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334 Willow Creek LnDavie County, NC Tax Parcel Report Tuesday, October 1 l, 2016 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G40000004906 Township: NCPIN Number: 5729893666 Municipality: Mocksville Account Number. 78205000 Census Tract: 3705�806 Listed Owner 1: WHITAKER TERRY W Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 334 WILLOW CREEK LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 2702&5881 Voluntary Ag. District: Legal Description: 10 AC MAIN CHURCH RD Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 9.90 Elementary School Zone: WILLIAM R DAVIE Deed Date: 7/1996 Middle School Zone: NORTH DAVIE Deed Book / Page: 001880753 Soil Types: GnB2,GnC2,RnD,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: 90630.00 Outbuilding 8� Extra Freatures Value: Land Value: 78240.00 Total Market Value: Total Assessed Value: 222570.00 9"�'A Davie County, �o� NC DAVIE COUNTY 53700.00 222570.00 No , . . :, �,e:. �- , �, . . , „.�._ . . �-, ., __ . , ,. , - ,.,. , :,.. ,; , ,:::. . . - . t, . .. � au xoxiz,aTiorr rro: O 9 6 2 DAVIE COUNTY HEALTH DEPARTMENT ' . � Environmental Health Section Pernlittee' - � P.O. Box 848 -5-� ' � �� �, b,... ; . ��.�('t7 ,�C3 . D� ��5•.s*,�� . PROPERTY INFORMATION(i � 3� . Name: __ .S�.S��., .1 , �,,y�.�;+�r...r..;, Mocksville, NC 27028 Subdivision Name: '�' / � � � _ �� ��� IPhone #: 704-634-8760 _ D'uections to property: !� Section: � Lot: % ` AUTHORIZATION FOR I ��� ^�������� ��"�� T��� � SYSTEM CO STRUCTION Tax Office PIN:� � ti - f� - J�� l�' t � ..��``�s� s• � ��.si�„r, �re� " cs, J. �:'�' Road Name � � t � 0 U 1 ;.,��' �Zip: t�� :�r � � **NOT'E** This Authorization for Wastewater System Construction MUST BE ISSLJED by the Davie County Environmental Heal[h Section prior to issuance of any Building Pernuts.°This Fom�/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Per�nits. - (In compliance with Article 11 of G:S. Chapter 130A', Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) C��,�,, •�„ `�.>__� ,� ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION , "`>>:,;�-�--:�'�T� �. �.�!J..�. `_�' IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED .. ,, , y .` ��_ ;�,. '. ..^'�:..... ..�..." .:�......�Plti `+ � ..... i . - ._ � . .., . . . � .. . . . . � . ... � . . . , . r�� . . e � � � � - e,�;: ,..,,.4,� . ; -_ti � �- � , � DAVIE COUNTY HEALTH DEPARTMENT _��,�.".e, nC� . . " �°1,,i'``�' � � ,; '„ ' IMPROVEMENT AND OPERATION PERMITS Perrt►�Itee's�::. r � `\ ,,,� � . . � � Na1T1C: ^ �,1 �. . .>�..:',3, �j..j " �„I.J ��._;. 1.F�r y=��t_'...,`^�, , ,� ' Directioris to property: ,' ! � �� � r�3 '� ��� ''� �?= s��•"' .. �' " � ,'+„ ':\ � •x.y. T h rh"[".`h�i`���ii,R�ty �~..1��,��wr'� b...y� �';"71 . ti �� � � , _ � .. ,:� ,�.. ;,`i `� �. � _ � . -,b. ,� _ . � ,-.. ,. . � ., �, y��''�; a , i.J . �.:�i �;�',.:4LS...�S., . PROPERTY INFORMATION���� Subdivision Name: " "'= -� • Section: Lot: IlVIPROVEMENT . r PERNIIT Tax Office PIN:#-z s ` 'i _ �i �i _ ,�:; � a• �� w e4i � *` Y Road Name: ;�3 0 1<<� t!.� ',�. ��, t�Zip; �:, i x� c **NOTE** This Improvement Pemut DOES NOT authorize the construcrion or installation of a septic tank system or any wastewater system: An AiJT'HORIZATION 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) 1. ,�� �4 ..,, , .-.. ***NOTICE*** THIS PERMIT IS SUBJECI' TO REVOCATION IF SITE _ � �•, ,�,�,.; �� PLANS OR TI� INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TFQS PERMIT BEFORE INSTALLING Tf� SYSTEM. RESIDENT'IAL SPECIFICATION: BUILDING TYPE • 4�'� # BEDROOMS .3 # BATHS �. # OCCUPANTS �' GARBAGE DISPOSAL: es" r No COMMERCIAL SPECIFICATION: FACILTTY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE iQ C'1ss� TYPE WATER SUPPLY �� DESIGN WASTEWATER FLOW (GPD) i� �'� NEW SITE k''" REPAIR SITE , a.