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445 IJames Church Road Lot 21Davie Countv. NC Tax Parcel Report Monday, October 10, 201 e 1 I I I I I x = -- -'- IJAMES CHURCH RD 453 445 437 I--431II 423 1 i 1 403 ; 395 I i I l r I 411 I I 1f I I f I _ r 1 I rf I r t 1j +. __. rf l 9 t. t". All data Is provided as is without warranty or guarantee of any kind either expressed or implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of 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 NCor arising out of the use or Inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G3060B0021 Township: Mocksville NCPIN Number:. 5820112472 Municipality: Account Number: 8302106 Census Tract: 37059-806 Listed Owner 1: STRICKLAND HEATHER B Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 445 IJAMES CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag. District: No Legal Description: LOT 21 FOREST BROOK Fire Response District: CENTER Assessed Acreage: 0.74 Elementary School Zone: WILLIAM R DAVIE Deed Date: 4/2013 Middle School Zone: NORTH DAVIE Deed Book / Page: 009220689 Soil Types: Ce132 Plat Book: 0006 Flood Zone: Plat Page: 138 Watershed Overlays DAVIE COUNTY Building Value: 44380.00 Outbuilding & Extra Freatures Value: 7580.00 Land Value: 22000.00 Total Market Value: 73960.00 Total Assessed Value: 73960.00 9 t. t". All data Is provided as is without warranty or guarantee of any kind either expressed or implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of 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 NCor arising out of the use or Inability to use the GIS data provided by this website. `�l I�. tid1 :'y! �• kv. ' `f`�y 1 p SiF..d 1 ..„`-G� F �`", t'.�:= n. � i �'' r1 k u,a.:: �� �,... Y � - - a a /. �At TfAATION NO. 1,035 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee'sn ,` P.O. Box 848 �� � �,. Name,--' ,. C� r &DA Mocksville, NC 27028 Subdivision Name: �� $, l Phone #: 704-634-8760 Directions to property: Lb ` �V �TIn Section: Lot: AUTHORIZATION FOR WASTEWATER `� w �" ;`��'n SYSTEM CONSTRUCTION Tax Office PIN:# [ - o Road Name: Zip: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections, Office when applying for Building Pen-nits. (In compliance with Article 11 of G.S.:Chapter. 130A, Wastewater Systems, Section .1900 Sewage Treatment-and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATERCONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED ..n v M"`i3 r r rqr 1 e.:.m t ••+Fyv "+s2 \-4sv1r" r" - 4 s . v"�:riS`:: �'" w��� � (,. 1 ter �, � j":.f`$c7�y 'k.•,,�l�+;k"��'� rrini: lf�c 'e Y r .� <t ! .s , • r .,. A •_.. :u-..'r=...+..'a ,t -...., `DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION 'Pe Wee' Subdivision Name:.a Directio s to property: Section: Lot: w IMPROVEMENT C', PERMIT Tax Office PIN:# - -^ Road Name-�Al M �. '**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An j " 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 permit. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatmentand Disposal Systems) ry b ***NOTICE*** THLS 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' XAaV# BEDROOMS # BATHS .L # OCCUPANTS :�LGARBAGE DISPOSAL: Yes oQ COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE lug, k ✓�$1-TYPE WATER SUPPLY + DESIGN WASTEWATER FLOW (GPD) 3 P NEW SITE REPAIR SITE O SYSTEM SPECIFICATIONS: TANK SIZE / OVD - GAL. PUMP TAtiK GAL. TRENCH WIDTH 3 ROCK DEPTH J W LINEAR FT OTHER r REQUIRED SITE MODIFICATIONS/CONDITIONS: 4 **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.U. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT b SYSTEM INSTALLED BY: �' PI�o �1 o AUTHORIZATION NO. 10 3 OPERATION PERMIT BY: ( c 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. 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) s • APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie County Health Department r 2 Environmental Health Section D 15 P.O. Box 848 Mocksville, NC 27028 AUG 2 81997 (704) 634-8760 ' ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCES LESS ALL_` THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed J u At, 22 � ��iJ A:7 t Contact Person Mailing Address/ : d • �i�y 3V2 Home Phone City/State/Zip i�,�� v/ «� a � Business Phone �0 %� Z/7 �Z 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: [ ] Site Evaluation [ ] Improvement Permit & ATC [ ] Both 4. System to Serve: [ ] House [VKAobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People 2 # Bedrooms; # Bathrooms 9 [ ] Dishwasher [ ] Garbage Disposal [pl"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: [d ounty/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [PrNo If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A34OF THE PROPERTY MUST BE I SUBMITTED WITH IHIS APPLICATION. Property Dimensions:,,// WRITE DIRECTIONS (from ocksville) TO PROPERTY: Tax Office PIN: #.