863 Wagner Rd (2)Davie County, NC � Tax Parcel Report Tuesdav, October 11, 2016
WAKIVllV(T: '17i15151VU"1' A �UKVLY
Parcel Information
Parcel Number: F30000002203 Township:
NCPIN Number: 5811702149 Municipality:
Account Number: 18421000 Census Tract:
Listed Owner 1: CRANFILL BRYAN HEATH Voting Precinct:
Mailing Address 1: 863 WAGNER ROAD Planning Jurisdiction:
City: MOCKSVILLE
State:
Zoning Class:
NC Zoning Overlay:
Zip Code: 27028-4959 Voluntary Ag. District:
Legal Description: 5.537 AC WAGNER RD Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
9" X'�' Davie County,
°�UN�� NC
5.53 Elementary School Zone:
8/1998 Middle School Zone:
002070674 Soil Types:
Fiood Zone:
Watershed Overlay:
93060.00 Outbuilding 8 Extra
Freatures Value:
47630.00 Total Market Value:
154430.00
Ciarksville
37059-801
CLARKSVILLE
Davie County
DAVIE COUNTY R-A
WILLIAM R. DAVIE
WILLIAM R DAVIE
NORTH DAVIE
MnC2,MnB2,MdD
DAVIE COUNTY
13740.00
154430.00
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aUT�Ok'��a�rioN rro: `� �`� � DAVIE COUNTY HEALTH DEPARTMENT .
� ���'" �'' • � Environmental Health Section PROPERTY INFORMATION
Permittai's �";°�'' P.O. Box 848
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Name: � r r'.�� �'� A �" Mocksville, NC 27028 Subdivision Name: _rr.
Phone #: 704-634-8760 ��1 � �
Directions to property: .��' %' I"' ,d'r` i Section: '��et�
Cr AUTHORIZATION FOR
WASTEWATER Tax Offce PIN:#��� - �r -,�����
SYSTEM CONSTRUCTION �� -
Road Name: ��.r''.��.� c'�i � �, , •�� , �
**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 Forni/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Pernvts.
(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
�'`�! ,•'�i..% i r, :%' `4 L`�"`.� l i'�� :•--��.� v'' ���"� IS VALID FOR A PERIOD OF FIVE YEARS.
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ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
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� ����,��+ � " , '� �?' � � DAVIE COUNTY HEALTH D�PARTMENT � 3
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�, �a,���,,s�P`f` - � ; ..-.n- ' � IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
_- Percriftt�e's .��`
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Name: � .,���stF,,� � �J �'..•� Subdivision Name: . ;n.. �
_,;, �< "`��' /}�' �. � �'� ;-�^�'
�-" Directions.to p�operty: ; f ; r +%. ��.� .��`.�'� Section: ���yvt:
. �� �- Il�IPROVEMENT � �;
' PERMIT Tax Office PIN:#,,��' - y�� _��,� s`�
Road N
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**NOTE** This Improvement Pernut DOFS 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 pernut.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THI.S PERNIIT IS SUBJECT TO REVOCATION IF SITE
�-I r'�t `. '`• A'"'' ���. � 4r.� ',: %,� � �. •��' �a �''; s r�" PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
� , G ,.«�'�
EIVVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TFIIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFTCATION: BUILDING TYPE �# BEDROOMS �# BATHS �_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEJSHIFI' # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE � r TYPE WATER SUPPLY �/ DESIGN WASTEWATER FLOW (GPD) � NEW SITE�_ REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE '�GAL. PUMP TANK GAL. TRENCH WIDTH t`f �/ ROCK DEPTH �-� LINEAR Ff., �d /
REQU[RED SITE MODIFICATIONS/CONDITIONS: _
IMPROVEMENT PERMIT LAYOUT
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**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 930 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. ���� OPERATION PERMIT BY: DpTE; -1 !�I �
"*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 OS/96 (Revised)
II� ��
_ � � APPLICATION FOR SITE EVALUATION/IMPROVEMENT
" � � ^� . ' Davie County Health Department
...� � �,�
Environmental Health Section
�N � �. �par �'"P P.O. Box 848
�' � � Mocksville, NC 27028
�� � � s�e� (704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED 1
THE REQUIRED INFORMATION IS PROVIDED.
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1. Name to be Billed t� � n'� S�' ���i �{—
Mailing Address ��'( ? i c� [� rcN /✓1 e rr e� %� �
City/State/Zip l� c c�s �t �` � � e.:%J. C, � i 0�2 b'
2. Name on PermidATC if Different than Above
C�L�D��
�_...__
FEB I I 1998
ALL
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Contact Person J � r�cs <t-�-%S� ����
Home Phone `j 18 -% 0�' 3
Business Phone b 3���� ��'3 ��i�'�S � 7�
Mailing Address City/State/Zip
3. Application For: [Vf Site Evaluation [] Improvement Permit & ATC [i]�oth �� / �/�O/�
4. System to Serve: [] House [I�Mobile Home [] Business [] Industry [ J Other `! V��
5. If Residence: # People 3.. .# Bedrooms 3 # Bathrooms � [(�Dishwasher [] Garbage Disposal
[J�Washing Machine [ ] BasementlPlumbing [ ] 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 [i�Well [] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes [✓rNo
If yes, what type?
EI ZHER tt PLrtT OR SI ZE PLtIN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT **'�'.�'Q' OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: �-� 0 �C • � WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
TaxOfficePIN: # 58/1 _ �'o _ aiYy � 60� ltur`}'� � ,6%tc.h'�.�/c-��er-��1��+�
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Property Address: Road P�fame � �� �t n c�' �o� � Go '7�o S'�ov S� � v� .!� r v� �e--�'�' o �-
City/Zip In'I cc.�sv► ��e ��-7 a�-� ; W�Y ner lQc�nc� ,� �{'�in�'�-' 'r//o t�� ci n�r���
If in Subdivision provide information, as follows: � J n � e-� f"� ��oc�i s bc.-�o�� �J/�,�� �vc�ce.
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Name: � c r� �e �f'.
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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 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 chazges 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 �G l 1"l� C rct-.1i�i��� to conduct all testing procedures as necessary to determine the site suitability.
DATE o2 �l ( I9: SIGNATURE "�'v�._
Revised DCHD (06-96)
THIS tIREA MAJ 13E USEb �OR b1�ttUZNG �OUR SZZE PLAN:
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(3.55AJ ti�� ;' a 5499 �' �
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(2.92 A) � � l�.39A1 I
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567.60 ,'
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Scale:l" _ •""""«•••' January 13,1998 4:02 PM
.• .
, DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT,
SoiUSite Evaluation
,._- �
APPLICANT' S NAME � i� n1 ��'!�_ DATE EVALUATED _ �I�' �� �
PROPOSED FACILITY ��� PROPERTY SIZE ��f' Q
SUBDIVISION ROAD NAME �j/�97.F /y ��'
Water Supply: On-Site Well C� Community Public '
Evaluation By: Auger Boring_�/ Pit Cut
FACTORS
Landscape position
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
1 I 2
SITE CLASSIFICATION: �,�
LONG-TERM ACCEPTANCE RATE: � /
REMARKS:
3
4
EVALUATION BY
5 I 6
OTHER(S) PRESENT:
GJ
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
Moist
VFR - Very friable
Wet
NS - Non sticky
NP - Non plastic
FR - Friable FI - Firm VFI - Very frm EFI - Extremely firm
SS - Slightly sticky S- Sticky VS - Very Sticky
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
7
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 - gallday/ft2
DCHD (01-90)
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