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167 Dalton Road Lot 4L Davie Coulnty. NC Tax Parcel Report Wednesday, December 14, 2016 e- L % i \145 135 Rt, O 5L 5, o � `• 177 16 7 � x`U C_ i W r 121 •, 193-- r 5 5 S' 51 5 5 I , 9 ��8All data is provided as Is vRhoguaranteean ivansnly or guarantee of my kind eithereapressed or Implied Including but notlimited to the v Davie County, r'phN.,'L demnofinrohantrapadculaueAsarhvlemftaamd County ofDavis, NOM Carolina, Heagun% conwhadoremployees from anyandaft claimsorcausesofaction dueto NC oraddng out athe use orinablgtyto usethe GIS data prrovded by this webdie. WARNING: THIS IS NOT A SURVEY _ �_ _._ -. -.---, .—___._ _._ Parcel Information __. __- _.____.--___-- Parcel Number. J609OA0017 Township: Mocksville NCPIN Number: 5757291467 Municipality: Account Number: 8302523 Census Tract: 37059-807 Listed Owner 1: LAMBERTON RORY DAVID Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 1777LARIMER ST 1910 Planning Jurisdiction: Davie County City: DENVER Zoning Class: DAME COUNTY R -A State: CO Zoning Overlay: Zip Code: 80202 Voluntary Ag. District: No Legal Description: LOT 4 DALTON ACRES Fire Response District: FORK Assessed Acreage: 0.47 Elementary School Zone: CORNATZER Deed Date: 8/2013 Middle School Zone: WILLIAM ELLIS Deed Book IPage: 009360257 Soil Types: RnD Plat Book: 0004 Flood Zone: Plat Page: 099 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 9 ��8All data is provided as Is vRhoguaranteean ivansnly or guarantee of my kind eithereapressed or Implied Including but notlimited to the v Davie County, r'phN.,'L demnofinrohantrapadculaueAsarhvlemftaamd County ofDavis, NOM Carolina, Heagun% conwhadoremployees from anyandaft claimsorcausesofaction dueto NC oraddng out athe use orinablgtyto usethe GIS data prrovded by this webdie. **NOTICEV** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION 9 p , IS VALID FOR A PERIOD OF FIVE YEARS , ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED 61 , ' DAVIE. OUNTY HEALTH DEPARTMENT TMPRO EMENT AND OPERATION PERMITSPROPERTY INFORMATION Nariiet�' % 7Z.'�?�L" � Subdivision Name - Daechos to property t&1r id Section Lot T % IMPROVEMENT1 4 PERMIT Tax Office PIN. 9 a�7Q 1 Road.Name. **NOTE**This Improvement Permit DOES NOT authorize the constriction or mstalladon of a septic tank system or any.wastewatersystem An AUTHORIZATION FOR WASTEWATER'SYSTEM CONSTRUCTION must be obtained from this Department prior to the konstnictionlmstallation of a system or the issuance,of a budding permit. ;y (Itt'comphance with Article'11 of G.S Chapter 130A;Wastewater Systems;Section.1000 Sewage Treatment and Disposal Systems) ***NOTICE***::THJS PERMIT IS SUBJECT TO REVOCATION IF SITE /z r ' ✓, ` ' r 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 TYPE #BEDROOMS L #BATHS,.2- #OCCUPANTS_�,GARBAGE DISPOSAL:Yes or No COMMERCIALSPECIFICATION: FACILITY.TYPE�( - #PEOPLE_,-#PEOPLE/SHIFT_ .#SEATS ' INDUSTRIAL WASTE:Yes or No'.': LOTSIZE �TYPEWATERSUPPLY C 6 DESIGN WASTEWATER FLOW(GPD) '''NEW SITE '�� .REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE ALGAL GAL: PUMP TANK" " GAL. TRENCH WIDTH JC' ROCK DEPTH. LINEARFT. OTHER 0. -.. ' REQUIRED SITE MODIFICATTONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT `'✓�.��� ' - '� , , Z r , , **CONTACT AREPRESENTATIVE OHE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF.THIS SYSTEM F T - -BETWEEN - LATION.TELEPHONE#IS (j36)751-8760.. 8 30 9:30 A M OR 1:00-1 30 P.M.P M.ON THE DAY OFINSTALLATION. OPERATION PERMIT ". SYSTEMINSTALLED BYi r. 1 1 AUTIMORIZATTONNO 1 '1 OPERATION PERMIT BY: /4% DATE: "r **THE ISSUANCE OF THIS OPERATION.PERMIT SHALT.INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE - WITH ARTICLE I I 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) 12 VIE UNTY HEALTH DAMP O EMENT AND OPERAT ONERM TS DEPARTMENT PROPERTY INFORMATION ��-- Peruilt ge y ' Name Subdivision Name: C G /tfia. rQ� Directious to property: - 1 1. %i.' +' r� Section: % Lot: "\}`. IMPROVEMENT,,�y�.jj r PERMIT Tax Office PINI= - � Road Name: * d Y X� Z p: **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 Jconsuuctiion/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,-- 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 TYPE /ll ></ # BEDROOMS # BATHS :%Z # OCCUPANTS GARBAGE DISPOSAL: Yes or No -> 1 COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY ( 0 DESIGN