� �� �,� "� ��/ ,�� /? �a0! SYSTEM SPECIFICATIONS: TANK SIZE ll 0 GAL. PUMP TANK GAL. TRENCH WIDTH J ROCK DEPTH � LINEAR FT. � OTHER �• `� ' � r REQUIRED SITE MODIFICATIONS/CONDITIONS: y k IMPROVEMENT PERMIT LAYOUT ;, ':!) !';: �: � ��'"' �'i ..., **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. I OPERATION PERMIT � . SYSTEM INSTALLED BY: � �� • � �`��� �- 7o�t� WoRfi1. s� ����y- 4B3 fl au :, ec�, N.c. '� �03� S'$�� S �0r---_.__ lJ� 1� � AUTHORIZATION NO. ��od� OPERATION PERMIT BY: DATE: �^'� ^�� **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAP"TER 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) . APPLICATION FOR SITE EVALUATION/IMPROVEMENT � , . � Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 � (704) 634-8760 ��� �� D � JUL 2 1 19�7 ,,.�- �**'�IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. _� ��� 1 /' 1. Name to be Billed Contact Perso��'T1 D� 777! '��/�i�o�KG"� Mailing Address .����! �h.'O �T Home Phone � 7�Q�D City/State/Zip �Q���1[���t'- /�l� �%�� Business Phone n�3 ���7 D�C (G�7r-��'7 2. Name on PermidATC if Different than Above E Mailing Address City/State/Zip 3. Application For: [] Site Evaluation � Improvement Permit & ATC [] Both 4. System to Serve: [] House [ Mobile Home [] Business [] Industry [] Other 5. If Residence: # People # Bedrooms_� # Bathrooms� ,�] Dishwasher 'j Garbage Disposal [� 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 [�Well [] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes �J No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** tY��A`mOF THE PROPERTY MUST BE SUBMITTED WITH � APPLICATION. Property Dimensions: � j0 �t`_. � WRITE DIRECTIONS (from ocksville) TO PROPERTY: � Tax Off'ice PIN: #.;57,�'t � - � ' .�3�1'2�. � Property Address: Road Name ll�%jl�(}��(°��1�'� � N�`D City/ZiP /7Q�i�2L��lI�, c3��� ' �G 1! � � � If in Subdivision provide information, as follows: � � Name: ; S, , n � 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 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 charges incurred from this application. I, hereby, give consent to the Authorized by of he avie County Health Department �_��_ ! �/ !% /,_n ��� enter upon above described property located in Davie County and owned all Revised DCHD (06-96) THIS t1REft �1tt� I�E USEb �011 b1�tWZNC� JOUn SZTE Pf_ttN: to determine the site suitability. �..� �- ��L� �� ���.� �°-� � u>i�. ..-�iv'o I- �z.. � . d( �t�� C�-m b s ����- �- 1� �� � ����,,`�`,�S � � \ ` °�,Ow f','*�,''�'�-: .� r � �. `i 4 �_ �� - '� `' ��i' � _ a- r � � :_ �. ,� � �j� 1 . � r� � '� � �� � � �r ry"�v.._ 4 ' ..ynti���� The Davie County Tax Administrator's Office assumes no liability for any information contained on this map. Public information sources should be consulted forvorification of information. July 21,199711:53 AM Parcel {dentification Number � 5729-89-3f366 � ! r APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERfsA Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. App�ication/Permit Requested By Mailing Address ^ � � ,�.� i 2.. Name on F'ermit if Different th� 3. Application for: 4. 5ystem to Serve: ❑ Business ► C� � � c� � a�� ���l�ti' I 51�:;G i Home PhorXe �1/G�,T� � ti�. y 1�( lr Business Phone Above ��i��\�J��S'Z'(Z / _�--- � General Evaluation ❑ Septic Tank Installation Permit ❑ House ❑ Industry 5. If hovso, mobile home: Subdivision ❑ Mobile Fiome ❑ Other hlo. of People No. of Bedrooms No. of Bathrooms Dwelling Dimensions 6. If business, industry, place of pubiic assembiy, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures ❑ Place of Public Assembly ❑ Unknown Section Lot # ❑ BasemenUPlumbing ❑ BasemenUNo Plumbing ❑ Washing Machine � Dishwasher ❑ Garbage Disposal 7. Type of water supply: ❑ Public ❑ Private ❑ Community 8. Property Dimensions ���,NL • Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to seroe? O Yes ❑ No If yes, what type? 'NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: �j U� i�D" (i.,�ij'LA, I�a�r Tax Office PIN: #�� d �9/� �U 7� J�, L� 6✓/'(r �,. �,i�6��1!'/�� L�'; .�'� ���'�-IZOPE1tTJ AbbR � S� as f o 1 1 ows ��. Road Namc: ' i_ r ���'�" ��L /�ZG� � ,�. c�t�: z.�� �12 � SU$h1IT tl PLttT WITH THIS tIPPLZCtITION. 1Zevisions effective October 1� 1995. This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. S =1 �` — R � _ c��i��tt— DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I OWN the property. C�2. I DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: I hereb ive consent to the authorized re resent e of�r Da ie�p unt ealth D artme to enter u on above described property located in Davie County and owned by �c�-r�L ���'Cr� � t�. S' ���� p to conduct all testing procedures as necessary to de�t rmine said site's suitability for a ground absorption sewage treatment and disposal system. • � � = l J -- �t' � , ��. `�r'� DATE ( SIGNATURE DCHD (1�93) 6. .. . �,:� " . . .�.. • ( . ��� ��I4��'�'t, , i.! �i . ... ����,�,•"• ��. ,y�'t\•�_• '`� •l � � �': , ��4.�j� � ' „ �1�1 �. •1"• ;;�. ,, �.:'�;j�,' �'. ,I• •1' ,' ��,0 � � .� 1 ,�'!i �..�%�;1��►� �. ��_ ,..� ) . 60 �.4 4 Ac�N _ `� U c� � : � .;1, ,��l��;, �• + � c1�t1A��t �� . � . f � �� � ��; ,���� � , . ,�:•ja�`�!:,. � � , �r , :� �', '�� �: 4j •P:�',`����'�;� 0� � • (�. +y • �' '+ � � ! �J 1 '� . !! �.�Ia�, . , . �.,,.f �. ������ a���.� �����'j� �.1�!�`� k 'r . . pN 4i �.., `90 s, ,�'��!E:1';f�;��''.M�`ti�' �i/,� � �;;�� "� i' . 1 a o , � ,� • �6� ,��� ,;.. � .",•J�,1�^„ •� h 1l��'3?;�� �' � � �� e� {f'��•:� �•�.�i..l ,� � + �l.;�L.. , I � �3 5(i � .� � • .1 . : �• ` ��t�+��t �iY�R�'+1,l�+'�i�k �.r. � �,�'i�t�,�� `r�i . �'' , ' � �� .. . . i • � ��' p ' '`� .i'�y'� �:.��y 1l(��, .�r.lc�. !.. �k,+� � ' �o ' � � J U '�.py ` � � J.•. � � t. t ! � : � ;� ;� � ' .��1' t'�:. t� � '.,. � • � —=' � � � � �' 33Ac. r''• �, �l;+i���j.�,•.r�:�,�,,��t,��:1►.:; i � . , ' �: S'. 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DAYIE COUNTY H�L�LTH DEPI�RT1ViENT Environmental Health Section Soil/Site Evaluation �.._., _ �� . c� � DATE EVALUATED PROPERTY SIZE v�`O �� LOCATION OF SITE ��� IVAME ��—t� � �. � b �Ct�c� ADDRESS S �s`¢' PROPOSED FACIILTY � b v � Water Supply•�� On-Site Well _ Community Evaluation By�AugerBoring �/ Pit Publ i c Cut FACTORS 1 2 3 4 S 6 7 � Landscape posi�ion Slope 7. HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group Cansistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence SCructure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLaSSIFICATION LO�VG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LDNG-TERM ACC�EPTANCE RA E\� REMARKS: _��'�..� DCHD (O1-9o1 EVALUATED BY: OTHER(S) PRESENT: ����� � s 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-Silt,y �;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 firrn EFI-Extremoly 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 ,iC--S'in};le grain M-Massive CR-Crumb GR-Cranular ABK-Angulsr blocky SBK-Subangular blocky PL-Platy PR-Prismatic lblinernlo�y 1:1, 2:1, Mixed Notes Fiorizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil w etness - Inches from land surface to free watef 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 ■���������������������������/����������� ������� ������■� ��■���� ■■�������■������������N�����������n/�� ������������������������ ■����������� ������������A������ ������r������������������������� ■�������■�������������������■���������� ��� ������������ ��■ ........................................ =C:C ..�C............�.. .......................................