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1247 Junction Rd, 149 Delanos Ln Lot 15Davie County, NC ` ' Tax Parcel Report Tuesday. January 3. 2017 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: WARNING: THIS 1S NOT A SURVEY COOLEEMEE Parcel Information SOUTH DAVIE M401 OA0015 Township: Mocksville 5726902781 Municipality: DAVIE COUNTY 82516538 Census Tract: 37059-801 SPILLMAN ROGER P Voting Precinct: SOUTH CALAHALN PO BOX 738 Planning Jurisdiction: Davie County COOLEEMEE Zoning Class: DAVIE COUNTY R-A,R-20 NC Zoning Overlay: DAVIE COUNTY CZOD 27014-0000 Voluntary Ag. District: No LOT 15 GRANT HEIGHTS 1.53 ac Fire Response District: COOLEEMEE Land Value: Total Assessed Value: 1.48 Elementary School Zone: COOLEEMEE 12/2013 Middle School Zone: SOUTH DAVIE 009450507 Soil Types: GnB2,GnC2 0006 Flood Zone: 158 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: I v� t o UN 4County Davie County, 1\ C All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the i of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to j or arising out of the use or Inability to use the GIS data provided by this website. • -• �✓moo - AUTHQI���TION NO: ' ` J DAVIE CbUNTY HEALTH DEPARTMENT 'Environmental Health Section . PROPERTY INFORMATION Permittee's - P.O. Box 848 Name:f Mocksville, NC 27028 Subdivision Name: �/, Phone # 336-751-8760 l l 4 --Si Directions to property: �,To,;f ,. } Section: / Lot: h5 . AUTHORIZATION FOR WASTEWATERTax Office PIN:#1� ?1/ SYSTEM CONSTRUCTION Road Name: L,�,i'� . .,!; " "Zip:/� ✓w **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 Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) kr_ JAL HEALTH SPECIALIST f J DATE ISSUED ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. DAVIE C OUNTY HEALTH DEPARTMENT r� IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permlttee's Name: ` Subdivision Name: '� f T ,r - dr Directions to property: Section: - Lot:�i4:�'. IMPROVEMENT PERMIT, Tax Office PIN:#Lzlr! _ Road Name: r . Zip: **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 constructionlinstallation 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 F . i 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 # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT � � # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE , TYPE WATER SUPPLY l v DESIGN WASTEWATER FLOW (GPD) NEW SITE Pf� REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZEf91 GAL. PUMP TANK GAL. TRENCH WIDTH "ROCK DEPTH LINEAR FT. �..5 O D , OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: **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 SYSTEM INSTALL B AUTHORIZATION NO. . OPERATION PERMIT BY: DATE: .�l �ti�L 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 AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96 (Revised) 1. 1 7 ` APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT Davie County Health Department Environmental Health Section P. O. Box 848 Mocksville, NC 27028 (704)634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Name to be Billed k0&f1P' JP 1' [ r / oul Contact Person R"'Ie-r Mailing Address V 0?—( -89 Home Phone City/State/Zipy lee /;iee a a �o Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ❑ Site Evaluation 31/improvement Permit & ATC ❑ Both 4. System to Serve: ❑ House Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms 3 # Bathrooms d45ishwasher ❑ Garbage Disposal O" 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: R--County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes U No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 1 WRITE DIRECTIONS (from 1 Mocksville) TO PROPERTY: Tax Office PIN: # �a � _ � o _ a �$1 1 Property Address: Road Name ow -m 1 ac.S U►I (� �-�a� 1 1 City/Zip 1 1 If in Subdivision provide information, as follows: 1 V ►" - 1 Name: 1 1 Section: 1 I 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 �l� '^�' `y��''" to conduct all testing procedures as necessary to determine the site suitability. DATE - SIGNATURE Revised DCHD (06-96) A� �--= DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT/S" Soil/Site Evaluation T s� z APPLICANT'S NAME .` ( �� DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE SUBDIVISION�/- JC��Y� ROAD NAME Water Supply Evaluation By: On -Site Well Auger Boring Community Pit Public a� Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group�i Consistence / Structure ,C Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE i SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) EVALUATION BY: l OTHER(S) PRESENT: 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 ■■■■■■■■■■■■/■■■/■■■/■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■e■■■■■■■■■■rye■■■■■■■■■■■■■e■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■epi►e■■■■■■■e■■■e■■■e■■■■■■■■■■■■■■■■■■ ■■e■■■■e■■eee■■■■■■■■e■■■■■■■■■■�■■■■■■e■■■■■■■■■e■■■■■■e■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MENNENiiiii iiiiiiiiiii�iiiiiii ■■■eee■■/■■/■e■■■■■■e■■■■i�■■■■■■■■■■■■■■■■■��■■■e■■■■■■■■■e■■■e■■■■ ■■■■■■■■■■■■■■e■■■■■■■e■■ ■■■iii iii■■■■e■■■■■e■■e■■■■■■■■■■■e■■■ ■■■■■e■e■eee■e■■■ae■e■/■■■■e■e■e ■■■/■■/■ee■■/e■■■■e■■■■■/■■■■e■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ae/■■■■■■e■■e■■e■■e■■e■ee■■■■eee■■■■■■e■■■■■■■■■e■e■■■■■■■■ee■■■■ ■■■e■■■■■■■■e■e■■■■■■■■e■■e■■■■■e■■■■■e■e■■eee■■■e■■■■■■■■■■■■■e■■ ■■■e■ee■■a/■■■■■■e■■ea■e■■e■■■■■ ■■ea■■■■■e■■■■■■■e■■■■e■e■■e■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■eee/■■e■■■■■■■■■■■■■■eea■■■■■■■■ I I Davie Countv. NC Tnv Pnrnel RPnnrt Wednesday, January 4, 2017 Parcel Number. NCPIN Number: Account Number. Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage; Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: WAKNING: THIS IS NUT A SURVEY COOLEEMEE Parcel Information SOUTH DAVIE M4010A0015 Township: Mocksville 5726902781 Municipality: DAVIE COUNTY 82516538 Census Tract 37059-801 SPILLMAN ROGER P Voting Precinct: SOUTH CALAHALN PO BOX 738 Planning Jurisdiction: Davie County COOLEEMEE Zoning Class: DAVIE COUNTY R-A,R-20 NC Zoning Overlay: DAVIE COUNTY CZOD 27014-0000 Voluntary Ag. District: No LOT 15 GRANT HEIGHTS 1.53 ac Fire Response District: COOLEEMEE Land Value: Total Assessed Value: 1.48 Elementary School Zone: COOLEEMEE 12/2013 Middle School Zone: SOUTH DAVIE 009450507 Soil Types: GnB2,GnC2 0006 Flood Zone: 158 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: f All data Is prodded as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the I Y 9 " Davie County, impaled warranties of merchantability or fitness for a particular use. All users of Dade County's GIS website shall hold harmless the I County of Dade, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to 1�T i r'pUN.� l� C or arising out of the use or Inability to use the GIS data prodded by this website. AUTHORI7,ATION NO: 053' 1 DAVIE COUNTY HEALTH DEPARTMENT i� f C Environmental Health Section PROPERTY INFORMATION Permittee's .P.O. Box 848 Name: � Mocksville, NC 27028 Subdivision Name: Y/ Phone #: 704-634-8760 ^� Directions to ro ert :'Z/;J-'l r' - ' P P Y % e� Section: Lot: -AUTHORIZATION FOR WASTEWATER - SYSTEM CONSTRUCTION Tax Office PIN:# Road Name:(lnGlldl! **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 Permits. (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 }t,ts',y.,%3 f IS VALID FOR A PERIOD OF FIVE YEARS. �Pel IENVIRONMENTAL HEALTH 9kCIALIST DATE ISSUED DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION _ Permlttee� 5 �- . Name: Directions to property:,./. /: r' IMPROVEMENT PERMIT Subdivision Name" Section: Lot: Tax Office PIN:# Road Name: Zip: - i 11, **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 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 Treatment and Disposal Systems) ***Nl1TT(1V*** TTTTC D OMIT TC CTn2TPVT Tn DVVIVAT1FnN TF CrIT 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 e4- ff # BEDROOMS ',-? # BATHS -.2_# OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE /i # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE /tile TYPE WATER SUPPLY C f, DESIGN WASTEWATER FLOW (GPD) lie 1/) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH -71 ROCK DEPTH _/,:) LINEAR FT. J l J REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT LIJ **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) 6348760. OPERATION PERMIT / SYSTEM INSTALLED BY: � i2l'��'P u AUTHORIZATION NO. DS� f OPERATION PERMIT BY: 'e&� DATE: 1,&� **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) APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & A J� Davie County Health Department LS @ M 07,7 Environmental Health Section P. O. Box 848 OCT Mocksville, NC 27028 3 (704) 634-8760 i ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNL LL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed Contact Person Mailing Address ✓ Home Phone 2O c City/State/ZiC / Business Phone7A �f'a�`� _ ,'�^ r 2. Name on Permit/ATC if Different than Above Mailing Address 120 e" f % � X City/State/Zip( *D-LC00 ag-,, t-JC4 QrZQ1 y 3. Application For: ❑ Site Evaluation ❑ Improvement Permit & ATC ❑ Both 4. System to Serve: ❑ House Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms 3 # Bathrooms Q_ ❑ Dishwasher ❑ Garbage Disposal ZWashing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type OJ 14q" # People # Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats �� Estimated Water Usage (gallons per day) 7. Type of water supply: '/ County/City ❑ Well ❑ Communit 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 4a' No Y P P Y Y If yes, what type? INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: % &9 . n 0' ^ 6 �'! • � , 1 WRITE DIRECTIONS (from - - 1 Mocksville) TO PROPERTY: Tax Office PIN: # 1 . n n 1 Property Address: Road Name ! � cL�-` hod . 1 M� 1 city/zip 1 If in Subdivision provide information, as follows: 1 Name: /ice /`'CILl Section: Lot #: 1 1 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 1 A A /1 - _ A A and owned by as necessary to determine the site suitability. DATE /D /n3D9� SIGNATURE Revised DCHD (06-96) conduct all testing procedures DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME / ADDRESS ,l,� PROPOSED FACIILTY � Ar DATE EVALUATED PROPERTY SIZE LOCATION OF SITE Water Supply: On -Site Well _ Community Public V Evaluation By: Auger Boring Pit d�— Cut FACTORS 1 2 3 4 Landscape position .L <.1 Sloe Z HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupC Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: _ EVALUATED BY: ��l LONG-TERM ACCEP NC R TE: 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- Vc.-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 - 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