
TERMS AND CONDITIONS:
This application must be accompanied by a plat or site plan of the property that includes the existing and proposed property lines
with dimensions, the specific location of the facility and any existing or future appurtenances, the location of any existing septic
system, sewer lines, water lines, any existing water supplies and any surface waters. The applicant is responsible for identifying
and marking the property lines and corners. The applicant is responsible for making the site accessible.
By signing this application, the applicant signifies that they understand the terms and conditions and that they give permission for
Davie County Environmental Health representatives to perform necessary field evaluations and procedures deemed necessary to
determine the best location for a well.
Signed Date
7/30/09
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
Account #
Invoice #
A01,
RONNIE JONES CONSTRUCTION, INC.
Custom Homes & Remodeling
185 Livengood Rd. Phone (336) 998-7206
Advance, NC 27006 (336) 909-1193
Applicant: Ronnie Jones
Address: 142 Cedar Hill Lane
City: Advance
State/Zip: NC 27006
Phone #: (336) 909-1193
In
"'A-ddress/Road #:
CONSTRUCTION
Vanzant Road
AUTHORIZATION
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Davie County Health Department
Structure:
210 Hospital Street
P.O. Box 848
# of Bedrooms:
Mocksville NC 27028
# of People:
Phone: 336-753-6780 Fax: 336-753-1680
Applicant: Ronnie Jones
Address: 142 Cedar Hill Lane
City: Advance
State/Zip: NC 27006
Phone #: (336) 909-1193
In
"'A-ddress/Road #:
Subdivision:
Vanzant Road
Mocksville
NC 27028
Structure:
SINGLE FAMILY
# of Bedrooms:
3
# of People:
3
*Water Supply:
NEW WELL
,*Site Classification: PS
Saprolite System? O Yes 9 No
Design Flow: 3 6 0
Soil Application Rate: 0 3
For Office Use Only
*CDP File Number 123017 - 1
County ID Number: 1-12-000-00-044
Evaluated For: NEW
Township:
PERMIT VALID UNTIL:
1 1/ 1 3/ a 0 1 8
Property Owner: Nickolas Gibieti0
Address: 18321 Dembridge Drive
City: Davidson
State/Zip: NC 28036
Phone #: (704) 402-4188
Phase: Lot:
Directions
Hwy 64 West from Mocksville Left on Vanzant Rd. Just
before Lake Myers. Property on left
Minimum Trench Depth: a 4
Inches
Minimum Soil Cover:
Inches
Maximum Trench Depth: 3 6
Inches
Maximum Soil Cover:
Inches
*System Classification/Description: *Distribution Type:
TYPE II A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) S t. T k'
*Proposed System: 25% REDUCTION
Nitrification Field
No. Drain Lines
Total Trench Length:
Trench Spacing:
Trench Width:
Aggregate Depth:
I
up Ic an . 1 0 0 0 Gallons
1 -Piece: O Yes ® No
Pump Required: O Yes ®No O May Be Required
Sq. ft. Pump Tank: Gallons
1 -Piece: O Yes O No
GPM --vs-- ft. TDH
_8Q Inches O.C. Dosing Volume: _ Gallons
Feet O.C.
O Inches
O Feet Grease Trap: Gallons
inches Pre -Treatment: O NSF OTS -1 O TS -II
Septic Tank Installer Grade Level Required: 01011 OIII 01V
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CDP Fite Number 123017 - 1
m
/'Repair System
*Site Classification: Ps
Design Flow: 3 6 0
Soil Application Rate: 0 3
H2-000-00-044
County ID Number:
ired:gYes ONO ONO, but has Available
*System Classification/Description:
TYPE II A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR
LESS)
*Proposed System: 25% REDUCTION
Nitrification Field
Sq. ft.
No. Drain Lines
❑ Open Pump System Sheet
Trench Spacing:_ O Inches O.
_8Feet O.C.
Trench Width:_ O Inches
O Feet
Aggregate Depth:
inches
Minimum Trench Depth: a 4
Inches
Minimum Soil Cover:
Inches
Maximum Trench Depth: 3 6
Inches
Maximum Soil Cover:
Inches
*Distribution Type: GRAVITY - SERIAL
Total Trench Length: 3 0 0 ft Pump Required: OYes ®No O May Be Required
Pre -Treatment: O NSF OTS -1 OTS -11
*Site Modifications
No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department.
*Permit Conditions
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder
is responsible for checking with appropriate governing bodies in meeting their requirements.
This Authorization for Wastewater System Construction shall be valid for a person equal to the period of validity of the Improvement Permit, not
to exceed five years, and may be issued at the same time the Improvement Permit issued (NCGS 130A -336(b)). If the installation has not been
completed during the period of validity of the Construction Permit, the information submitted in the application for a permit or Construction
Authorization is found to have been incorrect, falsified or changed, or the site is altered, the permit or Construction Authorization shall become
invalid, and may be suspended or revoked (.1937(g)). The person owning or controlling the system shall be responsible for assuring compliance
with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring, reporting and repair
(1938(b)).
Applicant/Legal Reps. Signature Required? O Yes ®No
Applicant/Legal Reps. Signature? Date:
*Issued By: 2244 - Daywalt, Andrew Date of Issue: 1 1 / 1 3 / a 0 1 3
Authorized State Agent: Malfunction Log OYes
® Hand Drawing O Import Drawing Total Time:(HH:MM)
**Site Plan/Drawing attached.** 0 1 Hours 0 0 Minutes
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S-8 - CA's issued - new
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CONSTRUCTION AUTHORIZATION
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Drawing Drawing Type: Construction Authorization
CDP File Number: 123017 - 1
County File Number: H2-000-00-044
Date: 11/ 13 1 x 0 1 3
O Inch
Scale: . O Block
O N/A
3'Atcc; eat,�-
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' CONSTRUCTION AUTHORIZATION
Davie County Health Department
210 Hospital Street CDP File Number: 123017-1
P.O. Box 848 H2-000-00-044
Mocksville NC 27028 County File Number:
Date:.l 1,/ 13 /,2 0 13
Click below to import an image from an external location: Drawing Type: Construction Authorization
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