■C....C..................._ .................................... ....... ..... ............... ....................................5■...■�C.■=■.�. ■...■..■.■■■■ ............................■......_.■■■■ ... ■.■■�...■■■■..■.■■ ..........................■...■.�. ■■■■■�.■■_■■■■�■■■■■■■■■.... ■������������������/������������ , N������ ��� ���■ ��v��������� ■��v�■�■�������������������C��� �■���� �_�� _�_�����=n���■�� ■■���■����■���■������������ ��■�������� ��u ■ ■ ���� �■������ ■������������■■�����������_ ����������� ���■�� �������� �������� ■��■���������������������� �����������■��� ��� ■ ��� ■ ������ ::::::::::::::...........................��.._� •C�•��:C.�.. .. �����������_����� ������� �u ■ ������n�i�� ■�����������■������������� ■����������������������i������_��������� ■�������������������������������������■���u��� ������ �u������ ��������������■�����\�����A���� �������N���N�����■����������■ ■�����������������������/�����������������■�� ■ �■��H������� ���■�����������■������������������������������������������������ ■��■�■��������■�������������■������■ N��� ��■��� ����� ��������� ■��������n���������n���������������������.��� �■������������ ■������������N�����������■������� ����■�����u■v ��� �� ■���� � ■��■�����������������N����������������������_�� �������� _�� ■��■���A�����������\��h������� �����dv ■ �NW�u���vu u� �������■�����������■��N�����■�������N��� ����u���������■� ■�����������■�� �����N������������M�����■�� �u� �u������� ■■����������������i���h���������■������������� ■ ���� ������ � ...s.......................................... ....�......� iiiisiii����t�����������������������■��� ����� � �u������ ■■�� ���������������■������t������+��c.a ���u� �� �■�i �� ������� �H���■���� ����■����������������►�� �����■� ������� �������� ...............��...............�....�_.....� .....C........ ■����■�����■��� �■��■���������� �����■ '�.N �N���� �u���� ■iii�����uNN�M��������������H���%%■-�--u�i�u'C'�'Cii�n�nC�u■���'� ■■■■■■■■■■u■■■■■■■■■■■■■■■■■■■�.,- .�.■■.■ ■ ■■ ■ u■■■ �����������u������������������u r� �, �� �� ��■�i�■����_ ����■����������� �� �����■ �� ����� ■����������������ii��i�i n■iu�i= ■ � �� � �� ����_���� ����■�n��� ���t�u����� ������ ��� ► ���������_���������� ��u■ ■ ��� s� ���ii� �e���� ������ ������ u��� ' ■ �� �� ����u ����■�����Nt�■���u��v ��i�■���� �_�� ������u� ■���������������������N���=���� �� ■ ■ �������/ ������������ �������u����� ���� �� ����u�� �������������n�����H���■ \����� ■ �� �H�� �� �����■����vhu ■����� �� �v��� �/������..��v������������ �Q � ������� ■W���N �� �\u��� ����������������■��v����������� ��v ■ ��� ■����������■����n������.C!'% ' u�� ���� ��������■ ■ WW��� ■ WN� ������v���������H�������G � ■ �■����� ����■�����������u��� �� n����� �����������i��ti�i�Nn����� �u/�I�� ������ ■���������w�\rVi���������■/l�c�� � �v���� ��■O��v�/II;�a:..11�A ����W�1�� .� �v�u� ����■��u�1�:.IJ�,�1������������� ���ii�l�' ��� ����h� ��■��v� ���"-'-�/�� . .i�i►1C 1► u�� � u u� ■�■ ��� ii�� �/�1���� � C::=::: :C�.::::..:..... ... ■ ... . . ......... 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BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634-5985 iylay 16, 1996 Loyd C. Combs, Executor 23,� Sunrise Ln. Lexington, tJC 27292 Re: 5ite Evaluation Charleston Lane/E+.06 Acres Tax F�IN: #58`�-91—�v�7� Dear Mr. Combs: As requested, � rept,esentative froc� this office visited the afor�ementioned . - site on May 15, 199�, Pased �_ipon the information provid�d on the application � for site evaluatian and after the evaluation was completed, the site was found to be provisionally s�.�itable for the installation of �n on—site sew�ge dispasal 5ystem. If yo�.� have �ny questions, please feel free to contact this office. Sincer�ely, � ��� �. �a;r��'�- �...�, Chat�les E. Little, R.S. Environmental Health Section CL/wd Enclosur�e (s>