WASTEWATER FLOW (GPD)y ` ` NEW SITE I� REPAIR SITE „ g SYSTEM SPECIFICATIONS: TANK SIZE '.G6 GAL. PUMPTANK GAL. TRENCH,WIDTH �G ROCK DEPTH,42—�1INEAR Fr.yGyl OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: - IMPROVEMENT PERMIT LAYOUT **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 (336)751-8760. OPERATION PERMIT - i SYSTEM INSTALLED BYJAd : AUTHORIZATION NO.1 OPERATION PERMIT BY: r DATE: l _ **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 1 t 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) I APPLICATION FOR SITE EVALuAT1oN/wPROVEMENI PERMR & Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 SEP - 2 19W ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Named� to De milled h� � D- Contact Person / 1Z edl4-y S��v�L. Hailing /A dress .�j • ' / ' ,^, �II S. �^ .(� �1.Home Phone q(�9f�� - �/�D S 7 _ Clty/State/ZIP IVGr S"' J I " /L/ it 'I 9709 �" Hnalneas Phone „[ p ter}—�I�r�1/0-9v,�1` 2. Name on Permit/ATC if Different than Above Nailing Andress City/State/Zip /n„)�O,A'�'(✓'(' 3. Application For: ❑ Site Evaluation ❑ Improvement Permit/ATC CA Both 4. system to Service: ❑ House P Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People —� # Bedrooms # Bathrooms ' Dishwasher ❑ Garbage Disposal 2 ashing machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. I£ Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: UYCounty/City ❑ Well ❑ Comminityy e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes IA No If yes, what type? N 14 ***IMPORTANT"'* CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: /o 0 X A As' Tax Office PIN: # S % S % 9 - A/ 6 7 Property Addeaeq�s j& d ame IiG I+an io�� c, . U'lly/Zip If in a Subdivision provide information, as follows: Name: WRITE DIRECTIONS (from Mocksville) to PROPERTY: To. fro al,nvl- '5 rl f a„�s ItAL a 8&kA. l_.. civ AO,7 0. W07e.x Sgli �Iqn 0n'e Section: Block: Lot: Date Property Flagged: f'.3 -9g 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 appUcadon. 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 to conduct all testing procedures as necessary to determine the site suitability. DATE SIGNATURE 6 THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Revised DCHD (07/98) Account No. /--113 Invoice No.��0 . a a►.. 1 u 101 ► .. 8&kA. l_.. civ AO,7 0. W07e.x Sgli �Iqn 0n'e Section: Block: Lot: Date Property Flagged: f'.3 -9g 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 appUcadon. 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 to conduct all testing procedures as necessary to determine the site suitability. DATE SIGNATURE 6 THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Revised DCHD (07/98) Account No. /--113 Invoice No.��0 - 105 i• i 5'i �9 q-- f 0 5 • � 1L �N � bd /00 t 6 \ N Q N S N 3 v c„2 N LY 2, O o C co Q V / J X 100 100 10164 111 05 100 U 30164 211 05 0 CD 6 0 280 28 m -f 17 20 o n I ry > o \ 20o ro \ 269 /9 °9 0 Cr 0 8 3 0 pe�l'pN 4, ,q .y y 0 p� 99S 8 A C c 0 6 9 0 w 0 0 /0 o 235 5. /6 2 o cb _ o F) Cb\ "0(0) 0 O 9 ie 0s/8,9 39 -64 G6 coop \ 9 8 3 3g9 /2 /q N C) n, o � � 0 231 q„ Texture group Consistence , I� s���wra�® SAPROLITE CLASSIFICATION . .. ... . LONG-TERM ACCEPTANCE RATE -' SITE CLASSIFICATION: /'J EVALUATION BY: NG -TERM ACCEPTANCE RATE: Y OTHER(S) PRESENT: REMARKS: 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 _ y L -Loam Si -Silt Sand loam . SICL = Silty clay loam SII. - Silty loam CL - Clay loam S CL -Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE VFR - Very friable FR - Friable FI - Firm VFI Very firm EFT - Extremely firm . et . 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 MineraloPy 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) LIAR - Long-term acceptance rate - gal/day/ft2 ocaurot-tet SAPROLITE CLASSIFICATION . .. ... . LONG-TERM ACCEPTANCE RATE -' SITE CLASSIFICATION: /'J EVALUATION BY: NG -TERM ACCEPTANCE RATE: Y OTHER(S) PRESENT: REMARKS: 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 _ y L -Loam Si -Silt Sand loam . SICL = Silty clay loam SII. - Silty loam CL - Clay loam S CL -Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE VFR - Very friable FR - Friable FI - Firm VFI Very firm EFT - Extremely firm . et . 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 MineraloPy 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) LIAR - Long-term acceptance rate - gal/day/ft2 ocaurot-tet ■■0 MEN so ■■■■■o■ ■■■■■■■