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County Line Road Lot 6Davie County, NC y . M Tax Parcel Report Tuesday. November 8. 2016 State: WARNING: Tli1S 1S NOT A SURVEY Zoning Overlay: Zip Code: _ Parcel Information_ Legal Description: Parcel Number: H10000000806 Township: Calahaln NCPIN Number: 4799862655 Municipality: Middle School Zone: Account Number: 8305446 Census Tract: 37059-801 Listed Owner 1: WHITE ROBIN LYNN BRACKEN Voting Precinct: NORTH CALAHALN Mailing Address 1: 332 PLEASANT HILL DRIVE Planning Jurisdiction: Davie County City: ELKIN Zoning Class: DAME COUNTY R -A State: NC Zoning Overlay: Zip Code: 28621 Voluntary Ag. District: Legal Description: LOT 6 BRACKEN DOWNS Fire Response District: Assessed Acreage: 0.73 Elementary School Zone: Deed Date: 6/2013 Middle School Zone: Deed Book / Page: 2013EO612 Soil Types: Plat Book: 0008 Flood Zone: Plat Page: 152 Watershed Overlay: Building Value: 0.00 Outbuilding 8r Extra Freatures Value: Land Value: 14520.00 Total Market Value: Total Assessed Value: 14520.00 SHEFFIELD - CALAHALN WILLIAM R DAVIE NORTH DAVIE PcC2,CeB2 DAVIE COUNTY 14520.00 001 0.00 E61 M data is provided as is without warranty or guarantee of any kind either expressed or implied Including but not limited to the Davie County, impliedwarran es of merchantability or fliness for a particular use. Afl users or Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to NC C or arising out of the use or inability to use the GIS data provided by this website. UCATION FOR SITE EVALUATION/IMPROVEMENT PERNI1T & ATC Davie County Health Department Environmental Health Section 1 �J P.O. Box 848/210 Hospital Street Mocksville, NC 27028 y;;;���snI ►►.,.'. { (336) 751-8760 TRIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED .RMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to' be Billed _ )OIIN R. I' mcKL Contact Person lot R .-&AuCaf Mailing Address 1102 51DESST. Home Phone W Z 79 ,Z50 ��lJ City/State/ZIP _CKwf!LL N.C, Z8138 Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: MSSite Evaluation ❑ Improvement Permit/ATC [3Both 4. System to Service: M arouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other S. Type system requested: conventional ❑ conventional modified ❑ innovative 6. If Residence: # People 4 # Bedrooms _L�� # Bathrooms _ OfRDishwasher OC-Arbage DisposalQashing Machine ❑Basemont/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /Other: verify type # People # Sinks _ tt Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: it Seats Estimated Water Usage (gallons per day) 8. Type of water supply: County/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes MIN If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Eitber a PLAT or SITE PLAN MUST ITE SUBMITTED by the dicnt with THIS APPLICATION. / t Property Dimensions: 30 1100 Tax Office PIN: It 4799% 907 t 0 Property Address: Road Name C000f LINF. Zi7. city/zip IkegY, a.C• 2K34 - If in a Subdivision provide information, as follows: 1VRITE DIRECTIONS (from Mocksville) to PROPER'T'Y: �wY CA- wcs-r 1-0 N.C. % I Ya NOV I -WE 20 . Tn INIM5EGTIOV OF MOLL 0OPGON lcia Name: CRACK F -V 951: % Section: Bloch. Lot: d S Date home corners flagged: This is to certify that the information provided is correct to the best of.my knowledge. I understand that any permit(s) issued hereafter arc subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or clianged. I, also, understand that I au: responsible for all charges hrcurrerl froul this application. I, 11crcby, give consent to the Autliorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the site su. ability DATE A, t,. SIGNATURE 717 o6'—Z"/ THIS AREA MAY BE USED FOR DRAIVING.YOUR SITU PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). r Sign given Revised DCHD (0S/03 Site Revisit Charge Datc(s): Client Notification Date: EHS• Account No. Invoice No. !i� 5 ° W464;11� F J' I DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION Account #: 990003389 Billed To: John Bracken Reference Name: Proposed Facility: Residence PROPERTY INFORMATION Tax PIN/EH #: 4799-86-9137.06 Subdivision Info: Bracken Est Lot # 06 Location/Address: County Line Road -28634 Property Size: see map Date Evaluated: Water Supply: On -Site Well Community Public V Evaluation By: Auger Boring Pit -Z Cut FACTORS 1 2 4 5 6 7 Landscape position L t_ Sloe % HORIZON I DEPTH Texture groupC Vii' Consistence F'1�f lot Structure Mineralogy HORIZON II DEPTH 1 •3 ''3 Texture group' L S Consistence S Structure Mineralogy HORIZON III DEPTH Texture group I ATd-5,C-L 4!;4 Consistence I A Vi (r S 519 Structure 55 Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION (JS LONG-TERM ACCEPTANCE RATE ©• -013S SITE CLASSIFICATION: PS (—e -Ac -A<) EVALUATION BY: CG1L�'1" em"r4wt� LONG-TERM ACCEPTANCE RATE. ©� OTHER(S) PRESENT: REMARKS: INA JAA%j� F- 10 40 fJ t->tS lb & R- WPLr 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 DCHD 05/99 (Revised)