-Faa _ �� -� C/ 7 ;1 Property Address: Road Name City/ZipM-"2C-15V/LLQ If in Subdivision provide information, as follows: Name: `�d2£S% l/%�G+�i'�. ,� �' b/✓ �' 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 charges 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_,./ U,4 4 4 i,64. N to duct all testing procedures as necessary to determine the site suitability. DATE SIGNATURE Revised DCHD (06-96) THIS AREA MAY $E USED FOI? I)RAWINCG YOUR SITE P/LLIV: /0-0 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested B�yr v "� k V, n � e. I I Mailing Address I ► Y 1 _� 'Ocd C` I r� U C. S O l C Home Phone `l t� �� �'� Business Phone _ 2. Name on Permit if Different than Above _ 3. Application/Permit for: General Evaluation 4. System to Serve: J House O Mobile Home O Business 1❑� Industift (� ❑ Oth r 5. If house, mobile home: Subdivision No. of People _ No. of Bedrooms r Ile 17ET r :.i 10 17 DAVIE COUNTY H'L'.`,L7 flr `T ❑ Septic Tank Installation O Place of Public Assembly E O Unknown % Section _ Lot # I ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ! No. of Bathrooms ❑ Dishwasher Dwelling Dimensions O Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People.Served No. of Sinks — No. of Commodes _ No, of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: j/Public O Private 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? O Yes II yes, what type? _ ❑ No 'NOTE: .Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1. 1989. Directions to Property: 1V e) C. C) v, J �k C � e CI A 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 ingurred from this application. / DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE D�ESCRI�BE _ P O� PERTY Landdisposal ECK ONE: ❑ 1. I OWN the property. L�7 2. I DOWT OWN the property. ked Box y/2, the rest of this form (vIUST be completed by the owner or a person authorized by the owner: ve consent to the authorized representative of the Davie County Health Department to enter upon above described cated in Davie County and owned by �� , P," ) `_- o r- t i all testing procedures as necessary to determine said site suitability for a ground absorption sewage treatment system. ATE '/ SlGATURE DCHD (12.90) DAVIE COUNTY HEALTH DEPARTMENT b Environmental Health Section Soil/Site Evaluation NAME TR� c)L� DATE EVALUATED ADDRESS a PROPERTY SIZE I OoX 3 y8t PROPOSED FACIILTY d U S s. LOCATION OF SITE�rn Water Supply: On -Site Well _ Communiitt Public Evaluation By: Auger Boring Pit ✓ Cut FACTORS 1 2 3 4 Landscape position -S Slope % HORIZON I DEPTH Texture group C L Consistence i -x Structure V Mineralogy1- HORIZON II DEPTH Texture groupC Consistence Structure Mineralogy�.I HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS SS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION .S. LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: . S. EVALUATED BY: \� LONG-TERM ACCEPTANCE RATE: b 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 -Sandy loam L -Loam SI -Silt SICL-Silty <;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 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 3C --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(01-901 ■■.■■■■■■■■■■■■.■..■SSSS\:��i%i■■■■■■./.■t■■■■■■■■. ■/.SSSS■ O■■■ ■■ ■..■...■MMMMM/..........%!►�l�►7.,11■ ■....... /......../■../......... 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Public information sources should be consulted for verification of information. 541 August 24,199710:49 AM 85 Parcel Identification Number 582041-2472 P ECK $ 4 .2- 2 - .it -x44 A E c -r_ .28 FT P/1. �, I%Rom Mcka�.. •'� ;`f - ..Jf `©v .Y'Z. f N _ 5 .>'2 -et T f Yb y r � ~ f ..L ♦ 1. .s �..�a'^1...• T'- r - t' a ..S i wY;=.. O .Y.. S _ ? ,.� Cyi i•'4 \ ':C' P T•.__i Z 2 y -6. 5 S i,, �r'�•:. Sri - � ..y. t.}�- Cn ...-...'.c r .,.i- : �.�.3`,'7"- .c. x 2 .. �„ - � y, ^,rr t - s 'C. �r>,: '� ;-f m F, ."{ ' � : .'.i T,. . -1 a� � � --n _ _, -...